LIFE CERTIFICATE

(To be submitted by Pensioner once a year)

Certified that the pensioner Shri Biswanath Mondal having Pension Payment Order
No 223091000846 , account number (Pension) ************7971 has biometrically
authenticated his presence and that he is alive as on 04-11-2023 at 11:55:04 vide
Pramaan ID 7371449920.

Aadhaar: ********5609

Name: Biswanath Mondal

DOB: **-**-1944

Mobile: ******5107

#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.