‫یا کسی بھی ڈسکو کے مالزم کی پینشن کے کاغذات صرف چند منٹوں میں تیار کر سکتے ہیں۔ فارم

کی تیاری کے لئے‬
‫ی کوئی ضرورت نہیں ہے صرف پینشنر کی ضروری معلومات برابر والی شیٹ ‪ Calculation‬آپ کو کسی قسم کی کوئی‬
‫ِ‬
‫بصورت دیگر آپ کو ‪ Calculation‬کرنی ہیں۔ البتہ درست‬ ‫وں کا خاص خیال رکھنا ہے‬
‫حامل ہے۔ ‪Microsoft Excel‬تایخ کو "‪ "International Format‬میں دکھاتا ہے۔ مثال ً اگر ہم اپنے مروجہ طریقے کی بناء‬
‫‪ "08.0‬درج کریں گے لیکن ‪ MS Excel‬اسے اپنے انٹرنیشنل فارمیٹ کی بدولت ‪ 05‬اگست ‪ 2019‬تصور کرے گا اور‬
‫ں کہ آپ ‪ 25/12/2018‬درج کریں تو اسے ‪ Excel‬تاریخ ہی تسلیم نہیں کرے گا کیونکہ انٹرنیشنل فارمیٹ میں مہینہ‬
‫لہذا اسے ‪ Text Format‬میں دکھائےگا جو اسکریں پر بظاہر درست تاریخ نظر آئے گی لیکن وہ قطعا ً غلط ہو‬
‫ہوتے ہیں ٰ‬
‫دفعہ اپنی ‪ Windows‬کے ‪ Control Panel‬کے ذریعے ‪ Regional and Language Options‬میں ‪ Date Format‬کو‬
‫‪ Currency‬کو ‪ $‬کی بجائے "‪ "Rs.‬سے تبدیل کردیں۔ یہ دیکھنے کے لئے کہ آپ نے جو تبدیلی کی ہے وہ درست آ رہی‬
‫کا بٹن دبا دیں وہ خودبخود اسے ‪ 08.05.2019‬درج کردے گا۔‬

‫‪ Drop‬سے منتخب کریں مثال ً "‪ "HESCO‬یا ‪ WAPDA‬وغیرہ۔‬

‫سب سے آسان ہے آپ نے پینشنر کا نام اسے کے والد یا خاتون مالزم کی صورت میں اسکے شوہر کا نام ‪ ،‬اور دیگر‬
‫نے کی تاریخ اور رٹائر ہونے کی تاریخ‪ ،‬قابل پینشن تنخواہ وغیرہ‪ ،‬جس دفتر سے رٹائر ہو رہا ہے اور جہاں سے پینشن‬

‫‪ Relat‬میں ‪ Drop Down List‬سے (‪ )Self Female‬منتخب کریں مرد مالزم کے لئے اسے خالی چھوڑ دیں۔‬

‫ت بنانے کے لئے اوپر نمبر ‪ 3‬میں دی گئی معلومات کے عالوہ چند معلومات مزید دینی ہوں گی جیسا کہ بیوہ یا مرحوم‬
‫ن میں سے کوئی یا کسی قانونا ً اہل رشتہ دار کا نام ‪ DataInput‬کے نمبر ‪ 5‬درج کرنا ہوگا۔ اسی طرح نمبر ‪ 7‬پر مرحوم‬
‫دوران مالزمت ہی فوت ہو گیا تھا اس لئے نمبر ‪ 10‬خانہ خالی چھوڑ دیں اور اسکی جگہ نمبر ‪ 11‬میں تاریخ‬‫ِ‬ ‫ں مالزم‬
‫ت میں یہ پروگرام خودکار طریقہ سے ‪ Family Pension Papers‬بنا دے گا۔‬
 ‫نے ایک سے زائد شادیاں کی ہوتی ہیں کے فیملی پینشن (‪ )Family Pension‬کے کاغذات بنانے کے لئے اوپر نمبر ‪4‬‬
‫‪ Dat‬پر دئے گئے "‪ "Family Sharing Table‬کو بھی پر کرنا ہوگا۔ مرحوم کے پسماندگان کی کئی صورتیں ہو سکتی ہیں‬
‫ہوںاور خود بھی زندہ ہوں یا پھر کوئی بے اوالد ہو یا کسی کی اوالد تو ہو لیکن وہ خود فوت ہو چکی ہو۔ تمام صورتوں میں‬
‫ملی کا اندراج ممکن ہے۔ آپ اس فیملی کے حقائق کے مطابق ان کا اندراج اس ٹیبل میں کر دیں اور ان کےنمبر یعنی اے‬
‫مات تو وہی رہیں گی جو اوپر نمبر ‪ 4‬میں دی ہیں صرف حقدار پینشنر کا نام ‪ ،‬رشتہ ‪CNIC ،‬اور جہاں سے وہ اپنی‬
‫ام تبدیل کرکے درج کرنا ہے اور ‪ DataInput‬کے نمبر ‪ 6‬کے نیچے سبز رنگ کے خانے میں اسکا متعلقہ نمبر یعنی‬
‫‪ Calc‬یہ پروگرام خود کر لے گا۔‬

‫م ‪ Commutation‬کی بجائے‪ 100٪‬پینشن لینا چاہتا ہے تو ایسی صورت میں ‪ DataInput‬کے نمبر ‪ 23‬میں ‪Drop‬‬
‫ینشن بن جائے گی۔‬

‫شیٹ پر جاکر اسے ‪ Print‬لیں۔ اس شیٹ پر کچھ جگہوں پر ‪ Yellow‬شیڈ دیا ہے یہ اس بات کی نشانی ہے کہ یہ حصہ‬
‫مطابق تبدیل کرسکتے ہیں جیساکہ کمپنی کے مجاز افسر کا عہدہ اور دفتر کا پتہ وغیرہ یا مختلف سالوں میں دیا گیا‬
‫پیپر بنا رہے ہیں جو کہ اس پروگرام کے مطابق نہیں ہیں تو آپ اس میں دیئےگئےساالنہ فیصد اضافوں کو اپنے مطلوبہ‬

‫‪ Cer‬بھی درکار ہوتے ہیں ان میں سے چند اس پروگرام کے ذریعے خودکار طریقہ سے بن جاتے ہیں ۔ ذاتی پینشن کے لئے‬
‫‪ For FmlyPensi‬پر جاکر ایک دفعہ چیک کرلیں کہ تمام سرٹیفکیٹس میں عبارت پوری نظر آرہی ہے یا نہیں ۔ نامکمل‬
‫ہ کرکے سیٹ کرلیں اور ‪ Print‬لے لیں۔‬

‫اہتے ہوں تو ‪ DataInput‬شیٹ پر جا کر صرف مطلوبہ تاریخیں‪ ،‬اپنا پے اسکیل اور پینشن کے لئے درکار تنخواہ اور دیگر‬
‫فصیالت دیکھ سکتے ہیں۔‬
‫بل پینشن مدت ِمالزمت اگر‪ 10‬سال سے کم ہے تو پھر صرف یک مشت گریجویٹی ہی ملے گی۔‬

‫ل نمبر یا ای میل ایڈریس پر رابطہ کر سکتے ہیں۔‬

 Use "Jameel Noori
‫الحمدللہ اس چھو‬ Nastleeq" Font for
a clear view.
taInput" ‫پر درج‬
‫کا میسج ملے گا۔‬
1

4
 9
8
7
6
5

10
Family Sharing Table
 Select Organization:

1 Name of Employee/Pensioner (Self):

2 Name of Father/Spouse:

3 Designation:

4 BPS :

5 Name of Widow/Claimant (Family Pension)

6 Computerized N.I.C of Pensioner

Family No. (eg A, B, C or D according to "Family sharing

table" shown at the bottom of this table)

7 Relation with employee(Female OR FP):

8 Date of Birth:

9 Date of Appointment:

10 Date of Retirement:

11 Date of Death: (in case of Family Pension)

12 Age on next Birthday

13 Proposed Pension Disbursing Office:

14 Office (in case Sub Office e.g. Sub Div.)

15 Main Retiring Office:

16 Postal address of applicant:

Type of Pension e.g., Superannuation Pension

17
etc.

18 Basic Pay

Increment for calculation of pension purpose

19
only (If admissible)
20 Personal Pay etc.

21 Any other Allowance etc. (Pensionable)

22 Total Amount Recoverable (If any)

23 Not opted for Commutation. (Special Cases)

J Please feel free to contact for any query:
 HESCO
Calculation of E.O.L./Break in Service etc.

(i). Extraordinary Leaves

i).

19 ii).

iii).

(ii). Suspension not treated as duty or leave

i).

ii).

7/9/1967 iii).

10/21/1985

12/31/2022 (iii). Period of break in service

56 (iv). Service rendered before break, if break is not condoned

Revenue Office, HESCO, Latifabad, Hyderabad.

(v). Service forfeited by resignation.

(vi). Unauthorized absence.

i).

Rs.35,500.00 ii).

iii).
 Zaigham uddin Farooquie,
Cell # 0333-2621671
email: abu.usman.zaigham@gmail.com

Note: In case of more than one

family, actual number of all eligible
members (family wise) i.e, widows
and children must be eneterd here.
 From To

break is not condoned

 L Family Sharing Table
In case of more than One family this table
must be filled for correct calculation.

Family Total Widow Family

Widow Children Children%
No. Family % %

an one A 1 1 2 25.00% 4.17% 29.17%

all eligible
e, widows B 0 3 3 0.00% 12.50% 12.50%
terd here.
C 1 2 3 25.00% 8.33% 33.33%

D 1 0 1 25.00% 0.00% 25.00%

3 6 9 75.00% 25.00% 100.00%

0
 Pension etc wef 01.07.2021/01.04.2022 at a Glance

Date of Birth: 7/9/1967

Date of Retirement: 12/31/2022

Date of Restoration: 1/1/2038

BPS: 19
Qualifying Service: 37 years, 2 months and 10 days.

Total Pay & Emoluments: Rs. 35,500.00

Commutation/Gratuity: Rs. 1,519,648.00

Gross Pension: Rs. 24,850.00

Net Pension: Rs. 16,152.50
Monthly Pension: Rs. 22,964.00
Cash Medical Allowance (Optional): Rs. 5,741.00
Special Additional Pension (Orderly Allow. BPS 20 & above): Rs. -
Total Monthly Pension: Rs. 28,705.00
FORM-1 (Pen)
(See Rule-2 of Chapter-V of WAPDA Pension Rules, 1977)

HYDERABAD ELECTRIC SUPPLY COMPANY LTD.

PENSION PAPERS
OF

Office of the
C.N.I.C:
 FORM-1 (Pension)
FIRST PAGE
PART-I
(To be filled in and signed by the applicant himself)

To,
The Chief Financial Officer,
HESCO, Hyderabad

Sir,

I have the honour to say that I am due to be retired from HESCO Services
with effect from 31.12.2022 (AN). I, therefore, request that the pension admissible
under the Rules may kindly be sanctioned to me.

2. I declare that I have neither applied for nor received any Pension or Gratuity
for any portion of this service, nor shall I submit any application hereafter without
quoting a reference to this application and to the order which may be passed on it.

3. Should the amount of the pension and/or gratuity granted to me be after-

wards found to be in excess of that to which I am entitled under the Rules,
I hereby undertake to refund any such excess amount.

4. I wish to draw my pension from

at Revenue Office, HESCO, Latifabad, Hyderabad.

5. I wish to draw gratuity @ 25% of my Gross Pension.

6. I wish to draw Commutation @ 35% of my Gross Pension.

7. Following documents duly attested are enclosed:

(i). Three specimen signatures of mine.

(ii). Three passport size photograph of mine.
(iii). Two sets of my thumb and finger impression.

Your Obediently

Countersigned

( )
S/o
0
0

Dated: ______________
 SECOND PAGE
PART-II
(To be completed by the Office/Department receiving the application for Pension)
Section (1)
1. Name of employee: 0
2. Father's name: 0
3. Nationality: Pakistani

4. Postal Address: 0

5. Post held on the date of retirement: 0

6. Date of Birth of the applicant: 7/9/1967
7. Height:
8. Marks of identification:
9. Date of:
i). Commencement of Service: 10/21/1985
ii). Retirement/Death(In service): 12/31/2022
iii). Application for Pension: 7/31/2022

10. Length of service including interruptions is (37 Y,2 M,10 D) out of this the
length of Non-Qualifying Service and interruption is (0 Y,0 M,0 D)

11. Date of commencement & ending of each spell of Military Service if any.
Y M D
From to i.e.
From to i.e.
Total:

12. Offices under which service has been rendered in chronological order:
Y M D
Office of ______________-From to i.e.
Office of ______________-From to i.e.
Office of ______________-From to i.e.
Total: 37 2 10

13. Class of Pension or Gratuity applied for: 0

14. Average Emoluments: Rs.35,500

15. Proposed Ordinary Pension: Rs.16,153

16. Proposed Commutation/Gratuity: Rs.1,519,648

17. Place of payment: Revenue Office, HESCO, Latifabad, Hyderabad.

18. Date from which pension is to be commenced: 1/1/2023

 THIRD PAGE

Section (2) – Calculation of Qualifying Service:

Total length of service, including interruptions, Non Qualifying Service
Y M D
From To
(i). Extraordinary Leaves - - -

(ii). Suspension not treated as duty or as leave - - -

(iii). Period of break in service - - -

(iv). Service rendered before break, if break is not condoned - - -

(v). Service forfeited by resignation. - - -

(vi). Unauthorized absence. - - -

Total: 0 0 0
Net qualifying service: 37 2 10

ADD From To
Y M D
(i). Period, if any, of Military Service or War Service
allowed to count for pension.
(ii). Benefit of condonation of deficiency in service
(iii). Any other addition to qualifying service

Total: 37 2 10
Total qualifying service is : 37 years, 2 months and 10 days.

Section (3) – Calculation of Ordinary Pension:

Statement of emoluments during the last 36 months.

Period Duration Monthly Rate Amount
From To M D Rs. Ps. Rs. Ps.

(i). Total emoluments: Rs.35,500

(ii). Length of qualifying service (Years): 37 Years
(iii). Gross Ordinary Pension: Rs.24,850.00
(iv). Less. Surrender for commutation: Rs.8,697.50
(v). Amount of Net Ordinary Pension: Rs.16,152.50
2011 15.00% 2,422.88
2015 7.50% 1,393.15
22/04/01 15.00% 2,995.28

Spl. Adl. Pension: -

Total Net Pension: Rs.22,963.81
 FOURTH PAGE

Section (4) – Calculation of Commutation/Gratuity:

Amount of ordinary pension surrendered (See Section-3): Rs.8,697.50

Length of qualifying service (Years): 37 Years

Rate of Commutation: 14.5602

Lump sum Commutation admissible (8697.5 × 14.5602 × 12)= Rs.1,519,648

Less: Recovery (If any): Rs.0

Net Payable Commutation/Gratuity: Rs.1,519,648

Countersigned
 FIFTH PAGE
Section (5) – Remarks by Head of Office/Division.
(To be completed only after receiving the pension application)

1. Character and past conduct of applicant:

2. Remarks regarding any gratuity or

pension received by the applicant:

3. Specific remarks as to whether the service claimed

is established and whether it should be admitted
for pension or not?

4. Any other remarks.

 SIXTH PAGE

Section (6) – Orders of the Sanctioning Authority.

1. The undersigned is satisfied that the Please cross-out the paragraph with initials,
service of has been wholly satisfactory. if full pension is not granted.
The grant of full pension and/or gratuity
which the Finance Director may find, to be
admissible under the Rules is hereby
sanctioned.

OR

The undersigned is satisfied that the Please cross-out the paragraph with initials,
service of ________________ has not if full pension is granted.
been wholly satisfactory and it has been
decided that the full pension and/or
gratuity found by the Finance Director
concerned to be admissible under the
Rules should be reduced by the specific
amount or percentage given below.

Amount or percentage of reduction in pension:

Amount or percentage of reduction in pension:

Sanction is hereby accorded to the grant of pension and/or gratuity as so reduced.

2. The payment of pension and/or gratuity may commence from 01.01.2023. Before issuing the
pension payment order, the Finance Director concerned may kindly ascertain whether the Last
Pay & No Demand Certificates have been received by him.

In case No Demand Certificate has not been received, the WAPDA employee as soon as he retires
or his family in the event of his death before retirement, may be requested to give his/its
consent in writing if any amount outstanding against him on the date of retirement/death being
recovered from the pension and/or gratuity in lump sum or in monthly installments as before
retirement/death and recoveries made accordingly.
Below is the different setup of Page No. 5 and 6.
Print this setup in stead of above (if required.)
 FIFTH PAGE
Section (5) – Remarks by Head of Office/Division.
(To be completed only after receiving the pension application)

1. Character and past conduct of applicant:

2. Remarks regarding any gratuity or

pension received by the applicant:

3. Specific remarks as to whether the service claimed

is established and whether it should be admitted
for pension or not?

4. Any other remarks.

Section (6) – Orders of the Sanctioning Authority.

1. The undersigned is satisfied that the Please cross-out the paragraph with initials,
service of has been wholly satisfactory. if full pension is not granted.
The grant of full pension and/or gratuity
which the Finance Director may find, to be
admissible under the Rules is hereby
sanctioned.

OR
The undersigned is satisfied that the Please cross-out the paragraph with initials,
service of ________________ has not if full pension is granted.
been wholly satisfactory and it has been
decided that the full pension and/or
gratuity found by the Finance Director
concerned to be admissible under the
Rules should be reduced by the specific
amount or percentage given below.

Amount or percentage of reduction in pension:

Amount or percentage of reduction in pension:

Sanction is hereby accorded to the grant of pension and/or gratuity as so reduced.

2. The payment of pension and/or gratuity may commence from 01.01.2023. Before issuing the
pension payment order, the Finance Director concerned may kindly ascertain whether the Last
Pay & No Demand Certificates have been received by him.

In case No Demand Certificate has not been received, the WAPDA employee as soon as he retires
or his family in the event of his death before retirement, may be requested to give his/its
consent in writing if any amount outstanding against him on the date of retirement/death being
recovered from the pension and/or gratuity in lump sum or in monthly installments as before
retirement/death and recoveries made accordingly.
 SIXTH PAGE

PART –III

(For use in the Office of The Chief Financial Officer, HESCO, Hyderabad)

(I). The calculations contained in the preceding pages have been checked

(II). Length of qualifying service accepted in Accounts Division

(III). Reasons for difference, if any, between this and the length of qualifying service worked
out by the Department

(IV). Amount of Pension. Reason for discrepancy if any, between this amount and that
calculated by the Department Length of effective service in (Years)

NPS……………………………………………………………………………..Years
NPS……………………………………………………………………………..Years
NPS……………………………………………………………………………..Years
NPS……………………………………………………………………………..Years
(I). Reason for discrepancy if any, between this amount and that calculated by the Department
(II).  Amount of lump sum gratuity Rs. __________________
(III).  Reasons for discrepancy, if any, between this amount and that calculated by the Department
(IV).  The pension will commence from _________________
(V).  Allocation of the pension and gratuity Pension Gratuity
(i)                  Office of ____________
(ii)                Office of ____________
(iii)               Office of ____________
Total

(VI). Anticipatory pension of Rs.__________(Rupees________________________ ) per month

granted with effect from _____________ vide P.P.O. No._________ Dated _________ to be
adjusted in final PPO.

(VII). Amount of original pension commuted Rs. _____________________

The Chief Financial Officer,

HESCO, Hyderabad
1. Checked with the LPC and No Demand Certificate/written consent.
2. PPO issued ____________________ videvide
No. ___________________
No. Dated ______________
Dated

The Chief Financial Officer,

HESCO, Hyderabad
 Nos. of years purchased
Age Next
Birthday Upto From
Nov. 2001 Dec. 2001

20 50.6304 40.5043 Date of Birth: 7/9/1967

21 49.6676 39.7341 Date of Appointment: 10/21/1985
22 48.7066 38.9653 Date of Retirement: 12/31/2022
23 47.7467 38.1974 Date of Death: 12/30/1899
24 46.7884 37.4307 Type of Pension: A
25 45.8314 36.6651 Total emoluments
26 44.8758 35.9006 Gross Pension:
27 43.9215 35.1372 Ordinary Pension Surrendered
28 42.9688 34.375 Net Ordinary Pension 65%:
29 42.0179 33.6143 Commutation : 24850 × 35% × 1
30 41.0089 32.8071
31 40.1218 32.0974
32 39.1767 31.3412
33 38.2336 30.5869 Minimum Pension
34 37.2929 29.8343 From Active
35 36.3551 29.0841 7/1/2008 2,000
36 35.4203 28.3362 7/1/2010 3,000
37 34.4885 27.5908 7/1/2013 5,000
38 33.5603 26.8482 7/1/2014 6,000
39 32.6361 26.1009 7/1/2018 10,000
40 31.716 25.3728
41 30.8007 24.6406
42 29.8907 23.9126
43 28.98 23.184
44 28.0891 22.4713
45 27.199 21.7592
46 26.3172 21.0538
47 25.4444 20.3555
48 24.5816 19.6653
49 23.7301 18.9841
50 22.8911 18.3129
51 22.0658 17.6526
52 21.2563 17.005
53 20.4638 16.371
54 19.6896 15.7517
55 18.9348 15.1478
56 18.2002 14.5602
57 17.486 13.9888
58 16.7925 13.434
59 16.1191 12.8953
60 15.4649 12.3719
61 14.829 11.8632
62 14.2105 11.3684
63 13.609 10.8872
64 13.0239 10.4191
65 12.4549 9.9639
66 11.9017 9.5214
67 11.3643 9.0914
68 10.8428 8.6742
69 10.3371 8.2697
70 9.8472 7.8778
71 9.3729 7.4983
72 8.9142 7.1314
73 8.4708 6.7766
74 8.0427 6.4342
75 7.6299 6.1039
76 7.2322 5.7858
77 6.8496 5.4797
78 6.4818 5.1854
79 6.1287 4.903
80 5.7901 4.6321
 Qualifying Service
Age on retirement: 55.4 Years Year Month
Qualifying Service: 37 Years 37 2 37 2 10
Commutation Rate: 14.5602
Age on next birthday 56
31/12/2022 35.00%
35,500.00
35500 ×70% = 24,850.00
8,697.50
16,152.50 Orderly Allowanc
24850 × 35% × 12 × 14.5602 = 1,519,648.07 w.e.f. Amount
1/1/2013 7,000
7/1/2015 12,000
7/1/2017 14,000
Minimum Pension 7/1/2021 17,500
Self Family
2,000 1,000
3,000 2,250
5,000 3,750
6,000 4,500 W/o
10,000 7,500

2/9/2015 42044
HESCO HYDERABAD ELECTRIC SUPPLY COMPANY LTD.
WAPDA WATER AND POWER DEVELOPMENT AUTHORITY
FESCO FAISALABAD ELECTRIC SUPPLY COMPANY LTD.
GEPCO GUJRANWALA ELECTRIC POWER COMPANY LTD.
IESCO ISLAMABAD ELECTRIC SUPPLY COMPANY LTD.
LESCO LAHORE ELECTRIC SUPPLY COMPANY LTD.
MEPCO MULTAN ELECTRIC POWER COMPANY LTD.
PEPCO PAKISTAN ELECTRIC POWER COMPANY LTD.
PESCO PESHAWAR ELECTRIC SUPPLY COMPANY LTD.
QESCO QUETTA ELECTRIC SUPPLY COMPANY LTD.
SEPCO SUKKUR ELECTRIC SUPPLY COMPANY LTD.
JPCL JAMSHORO POWER COMPANY LIMITED (GENCO-I)
CPGCL CENTRAL POWER GENERATION COMPANY LIMITED (GENCO-II)
NPGCL NORTHERN POWER GENERATION COMPANY LIMITED (GENCO-III)
LPGCL LAKHRA POWER GENERATION COMPANY LIMITED (GENCO-IV)
NTDC NATIONAL TRANSMISSION & DISPATCH COMPANY
TESCO TRIBLE ELECTRIC SUPPLY COMPANY LTD.
 (1)
EXTRA ORDINARY LEAVE CERTIFICATE
Certified that S/o , , Office of has not availed any Extra
Ordinary Leave during his entire service as per this office
record.

(2)
NO INQUIRY CERTIFICATE
Certified that there is no any Inquiry/ Disciplinary Case is
pending against S/o , , Office of .
 (3)
NO DEMAND/NO DUES CERTIFICATE
Certified that nothing is outstanding against S/o , , Office of .

(4)
BANK LOAN CERTIFICATE
Certified that nothing is outstanding (regarding Bank Loan)
against S/o , , Office of .
 (5)
NO AUDIT PARA CERTIFICATE
Certified that no Audit Para is outstanding against S/o , , Office
of .

(6)
NO FIA/NAB CASE CERTIFICATE
Certified that no any FIA/NAB case found registered against
S/o , , Office of as per office record.
 (7)
DECLARATION
I, S/o , , Office of do hereby solemnly declare that I have
neither applied nor received any Pension OR Commutation for
any portion of my service Nor I shall submit any application
hereafter quoating a reference to this application and in the
orders which may be passed on.

()
CNIC ()

(8)
OPTION FOR 35% COMMUTATION
I, S/o , , Office of do hereby opt Commutation up to 35% of my
Gross Pension togather with the remaining amount of Net
Pension under the liberalized Pension Rules for Civil Servants,
Revised Pay Scales and Pension Commutation Scheme.

()
CNIC ()
 (9)
UNDERTAKING
I, S/o , , Office of do hereby undertake to refund over payment,
if any come into the notice within ONE YEAR from the issuance
of the Pension Payment Order.

()
CNIC ()

(10)
CONSOLIDATED CERTIFICATE
Certified that services of S/o , , Office of with effect from
21.10.1985 to 31.12.2022 has been consolidated for the
purpose of pension.
 (11)
SPECIEMEN SIGNATURES 2 Sets in
of original
S/o ,
, Office of
CNIC ()

1.

2.

3.

THUMB AND FINGER IMPRESSIONS

of
S/o ,
, Office of
CNIC ()

1. Thumb

2. Fore Finger

3. Middle Finger

4. Ring Finger

5. Little Finger
 (12)
OPTION FOR
CASH MEDICAL ALLOWANCE
I, S/o , , Office of do hereby OPT for Cash Medical Allowance in
lieu of medical facilities from the date of my retirement.

()
CNIC ()
 (1)
EXTRA ORDINARY LEAVE CERTIFICATE
Certified that S/o , , Office of has not availed any Extra
Ordinary Leave during his entire service as per this office
record.

(2)
NO INQUIRY CERTIFICATE
Certified that there is no any Inquiry/ Disciplinary Case is
pending against S/o , , Office of .
 (3)
NO DEMAND/NO DUES CERTIFICATE
Certified that nothing is outstanding against S/o , , Office of .

(4)
BANK LOAN CERTIFICATE
Certified that nothing is outstanding (regarding Bank Loan)
against S/o , , Office of .
 (5)
NO AUDIT PARA CERTIFICATE
Certified that no Audit Para is outstanding against S/o , , Office
of .

(6)
NO FIA/NAB CASE CERTIFICATE
Certified that no any FIA/NAB case found registered against
S/o , , Office of as per office record.
 (7)
DECLARATION
I, of S/o , , Office of do hereby solemnly declare that I have
neither applied nor received any Pension OR Commutation for
any portion of my service Nor I shall submit any application
hereafter quoating a reference to this application and in the
orders which may be passed on.

()
CNIC ()

(8)
OPTION FOR 25% COMMUTATION
I, of , , Office of do hereby opt Commutation up to 25% of my
Gross Pension togather with the remaining amount of Net
Pension under the liberalized Pension Rules for Civil Servants,
Revised Pay Scales and Pension Commutation Scheme.

()
CNIC ()
 (9)
UNDERTAKING
I, of S/o , , Office of do hereby undertake to refund over
payment, if any come into the notice within ONE YEAR from the
issuance of the Pension Payment Order.

()
CNIC ()

(10)
CONSOLIDATED CERTIFICATE
Certified that services of S/o , , Office of with effect from
21.10.1985 to 31.12.2022 has been consolidated for the
purpose of pension.
 (11)
SPECIEMEN SIGNATURES 2 Sets in
of original

of S/o ,
, Office of

CNIC ()

1.

2.

3.

THUMB AND FINGER IMPRESSIONS

of

of S/o ,
, Office of

CNIC ()

1. Thumb

2. Fore Finger

3. Middle Finger

4. Ring Finger

5. Little Finger
 (12)
NO MARRIAGE CERTIFICATE
Certified that , CNIC () Daughter of S/o , , Office of has not
married after the death of her father uptill now.

(13)
OPTION FOR
CASH MEDICAL ALLOWANCE
I, of S/o , , Office of do hereby OPT for Cash Medical
Allowance in lieu of medical facilities from the date of my
retirement.

()
CNIC ()
 (Mandatory For Family Pension)
LIST OF FAMILY MEMBERS
Of Late S/o
0

Relation
Computerized
S. No. Name of Family Member Date of Birth / Mother's Name with Marital National Identity
Age deceased Status Card No.
Employee

CERTIFICATE
It is certified that there is no any other family member except shown as above.

Signature:
Name:
C.N.I.C: 0
Address: 0
 (For Self Pension)
LIST OF FAMILY MEMBERS
S/o
0

Relation Computerized
S. No. Name of Family Member Date of Birth / Mother's Name with Marital National Identity
Age Status
Employee Card No.

CERTIFICATE
It is certified that there is no any other family member except shown as above.

Signature:
Name:
C.N.I.C: 0
Address: 0