PPO Unique ID
Pensioner Name
Date Of Retirement
(Original Pensioner)
Name of Family Pensioner
‘Aaaress
iy
Country
PIN Code
Category Description
‘Nominee
[Commutation 1
[Commutaion 2
[Commutaion 3
[Commutaion a
‘Commutation Installment 1
‘Commutation Installment2
‘Commutation installment
‘Commutation Installment 4
‘Commutation Installment
Disability Element End Date
Life Cenifcate Submitted Date
Basic Amount
DPay
Deamess Alowance/Relie!
Disability Amount
Tnierim Relief Amount
‘Ord Age Adaitional Amount
Fixed Medical Allowance
[Other Allowance Amount
‘Other Payments
‘Arrears Paid
‘Commutation Lumeum Paid
‘Gratuity Amount Paid
LTA Amount Paid
Total Earnings
Total Pension Paid
‘Grass Pension
Loss From House Properties
Deductions under
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Other Deductions
[Direct Recovery
“Taxable Income
Tax on Total Income,
[Advance Tax Paid
Total Payable & Surcharge
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Pension Month
‘Account Number
Date of Birth
(Original Pensioner)
Date of Biah
(Family Pensioner)
PPO Number
Category
Branch Code
Branch Name
Pension Type
Pan Number
sdhaar Number
[Commutaion’ Paid Date
|Commutaiona Paid Date
[Commutaion3 Paid Date
[Commutaion4 Paid Date
‘Commutation End Date 4
‘Commutation End Date 2
‘Commutation End Date 3
‘Commutation End Date 4
‘Commutation End Date 5
Enhanced Rate of Family
End Dato
‘Nex! Life Coniicate Due Date
Recovery
Tacoma Tax Deduction
(Other Schemes Recovery
“Total Commutation Installment
Amount
‘Total Deductions
Pension Credited Date
Tax Deducted Upto Last Month
“Tax Deducted In Current Month
Tax To Be Deducted
interest Amount
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