Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
MR._______________________________________________
M/o _______________________________________________
N.B. Please read carefully the instructions contained in the Guide for Retiring
Government Servants and the Manual of Pension Procedures.
In the case of family pension for death while in service page 2 will not be
filled in and page 2 A will be applicable.
(2)
PART-I
I have the honour to say that my husband Mr. ________________________I have retired from
Government service w.e.f.. _________. While, preparing his pension papers, the service rendered by him
in Printing Corporation of Pakistan Press was not counted for pension purposes. I, therefore, request that
the pension/gratuity may kindly be sanctioned on the basis of revise rates as admissible under the rule.
2. Should the amount of the pension and/or gratuity granted to me be afterwards found to be in excess
of that to which I am entitled under the rules, I hereby undertake to refund any such excess.
Yours faithfully,
Signature:
Name:
S/o
Y M D
8. Length of service: From _______ to _______
Y M D
Total length of service as per Col. 10 of Section (1)
Non-qualifying Service.
From to ____ Period .
Y M D
i. Extraordinary leave
ii. Unauthorized absence
iii. Spell of service not qualifying for
Pension under Article 420. CSR ______________________________
Total (i) (ii) & (iii)
Periods, if any, of Military service of War service allowed to count for pension.
i. Benefit of condonation of deficiency in total______
Qualifying service.
Total (i) (ii) __________________________
Total qualifying service Y M D
1. The undersigned is satisfied that the service of ____________________ has been found satisfactory.
The grant of full pension and/or gratuity found by the Audit Officer to be admissible under the rules should
be reduced by the specific amounts or percentage given below: - OR
The undersigned is satisfied that the service of __- has not been satisfactory and it has been
decided that the full pension and/or gratuity found by the Audit Officer to be admissible under the rules
should be reduced by the specific amounts or percentage given below:-
Signature____________________________
-6-
PART -III
v. Reasons for discrepancy, if any, between this amount and that calculated by the
Department.
vii. Reasons for discrepancy if any, between this amount and that calculated by the
Department.
Government of _________________
Government of _________________
Signature____________________________
SPECIMEN SIGNATURE OF
M/O INFORMATION, BROADCASTING AND NATIONAL HERETAGE, ISLAMABAD.
1. ____________________________
2. ____________________________
3. ____________________________
ATTESTED
FINGERS PRINTS OF
M/O INFORMATION, BROADCASTING AND NATIONAL HERETAGE, ISLAMABAD.
1. Thumb ______________________________
ATTESTED
WRITTEN CONSENT
I do hereby give my consent and bind myself and my heirs, in case of my death, to
pay or to refund any Government dues/amount, subsequently found outstanding against me, on
the date of retirement/death for which intimation may be received within one year after the issue
of P.P.O. from my Pension/Gratuity in lump sum or in monthly installments as before
retirement/death and recoveries made accordingly.
Name:
ATTESTED:
DECLARATION
I hereby undertake not to take part in politics within two year after date of my
retirement.
( )
Designation
M/O Information, Broadcasting & N H
DECLARATION
I hereby declare that I have neither applied for nor received any pension or gratuity
in respect of any portion of the service included in this application and in respect of which
pension or gratuity is claimed herein, nor shall I submit any application hereafter without quoting
a reference to this application and to the orders which may be passed thereon.
( MR. X)
( BS-19)
M/O Information, Broadcasting & N H
FAMILY LISTX
M/O INFORMATION, BROADCASTING AND NATIONAL HERITAGE,
ISLAMABAD
( )
Designation (BS-19 )
M/O Information, Broadcasting & N H
OPTION FORM FOR DIRECT CREDIT OF PENSION THROUGH BANK ACCOUNT
Pensioner Information (To be filled in by the pensioner)
PPO -
SAP Personnel No.
Accounts Officer (From where PPO originally
issued)
Name of Pensioner
Father Name
Family Pensioner Name
spouses
Pensioner CNIC old # -
Pensioner CNIC # -
Family Pensioner CNIC #
Residential Address (Current)
I hereby opt to draw pension through direct credit system and have also submitted
*Indemnity Bond to the bank.
*The Pensioner shall produce an indemnity Bond to keep the bank indemnified about
liabilities with all sums of money whatsoever including mark-up his/her Pension Account.
The pensioner would further undertake that his/her legal heirs, successors, executors shall be
liable to refund excess amount, if any, credited to his/her Pension Account either in full or in
installments (as agreed mutually) equal to such excess amount.
Pensioners Signature/ Thumb Impression
Dated
Account Verification (To be verified by the Bank)
Account Title (Name)
Account No.
Branch Name/Address
Branch Code
Indemnity Bond submitted by the Pensioner
Signature/Stamp of Bank Manager
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