........................................
Signature of Employer/Authorized Official
of the Establishment with Seal and Date
(FOR OFFICE USE ONLY)
(PENSION SECTION/ACCOUNTS SECTION)
Certified that the particulas in the application have been verifited wth the relevant concerned documents. The claimant is eligible for pension. The Input Date Sheet is placed below for approval.
Entereed in Form 9/Form 3(PS), Master Ledger Card/Claim Inward Register
Form 2(R) enclosed alongwith the documents furnished by the claimants.
Clerk
S.S
A.A.O
A.P.F.C.
Date
Date
Date
Date
FOR USE IN PENSION PRE-AUDIT CELL
The Input Date sheet vertified with reference to the application and the documents enclosed and found correct P.P.P. may be generated through Computer.
Clerk
S.S
A.A.O
A.P.F.C. (Pension)
Date
Date
Date
Date
FOR USE IN PENSION DISBURSEMENT SECTION
P.P.O.
:
....................................................
Date of issue to the Bank
:
...................................................
Intimation sent to the claimant and also to Accounts Branch on
:
...................................................
Clerk
S.S
A.A.O
A.P.F.C.
Date
Date
Date
Date
FROM 10-D(EPS)
EMPLOYEES'PENSION SCHEME, 1995
Application for monthly pension
(To be submitted in two copies in case pension is to be drawn in other region)
EXPLANATORY NOTE FOR THE APPLICATION
Serial No. given below relates to the Correspondeing No. given in the application.