Pensioner Registration Fields Application Form Fields for Pensioner & Family Members

PPO Number (7th CPC)

Date of Birth
Date of Cessation
Pensioner Type (Primary/Secondary) Checklist of Documents for Submission of UMID Application
Pension Scheme (with/without FMA) As a ready reckoner the following is the check-list for mandatory fields and documents to be scanned in
JPEG/JPG format for advanced preparedness to initiate the application in a full-fledged manner:
Common Documents for All:
Pensioner Application
 Photograph of Pensioner & all the Dependants
Field Names
 Signature of Pensioner
Department*
Designation*  Old Medical ID card of Pensioner
Station  ID proof of all individual Dependants.
Blood Group Relation with Marital Documents required
Residential Address*
Pensioner Status
City*
Mother Widow Father death certificate
Pincode*
Step mother Widow Father death certificate
Health Unit Opted*
Aadhaar Number Son Unmarried If student above 21 yrs, Bonafide Certificate
PAN Daughter Divorced Divorce Decree
Email ID Daughter Widow Marriage Certificate & Death certificate of her husband
Step son Unmarried If student above 21 yrs, Bonafide Certificate
Step Daughter Divorced Divorce Decree
Family Members’ Application Step Daughter Widow Marriage certificate & Death Certificate of her husband
Field Names Brother Unmarried Father Death Certificate and If student above 21 yrs, Bonafide
Family Member Name* Certificate
Date of Birth* Step - brother Unmarried Father Death Certificate and If student above 21 yrs, Bonafide
Relation* Certificate
Marital Status* Sister Unmarried Father Death Certificate
Dependency* Sister Divorced Father Death Certificate and Divorce Decree
Phy./Men. Challenged*
Sister Widow Father Death Certificate, Marriage Certificate & Death certificate of her
Blood Group
husband
Residential Address*
Step-sister Unmarried Father Death Certificate
City*
Step-sister Divorced Father Death Certificate and Divorce Degree
Pincode*
Step-sister Widow Father Death Certificate, Marriage Certificate & Death certificate of her
Health Unit Opted*
husband
Aadhaar No
PAN # In case of Physically/Mentally challenged dependents – Railway Doctor Certified Medical
Email ID Certificate to be uploaded.
Mobile No. * Note: The (*) Marked Fields are the Mandatory Fields in the Application Form.