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LIFE CERTIFICATE

(To be submitted by Pensioner once a year)

Certified that the pensioner Shri Shiv Balak Sharma having Pension Payment Order
No 207101102384 , account number (Pension) *********2148 has biometrically
authenticated his presence and that he is alive as on 10-02-2017 at 15:50:58 vide
Pramaan ID 6074352142.

Aadhaar: ********5353

Name: Shiv Balak Sharma

DOB: **-**-1950

Mobile: ******5016

#00122154 #CMPFO

Note: Your Digital Life Certificate has been successfully accepted by Coal Mines
Provident Fund Organisation(Coal Mines Provident Fund Organisation)

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