ISO: 9001:2015

Government of India Office of the Controller of

Ministry of Communications Communication Accounts
Department of Telecommunications Haryana Telecom Circle,
Tel. No. 0171-2601211 CTO Building Ambala Cantt.
Fax No. 0171-2603435 Email – ccaharyana@gmail.com
Web:- www.ccaharyana.com Email:- dycca1-ccahr@nic.in

Preparation of Pension Papers for Timely Pension after VRS

Dear VRS Optee of BSNL,

Please take care of following for timely settlement of your Pension/GPF case:

1. Make efforts to get your Service Book (SB) completed with special attention on:

a) Entry of details like Time-bound Promotion along with Promotion Order

b) Entry of Training Period

c) Pay fixation memos form 1.10.2000 onwards are available in Service Book

d) Up to date remarks regarding Pension Contribution duly attested by BSNL Authority

e) Copy of Presidential Order is pasted in SB

f) Undertaking prescribed for post based increment is available (wherever applicable)

g) Indemnity Bonds is available for Group B officers who opted for IDA from date of
promotion after 1.10.2000

h) TSM period should be mentioned in SB along with Regularization orders

i) Strike Period has been regularized and entries are made in the Service Book.

j) Leave Account is complete

k) Provide two copies of Aadhar Card, PAN Card for CCA Office.

l) Joint Bank Account with spouse. 1st name should be of retiree.

m)Name in Bank Account and printed on cheque should be same.

 ISO: 9001:2015
Government of India Office of the Controller of
Ministry of Communications Communication Accounts
Department of Telecommunications Haryana Telecom Circle,
Tel. No. 0171-2601211 CTO Building Ambala Cantt.
Fax No. 0171-2603435 Email – ccaharyana@gmail.com
Web:- www.ccaharyana.com Email:- dycca1-ccahr@nic.in

2. Make sure that following Forms are ready and complete in all respect:

1. Form -5 Application for Pension, showing Aadhar Number, PAN Number, Mob.
Number & email id. ( copies of PAN Number & Aadhar Card to be
enclosed)
2. Form- 1 (A) Application for commutation.
3. Form -3 Details of Family mentioning Aadhar number, PAN number, Mobile
number and email id. ( copies of PAN Number & Aadhar Card to be
enclosed)
4. 4 Form - 7 Assessment of Pension & Gratuity) duly signed by the Head of office.
(to be done by BSNL Units)
5. Form-1 Common Nomination Form for GPF, DCRG and Commutation. (Copy
enclosed)
6. Form-8 Forwarding the Pension Papers (to be sent by BSNL Units)
7. Three Joint Photographs ( 5x 8.5cm) with wife/Husband, One single photograph of
pensioner and one single photograph of each family member (Name should be written
on the Back side of Photograph) duly attested by the Head of the office
8. Pension calculation sheet. (To be done by BSNL Units)
9. Disciplinary/Vigilance clearance certificate. (To be done by BSNL Units)
10. Last Pay certificate (LPC). (To be done by BSNL Units)
11. Retirement order. (To be done by BSNL Units)
12. VRS case - Copy of VRS Notice (To be done by BSNL Units)
13. Three specimen signatures or left hand thumb impression marks in duplicate duly
attested.
14. Two slips showing the particulars of height and personal identification marks (not less
than two) duly attested by a Gazetted Govt. servant.

15. ECS mandate form & Cancelled Cheque. 1 st page of Bank Pass Book showing Name, A/
c No. and IFSC Code mentioned in case of non issuance of cheque Book. (To be
submitted in duplicate)
16. Pay fixation Sheet: All Promotions and all Pay Commission etc. should be checked and
recorded in the Service Book duly attested, to avoid resubmission/revision of Pension
case.
17. Service Verification Sheet: Showing details & total period of non-qualifying service
spell and year wise breakup as per format below: Service Verification Non qualifying
period From To Service Book Page No From To No. days Type of non Qualifying
18. Service Book duly completed as on date of submission and notifying the date of
superannuation.
19. No demand/No dues certificate by AGM (A)/DE (Admin) of BSNL unit.
20. Form “A” Common Nomination for arrears of Pension and Communed value of Pension.
(Copy enclosed)
21. Pensioner’s Letter of authority and Undertaking for refunding any excess payment
made by the Pension Disbursing Authority ( Annexure – A Proforma enclosed ) (To be
submitted in duplicate)
22. Declaration for non-employment after retirement in cases of Gr. ‘A’ Pensioner.
23. Details of total income of the pensioner taxable under Income Tax Act during current
financial year along with the details of saving made by the pensioner for tax rebate.
24. GPF Final Payment Application along with required documents.
 ISO: 9001:2015
Government of India Office of the Controller of
Ministry of Communications Communication Accounts
Department of Telecommunications Haryana Telecom Circle,
Tel. No. 0171-2601211 CTO Building Ambala Cantt.
Fax No. 0171-2603435 Email – ccaharyana@gmail.com
Web:- www.ccaharyana.com Email:- dycca1-ccahr@nic.in

3. Always provide:

a) Permanent address after retirement for future communication

b) Correct email id for future communication

c) Permanent mobile number for future communication

4. Make sure that that your Name in the Service Book is the same as in your Aadhar Card,
Bank Account and PAN Card.

5. Make sure that the Name and Date of Birth of family members is the same as in their
Aadhar Card, Bank Account and PAN Card.

6. Pl take care: not to provide your service connection number as contact

 Number not to give official email id for future communication

 Not to provide your staff quarter address for future

 Communication In case of any further query, Please contact:

Sr. Accounts officer {Pension}

O/O Controller of Communication Accounts
Haryana Telecom Circle,
Doorsanchar Bhawan, {Old CTO Building)
Lawrance Road, Ambala Cantt.-133001
Toll Free – 1800-180-1367, Ph.0171-2603166
Email: ccaharyanapension@gmail.com , ccaharyana@gmai.com

Pension Section officer:-

Sr. No. Name of the Officer Contact Number
1. Sh. Gurmukh Singh (Sr. AO) 9991727546
2. Sh. Anil Kumar (AAO) 7015056701
3. Sh. Rakesh Kumar (AAO) 9416226397
 ISO: 9001:2015
Government of India Office of the Controller of
Ministry of Communications Communication Accounts
Department of Telecommunications Haryana Telecom Circle,
Tel. No. 0171-2601211 CTO Building Ambala Cantt.
Fax No. 0171-2603435 Email – ccaharyana@gmail.com
Web:- www.ccaharyana.com Email:- dycca1-ccahr@nic.in

Download SAMPANN APP: - https://play.google.com/store/apps/details?id=com.cpms_telecom

using the APP, Telecom pensioner can:

o Track pension
o View ePPO
o Lodge and track grievances
o View monthly Statement
o Stay Updated