DECLARATION

(Ex-serviceman)

(As required vide Army HQ letter No A/00651/Org 8(I of R) (a) dated 07 Jul 1988)

I, No _______________ Rank ______ Name ________________________________ hereby

declare that I have been shifted permanently from District _______________ to _________________.
My new and old home addresses are as under :-

New Home Address Old Home Address

_____________________ _____________________
_____________________ _____________________
_____________________ _____________________

Declaration

I am enclosing my Discharge Book/Discharge Certificate Serial No ________ to my New Zila

Sainik Welfare Office, Chandigarh for verification regarding change of home address. Zila Sainik Welfare
Office, Sector 21-D, Chandigarh, is requested to verify my new home address and after verification,
submit my Declaration alongwith my Discharge Book/Discharge Certificate to my old Zila Sainik Welfare
Office _____________________ for their verification of my old address and further submission to my
Records Office_____________________.

Dated : ________________ (Signature of the applicant)

REMARKS OF THE ZILA SAINIK WELFARE OFFICE, U.T, CHANDIGARH

The new home address of the individual has been verified and found correct and it is
recommended that the same may please be amended in Discharge Book/Discharge Certificate.

The Declaration (in triplicate) alongwith Discharge Book/Discharge Certificate of the individual is
submitted to old Zila Sainik Welfare Office _____________________ for their verification of old home
address and onward submission to the OIC Records _________________________________ for
necessary amendment in his Discharge Book/Discharge Certificate under intimation to this office.

File No : 133/ZSB/UT/CHD/
Dated : (Signature of ZSWO)

Zila Sainik Welfare Office

____________________
File No : __________________ Dated :
To
The OIC Records
__________________
__________________

CHANGE OF HOME ADDRESS

On verification it has been transpired that the above named individual has permanently been
shifted from his old address and it is recommended that his new home address as verified by his new Zila
Sainik Welfare Office may be changed in his Discharge Book/Discharge Certificate. Declaration
alongwith Discharge Book/Discharge Certificate of the individual is forwarded herewith for necessary
amendment in the Discharge Book/Discharge Certificate and early return of the same to the Zila Sainik
Welfare Office, Sector 21-D, UT Chandigarh.
Encls :____________

Copy to :- (Signature of ZSWO)

Zila Sainik Welfare Officer - for information please.

Sector 21-D, UT Chandigarh
 DECLARATION
(Widow Ex-serviceman)

(As required vide Army HQ letter No A/00651/Org 8(I of R) (a) dated 07 Jul 1988)

I, Smt _____________________________ W/O Service No _______________ Rank ______

Name ________________________________ hereby declare that I have been shifted permanently from
District _______________ to _________________. My new and old home addresses are as under :-

New Home Address Old Home Address

_____________________ _____________________
_____________________ _____________________
_____________________ _____________________

Declaration

I am enclosing my husband’s Discharge Book/Discharge Certificate Serial No ________ to my

New Zila Sainik Welfare Office, Chandigarh for verification regarding change of home address. Zila
Sainik Welfare Office, Sector 21-D, Chandigarh, is requested to verify my new home address and after
verification submit my Declaration alongwith my husband’s Discharge Book/Discharge Certificate to my
old Zila Sainik Welfare Office _____________________ for their verification of my old address and further
submission to my husband’s Records Office_____________________.

Dated : ________________ (Signature of the applicant)

REMARKS OF THE ZILA SAINIK WELFARE OFFICE, U.T, CHANDIGARH

The new home address of the widow has been verified and found correct and it is recommended
that the same may please be amended in Discharge Book/Discharge Certificate.

The Declaration (in triplicate) alongwith Discharge Book/Discharge Certificate from the widow is
submitted to old Zila Sainik Welfare Office _____________________ for their verification of old home
address and onward submission to the OIC Records _________________________________ for
necessary amendment in the Discharge Book/Discharge Certificate under intimation to this office.

File No : 133/ZSB/UT/CHD/
Dated : (Signature of ZSWO)

Zila Sainik Welfare Office

____________________
File No : __________________ Dated :
To
The OIC Records
__________________
__________________

CHANGE OF HOME ADDRESS

On verification it has been transpired that the above named widow has permanently been shifted
from her old address and it is recommended that her new home address as verified by her new Zila
Sainik Welfare Office may be changed in her husband’s Discharge Book/Discharge Certificate.
Declaration alongwith Discharge Book/Discharge Certificate is forwarded herewith for necessary
amendment in the Discharge Book/Discharge Certificate and early return of the same to the Zila Sainik
Welfare Office, Sector 21-D, UT Chandigarh.
Encls :____________

Copy to :- (Signature of ZSWO)

Zila Sainik Welfare Officer - for information please.

Sector 21-D, UT Chandigarh
 DECLARATION
(Local Address – Ex-serviceman)

(As required vide Army HQ letter No A/00651/Org 8(I of R) (a) dated 07 Jul 1988)

I, No _______________ Rank ______ Name ____________________________

hereby declare that I have been shifted permanently from ________________________
to _________________________, Chandigarh. My new and old home addresses are
as under :-

New Home Address Old Home Address

_____________________ _____________________
_____________________ _____________________
_____________________ _____________________

Declaration

I am enclosing my Discharge Book/Discharge Certificate Serial No ________ to

my Zila Sainik Welfare Office, Chandigarh for verification regarding change of home
address. Zila Sainik Welfare Office, Sector 21-D, Chandigarh, is requested to verify my
new & old home address and after verification, submit my Declaration alongwith my
Discharge Book/Discharge Certificate to my Records Office_____________________.

Dated : ________________ (Signature of the applicant)

To
Zila Sainik Welfare Officer
Sector 21-D, UT Chandigarh

REMARKS OF THE ZILA SAINIK WELFARE OFFICE, UT CHANDIGARH

CHANGE OF HOME ADDRESS

On verification it has been transpired that the above named individual has
permanently been shifted from his old address and it is recommended that his new &
old home address as has been verified by Zila Sainik Welfare Office, Chandigarh may
be changed in his Discharge Book/Discharge Certificate. Declaration alongwith
Discharge Book/Discharge Certificate of the individual is forwarded herewith for
necessary amendment in the Discharge Book/Discharge Certificate and early return of
the same to this office.

File No : 133/ZSB/UT/CHD/
Dated : (Signature of ZSWO)
 DECLARATION
(Local Address – Widow Ex-serviceman)

(As required vide Army HQ letter No A/00651/Org 8(I of R) (a) dated 07 Jul 1988)

I, Smt ______________________ W/O Service No ____________ Rank ______

Name ________________________________ hereby declare that I have been shifted
permanently from District _______________ to _________________. My new and old
home addresses are as under :-

New Home Address Old Home Address

_____________________ _____________________
_____________________ _____________________
_____________________ _____________________

Declaration

I am enclosing my husband’s Discharge Book/Discharge Certificate Serial

No ________ to my Zila Sainik Welfare Office, Chandigarh for verification regarding
change of home address. Zila Sainik Welfare Office, Sector 21-D, Chandigarh, is
requested to verify my new & old home address and after verification submit my
Declaration alongwith my husband’s Discharge Book/Discharge Certificate to my
husband’s Records Office_____________________.

Dated : ____________ (Signature of the applicant)

To
Zila Sainik Welfare Officer
Sector 21-D, UT Chandigarh

REMARKS OF THE ZILA SAINIK WELFARE OFFICE, UT CHANDIGARH

CHANGE OF HOME ADDRESS

On verification it has been transpired that the above named widow has
permanently been shifted from his old address and it is recommended that her new &
old home address has been verified by Zila Sainik Welfare Office, Chandigarh may be
changed in her husband’s Discharge Book/Discharge Certificate. Declaration alongwith
Discharge Book/Discharge Certificate is forwarded herewith for necessary amendment
in the Discharge Book/Discharge Certificate and early return of the same to this office.

File No : 133/ZSB/UT/CHD/
Dated : (Signature of ZSWO)
 DECLARATION
(Army Officer)

(As required vide Army HQ letter No A/00651/Org 8(I of R) (a) dated 07 Jul 1988)

I, Service No _______________ Rank ______ Name ________________________________

hereby declare that I have been shifted permanently from District ______________ to _______________.
My new and old home addresses are as under :-

New Home Address Old Home Address

_____________________ _____________________
_____________________ _____________________
_____________________ _____________________
Declaration

I am enclosing my Service Records Book No ________ to my New Zila Sainik Welfare Office,
Chandigarh for verification regarding change of home address. Zila Sainik Welfare Office, Sector 21-D,
Chandigarh, is requested to verify my new home address and after verification, submit my Declaration
alongwith my Service Records Book to my old Zila Sainik Welfare Office _____________________ for
their verification of my old address and further submission to Army Headquarters, MP-5(b), New Delhi.

Dated : ________________ (Signature of the applicant)

REMARKS OF THE ZILA SAINIK WELFARE OFFICE, U.T, CHANDIGARH

The new home address of the officer has been verified and found correct and it is recommended
that the same may please be amended in Service Records Book.

The Declaration (in triplicate) alongwith Service Records Book of the officer is submitted to old
Zila Sainik Welfare Office _____________________ for their verification of old home address and onward
submission to the Army Headquarters, MP-5(b), New Delhi for necessary amendment in his Service
Records Book under intimation to this office.

File No : 133/ZSB/UT/CHD/
Dated : (Signature of ZSWO)

Zila Sainik Welfare Office

____________________
File No : __________________ Dated :
To
Addl Dte Gen of Manpower
(Policy & Planning) / MP 5 (b)
Adjutant General’s Branch
Integrated HQ of MoD (Army)
Wing No 7, 2nd Floor, Room No-21
West Block III, RK Puram
New Delhi – 110066

CHANGE OF HOME ADDRESS

On verification it has been transpired that the above named officer has permanently been shifted
from his old address and it is recommended that his new home address as verified by his new Zila Sainik
Welfare Office may be changed in his Service Records Book. Declaration alongwith Service Records
Book of the officer is forwarded herewith for necessary amendment in the Service Records Book and
early return of the same to the Zila Sainik Welfare Office, Sector 21-D, UT Chandigarh.
Encls :____________

Copy to :- (Signature of ZSWO)

Zila Sainik Welfare Officer - for information please.

Sector 21-D, UT Chandigarh
 DECLARATION
(Navy Officer)

(As required vide Army HQ letter No A/00651/Org 8(I of R) (a) dated 07 Jul 1988)

I, Service No _______________ Rank ______ Name ________________________________

hereby declare that I have been shifted permanently from District ______________ to _______________.
My new and old home addresses are as under :-

New Home Address Old Home Address

_____________________ _____________________
_____________________ _____________________
_____________________ _____________________
Declaration

I am enclosing my Service Records Book No ________ to my New Zila Sainik Welfare Office,
Chandigarh for verification regarding change of home address. Zila Sainik Welfare Office, Sector 21-D,
Chandigarh, is requested to verify my new home address and after verification, submit my Declaration
alongwith my Service Records Book to my old Zila Sainik Welfare Office _____________________ for
their verification of my old address and further submission to Integrated HQ MoD (Navy).

Dated : ________________ (Signature of the applicant)

REMARKS OF THE ZILA SAINIK WELFARE OFFICE, U.T, CHANDIGARH

The new home address of the officer has been verified and found correct and it is recommended
that the same may please be amended in Service Records Book.

The Declaration (in triplicate) alongwith Service Records Book of the officer is submitted to old
Zila Sainik Welfare Office _____________________ for their verification of old home address and onward
submission to the Integrated HQ MoD (Navy), New Delhi for necessary amendment in his Service
Records Book under intimation to this office.

File No : 133/ZSB/UT/CHD/
Dated : (Signature of ZSWO)

Zila Sainik Welfare Office

____________________
File No : __________________ Dated :
To
Principal Directorate
(Personnel Services)
Integrated HQ MoD (Navy)
New Delhi – 110 106
Room No 202, ‘C’ Wing, Naval HQ
Sena Bhawan, DHQ PO
New Delhi – 110 011

CHANGE OF HOME ADDRESS

On verification it has been transpired that the above named officer has permanently been shifted
from his old address and it is recommended that his new home address as verified by his new Zila Sainik
Welfare Office may be changed in his Service Records Book. Declaration alongwith Service Records
Book of the officer is forwarded herewith for necessary amendment in the Service Records Book and
early return of the same to the Zila Sainik Welfare Office, Sector 21-D, UT Chandigarh.
Encls :____________

Copy to :- (Signature of ZSWO)

Zila Sainik Welfare Officer - for information please.

Sector 21-D, UT Chandigarh
 DECLARATION
(Air Force Officer)

(As required vide Army HQ letter No A/00651/Org 8(I of R) (a) dated 07 Jul 1988)

I, Service No _______________ Rank ______ Name ________________________________

hereby declare that I have been shifted permanently from District ______________ to _______________.
My new and old home addresses are as under :-

New Home Address Old Home Address

_____________________ _____________________
_____________________ _____________________
_____________________ _____________________
Declaration

I am enclosing my Service Records Book No ________ to my New Zila Sainik Welfare Office,
Chandigarh for verification regarding change of home address. Zila Sainik Welfare Office, Sector 21-D,
Chandigarh, is requested to verify my new home address and after verification, submit my Declaration
alongwith my Service Records Book to my old Zila Sainik Welfare Office _____________________ for
their verification of my old address and further submission to Air Headquarters, New Delhi.

Dated : ________________ (Signature of the applicant)

REMARKS OF THE ZILA SAINIK WELFARE OFFICE, U.T, CHANDIGARH

The new home address of the officer has been verified and found correct and it is recommended
that the same may please be amended in Service Records Book.

The Declaration (in triplicate) alongwith Service Records Book of the officer is submitted to old
Zila Sainik Welfare Office _____________________ for their verification of old home address and onward
submission to the Air Headquarters, New Delhi for necessary amendment in his Service Records Book
under intimation to this office.

File No : 133/ZSB/UT/CHD/
Dated : (Signature of ZSWO)

Zila Sainik Welfare Office

____________________
File No : __________________ Dated :
To
Directorate of Pers Plg
Air Headquarters
Vayu Bhawan, Rafi Marg
New Delhi – 110 106

CHANGE OF HOME ADDRESS

On verification it has been transpired that the above named officer has permanently been shifted
from his old address and it is recommended that his new home address as verified by his new Zila Sainik
Welfare Office may be changed in his Service Records Book. Declaration alongwith Service Records
Book of the officer is forwarded herewith for necessary amendment in the Service Records Book and
early return of the same to the Zila Sainik Welfare Office, Sector 21-D, UT Chandigarh.
Encls :____________

Copy to :- (Signature of ZSWO)

Zila Sainik Welfare Officer - for information please.

Sector 21-D, UT Chandigarh