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CHECKLIST FOR COMPLETE PENSION/FAMILY PENSION CASES

A: CHECK LIST FOR PENSION CASES  

 1. Form 3 showing details of Family.

2.    2. Form 5 Application for pension.

3.    3. Form 7 Form for assessing Pension/Family Pension and   Gratuity.

4.    4. Pension Calculation Sheet.

5.    5. Two-specimen signatures duly attested by a Gazetted Govt.  Servant   or Two slips each bearing the left hand thumb and finger impressions  duly attested in case the person is not literate to sign his name.  

 
6. Three copies of passport size joint photograph with wife or  husband  duly attested by the Head of the Office.

  
7.
    Two slips showing the particulars of height and personal identification marks duly attested by a Gazetted Govt. Servant.  

   8.
    Last Pay Certificate.  

   9.
    Service Book duly completed as on date of submission.

  10. Vigilance Clearance Certificate.

  11.
All relevant documents countersigned by the “Head of the Office”  in token of acceptance of the statement/ documents etc. are to be forwarded to the Communication Accounts Officer (Pension) along with a letter in
Form 8

 

B. CHECK LIST FOR COMPLETE FAMILY PENSION CASES

1.   Form 14 -- Application for grant of Family Pension.

2.    Form 12 – Application for grant of death gratuity.

3.    Form 18 – For assessing and authorizing payment of family pension and death gratuity when a govt. servant dies while in service.

4.    Service Book indicating date of death.

5.    Calculation Sheet.

6.    Final LPC.

7.    Death Certificate.

8.    Two specimen signatures or left hand thumb and finger impressions of the claimant or guardian (in case of minor) duly attested.

9.    Two copies of passport size photograph of the claimant or guardian duly attested.

10.  Two copies of descriptive roll of the claimant or guardian duly attested indicating height and personal marks.

11.   Postal Address of the claimant.  



Note: Information as on 10.01.06

The Office of JCCA Ambala is not responsible for any typing errors on this page.

This page is maintained and updated by CAO(IV) Shri M.P Sharma



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