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  • M Aloysius Gonsalvez - (640492) - 9 - 29 - 2021 10 - 22 - 16 PM

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    The document is a retired medical beneficiary declaration form for Aloysius Michael Gonsalvez, a retired Chief Manager Commercial from Air India. It provides his personal details like name, date of birth, address, employment details including date of joining, date of retirement, and medical benefits. It also lists details of his spouse Elizabeth Aloysius such as name, date of birth and Aadhar number. Aloysius declares that all information provided is true and valid.

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    The document is a retired medical beneficiary declaration form for Aloysius Michael Gonsalvez, a retired Chief Manager Commercial from Air India. It provides his personal details like name, date of birth, address, employment details including date of joining, date of retirement, and medical benefits. It also lists details of his spouse Elizabeth Aloysius such as name, date of birth and Aadhar number. Aloysius declares that all information provided is true and valid.

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    © All Rights Reserved
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    3 views1 page

    M Aloysius Gonsalvez - (640492) - 9 - 29 - 2021 10 - 22 - 16 PM

    Uploaded by

    aloymgonsalvez
    The document is a retired medical beneficiary declaration form for Aloysius Michael Gonsalvez, a retired Chief Manager Commercial from Air India. It provides his personal details like name, date of birth, address, employment details including date of joining, date of retirement, and medical benefits. It also lists details of his spouse Elizabeth Aloysius such as name, date of birth and Aadhar number. Aloysius declares that all information provided is true and valid.

    Copyright:

    © All Rights Reserved
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    Air India Ltd.

    Serial No - [ SR / 9900178 ]

    Retired Medical Beneficiary Declaration


    Employee No : 640492 SAP No : 81029775
    Name : M ALOYSIUS GONSALVEZ Gender : Male
    Name(As Per ALOYSIUS MICHAEL GONSALVEZ Aadhar No : XXXXXXXX8249
    Aadhar Card) :
    Mobile No : 9446970400 Emrgncy Cont No : 9947876757
    Email -ID : aloymgonsalvez@gmail.com DOB : 26-09-1947
    Address : TC 89 641 SILVER DALE GVRRA A121 Pin Code : 695007
    Sanghumugham TV BEACH POST
    State / District: Kerala / Thiruvananthapuram Area : Thiruvananthapuram
    Beach
    Live Status : Alive

    DOJ : 08-11-1971 DOR : 30-09-2005


    Designation : Chief Manager Commercial Retrmnt Type / Rgn: Retired / SR
    Avlg Med Facility: Airline House Chennai Retired From : Erstwhile IA
    Band / Grade : Gr 10-16 / 16A Scale / Basic : 07550-09675 / 9675

    Spouse Name : ELIZABETH ALOYSIUS Spouse DOB : 10-03-1954


    Spouse Name (As ELIZABETH ALOYSIUS Spouse Aadhar No: XXXXXXXX6522
    Per Aadhar Card) :
    Handicap Child : NA

    Self Spouse

    I, M ALOYSIUS GONSALVEZ (640492), hereby declare that the above information


    furnished by me is true and valid and own full responsibility for the same.

    29-Sep-2021 Signature
    ----------------------------------------------------------------------------------------------------------------------------
    Office Use Only
    It is certified that the above employee has enrolled for medical benefit.

    Personnel Department Medical Department

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