Online Application Form For Future Retiree

Registration No. : 0001336138

ESM Photo
Name ESM Service Number ESM Demise Date
BRIENDRA KUMAR PANDEY 13684591-M
ESM Gender ESM Date of Commission/Enrollment ESM Date of Retirement/Discharge ESM Type of Pension
Male 16 Dec 2000 31 Oct 2019 Service Pension
ESM Service ESM Category ESM Rank ESM Unit
DSC OR & Equivalent Nk 292 DSC Plt COD Chheoki
ESM Record Office ESM PPO No
DSC Records, Cannanore

Primary Benificiaries Signature

Disability ESM Ailment %age Monthly Income
NA 0 0
PAN No Land Line No Marital Status Blood Group
AQQPP9623G Married B+ve
Enter Primary benificiary Drug Allergies
Not Known
Bank Account No IFSC Code Bank/Treasury Name Bank/Treasury Address
20048351488 SBIN0002003 State Bank of India Ara
Regional Centre Parent Polyclinic Station HQ
Patna Ara Danapur
Primary Benificiaries Permanant Address
Vil Chanur Post Charghat
State District Tehsil Pin Code
Bihar Bhojpur Bihiya 802166
Primary Benificiaries Postal Address
Vil Chanur Post Charghat
State District Tehsil Pin Code
Bihar Bhojpur Bihiya 802166
Dependant (Spouse):
Dependent Photo Dependant Name Relation Disability Details Dependent Sign

PARMILA DEVI Spouse NA

Dependant Gender Dependant Blood Group Dependant PAN Number Dependant Mobile No
Female B-ve Not Available 8609619083
Drug allergies
Not Known
Dependant (Daughter):
Dependent Photo Dependant Name Relation Disability Details Dependent Sign
 SUPRIYA Daughter NA

Dependant Gender Dependant Blood Group Dependant PAN Number Dependant Mobile No
Female O+ve Not Available 8609619083
Drug allergies
Not Known
Dependant (Son):
Dependent Photo Dependant Name Relation Disability Details Dependent Sign

LAXMI NARAYAN Son NA

Dependant Gender Dependant Blood Group Dependant PAN Number Dependant Mobile No
Male B-ve Not Available 8609619083
Drug allergies
Not Known