Online Application Form For Old 32Kb Card Holder

Registration No. : 0000656982

ESM Photo
Name ESM Service Number ESM Demise Date
MANIKANTA N 2596764-H
ESM Gender ESM Date of Commission/Enrollment ESM Date of Retirement/Discharge ESM Type of Pension
Male 01 Mar 1993 31 Jan 2009 Service Pension
ESM Service ESM Category ESM Rank ESM Unit
Army OR & Equivalent Hav 4 Madras (WLI)
ESM Record Office ESM PPO No
The Madaras Regiment, Wellington S/055373/2008(ARMY)

Primary Benificiaries Signature

Disability ESM Ailment %age Monthly Income
NA 17500
PAN No Land Line No Marital Status Blood Group
ALZPM1522D 41698258 Married O+ve
Enter Primary benificiary Drug Allergies
Not Known
Bank Account No IFSC Code Bank/Treasury Name Bank/Treasury Address
30343330071 SBIN0007637 State Bank of India Srinagar(Bangalore)
Regional Centre Parent Polyclinic Station HQ
Bangalore Yelahanka (Bangalore) AF Stn Yelahanka (Bangalore)
Primary Benificiaries Permanant Address
No. 20, 2nd A Cross, Srisathya Narayana Temple Road, BSK 3 rd Stage, Srinivasa Nagar
State District Tehsil Pin Code
Karnataka Bangalore Banashankari 3rd State 560085
Primary Benificiaries Postal Address
No. 20, 2nd A Cross, Srisathya Narayana Temple Road, BSK 3 rd Stage, Srinivasa Nagar
State District Tehsil Pin Code
Karnataka Bangalore Banashankari 3rd State 560085
Old Card Number
CN0070220
Dependant (Spouse):
Dependent Photo Dependant Name Relation Disability Details Dependent Sign

DIVYA. T.P. Spouse NA

Dependant Gender Dependant Blood Group Dependant PAN Number Dependant Mobile No
Female A-ve DOZPD8104N 8123356874
Drug allergies
Not Known
Dependant (Father):
Dependent Photo Dependant Name Relation Disability Details Dependent Sign

NARAYANAN T Father NA

Dependant Gender Dependant Blood Group Dependant PAN Number Dependant Mobile No
Male O+ve BOUPN7559E 8147345030
Drug allergies
Not Known
Dependant (Son):
Dependent Photo Dependant Name Relation Disability Details Dependent Sign

AKHILESH. M. D Son NA

Dependant Gender Dependant Blood Group Dependant PAN Number Dependant Mobile No
Male O+ve Not Available 9035657441
Drug allergies
Not Known
Dependant (Son):
Dependent Photo Dependant Name Relation Disability Details Dependent Sign

AADHISH. M.D. Son NA

Dependant Gender Dependant Blood Group Dependant PAN Number Dependant Mobile No
Male O+ve Not Available 9035657441
Drug allergies
Not Known
Document Details:
Doc Desc Beneficiary Doc No
PPO Document of ESM Manikanta N S/055373/2008
Copy of Old 32KB Card Manikanta N CN0070220