LIFE CERTIFICATE

(To be submitted by Pensioner once a year)

Certified that the pensioner Shri Ashim Kumar Das having Pension Payment Order
No 223161700263 , account number (Pension) ************0095 has biometrically
authenticated his presence and that he is alive as on 04-11-2023 at 20:45:39 vide
Pramaan ID 2303409929.

Aadhaar: ********9457

Name: Ashim Kumar Das

DOB: **-**-1956

Mobile: ******8162

#03119796 #CMPFO

Disclaimer: This digital life certificate will be subject to acceptance by your pension
processing centre Coal Mines Provident Fund Organisation(Coal Mines Provident
Fund Organisation).This is a computer generated certificate and does not require
signature.