Application for Pensioner Identity Card

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Particulars Details (To be filled by Applicant)
No.

1 Name

2 ID Number

3 Designation on Retirement

4 PPO Number

5 Date of Birth

6 Date of Appointment

7 Date of Retirement

8 Blood Group

9 Contact Number

10 Residential Address

11 Last Pay `

12 Grade Pay & Pay scale on `

retirement

13 Qualifying Service

14 Aadhar No.

Signature of Applicant