HYDERABAD ELECTRIC SUPPLY COMPNAY

OFFICE OF THE REVENUE OFFICE HESCO (WAPDA) GARI KHATA

COMPANY NAME: NTDC P NO. 02

PENSIONER INFORMATION
Name: TIKUM DAS PPO NO. 39972/40218/SP
S/O MENGHAN MAL Designation
Retiring Office BPS 19
CNIC NO 41306-2450395-5 Mobile NO.0300-8370007 D.O Retirement: 09-10-1999
D.O Birth 10-10-1939 D.O.A D.O Date
Month Cheque No Date
Pension Rate CMA Allowances Total
Bank Name: HABIB BANK LIMITED (HBL) Account No. 890016733901

Certified that the Pensioner whose Left/right,

thumb finger impression is taken/has signed the
below, is alive on ___________________

SIGNATURE OF PENSIONER

DECLARATION
I, declare that I have not received any remuneration for serving in nay capacity either in a Govt, Esstt: or an Eastt: paid
from local Fund during the period for which the amount of pension claimed in this bill is due

CERTIFICATE REQUIRED FROM SERVICE PENSIONERS IF RE-EMPLOYED

I declare that I am at present employed as permanent/temporary/contract in the _____________ on a pay of Rs.

_______ P.M from which a sum of Rs._______ Representing to the terms of my re-employment and that pay of the
appointment held immediate beofre my being pensioned was Rs._____ P.M

SIGNATURE OF PENSIONER

DECLARATION
I, do hereby solemnly delcare that I have no re-married after the death of my husband and I am yet a WIDOW.
I, do hereby solemnly declare that I have not married after the death of my FATHER.

Passed for Pyament for Rs. _________________

Rupeess ________________________________________
_______________________________________________ SIGNATURE OF PENSIONER

Divl:Acctt: Officer Asstt: Manager(Comm)

Revenue Office (E) HESCO Gari Khata