In lieu of IAFA -369(Rev.

PENSION DISBURSING OFFICE

Name of Bank STATE BANK OF INDIA

Branch Name SBI , ALANDUR

ST.THOMAS MOUNT,CHENNAI,
TAMILNADU-600016
Single A/C no 20043114747
Joint A/C no 31226861714
Bank code 02188
IFSC code SBIN0002188
Treasury

Name Serial………………...... No
Head office
RATHINAVELU K
DESCRIPTIVE ROLL
OF

No JC-382244W
Name RATHINAVELU K
Rank SUB
Corps CORPS OF SIGNALS

INSTRUCTION

THUMB & FINGER IMPRESSIONS & SPECIMEN SIGNATURES

1. A small quantity of printer’s ink should be well rubbed on a tin slab until a very thin layer is
formed . The ball of thumb and of the fingers of the left hand of the individual after being wiped,
should be laid on the ink should be slab and rolled from side to side (not rubbed) until sufficiently ink
should be (this can be learnt from experience) and then lightly and carefully rolled on ball of the thumb
and fingers from side to side is clearly impressed on it. It must be specially borne in mind that any side
movement, either at the time of applying or removing thumb, will cause a smudge or spoil the
impression.

2. The impression on page 2 is required for payment in the Audit office , that on page 5 in detached
and retained by the pension disbursing officer. In the case of family pensioners not with the unit, the
impression on the duplicate copy of IAFY – 366 or A -368 will be removed there from and pasted in the
spaces on page 2 and 5of this form.

3. However , in the case of pensioners in respect of whom photographs have been furnished as per
AO 464/41 and who are literate enough to sign their names in English , Hindi or any office regional
language, instead of taking their thumb and finger impressions as means of identification, they will be
required to affix three signature on page 2 and 5 of the descriptive Roll.
 2

DESCRIPTIVE ROLL

Class No Serial No

Paying Station channel of Payment

Regimental

previous to

pens ioned
pensioned

Inches pensioned

Months pensioned
Date from

Age when
Color of

Corps & Length of

Father’s
Rank &

service

176 cm Cm/Feet Height

Name,

Name
which

when
being
corps

No

Months

& Days

Figure
Rank

Face
Eyes
Year

Year
49

Black
-

Slim
SEMBADAVAR Class of Disability & Fair
LATE KANNIYAPPAN
CORPS OF SIGNALS

Country of family
RATHINAVELU K

temporarily
granted for
30 JUN 2018

JC-382244W

for a fixed
Residence

pension
Corps of signals

period
SUB

other
30 YRS
SUB

For what

Religion
-

period

TAMIL NADU State

Tribe
NORTH ARCOT Distt
Post
Teh
INDIRANAGAR Vill

granted
VANDAVASI
VANDAVASI

HINDU

Prominent Identification marks Remarks on examination by

Service office paying pension
and character 1 BM 11cm from navel at about 3.30
Whilst service ‘O’clock.
2 BM at the upper third of Lt arm.

*The period of service in each corps and rank in which such service was performed must be separately entered* in
the column , “prominent service” the number of battles sieges in which the pensioner may have served and the
occasions on which medals or other rewards are received are to be entered.
*in the column “indelible marks”, the size and situation of any wounds, scars, moles or other secularities tending
to identification of the pensioner are to be entered by medical officers of their regiment in their own handwriting
in plain intelligible terms after a careful examination of each individual.
*in the event of an extension,the period of extension with the number and pension circular/pension payment
permanent.

Impression of Balls of thumb and all of the left Three specimen signature
hand of the individual individual
Thumb Fore Middle Ring Little (1) .
(2) .
(3) .

Impression of the balls of thumb and all fingers right Three specimen signature
Hand of the wife of the individual of the wife of the individual
Thumb Fore Middle Ring Little (1) .
(2) .
(3) .

Note:impression of the ball of the thumb and all fingers of the right hand of the wife of the individual to be repeated on
page(5) also.
 Appx
(ref to AHQ letter No A/56809/
Ins/mat-3/ruling dt 07 oct 90)

BANK DETAILS FOR AGI MATURITY BENEFITS

1. Bank details in respect of JC-382244W Rank Name RATHINAVELU K S/O

Late shri KANNIYAPPAN are as under:-

(a) Name of bankers in full: VILLAGE : INDIRA NAGAR

POST OFFICE : VANDAVASI
POLICE STATION : VANDAVASI
TEHSIL : VANDAVASI
DISTRICT :VELLORE
STATE :TAMIL NADU
PIN CODE :604408
(b) Bank name : STATE BANK OF INDIA
(c) Full postal address of the bank: ALANDUR-TEH , ST. THOMAS MOUNT POST,
(INCL Door No & Mohall etc) DIST- KANCHEEPURAM,CHENNAI,PIN-60016

(d) Bank distirct : KANCHEEPURAM

(e) Bank code No : 02188
(f) BSR code /link code :
(g) Bank Account No : Single Acct No -20043114747
Joint Acct No -31226861714
IFSC No - SBIN0002188
MICR No - 600002065

DATE:
Official seal (signature of Bank manager)

CERTIFICATE
It is certified that I will not close or transfer my above bank account till the AGI
maturity benefits credited to my account.

Dated : (Signature of individual)

JC-382244W Rank SUB
Name RATHINAVELU K
COUNTERSIGNED
Sation : c/o 99APO
Dated: