(From FA&CAO/Pension, N.F.Railway, Maligaon.)
(Attention)
Application, as per following proforma, are invited
from all Pensioners/Family Pensioners who have
retired from N.F. Railway for
revision of their Pension/Family Pension.
PPO REVISION APPLICATION FORM
To,
----------------------------------------------------
(PENSION SANCTIONING AUTHORITY)
Sub: - (A) Application for Revision of Pension /Family Pension in the case of pre 2006 Pensioners / Family Pensioners as on 01.01.2006 in terms of Pension & Pensioners Welfare office memorandum F.No 38/37/08- P&PW dt. 01.09.2008 and
(B) post 2006 Pensioners in terms of Railway Boards letter no. F(E)III/2008/PN-I/13 dated 15/09/08
* Tick `A or `B above.
Sir/Madam,
In reference to the above, I am furnishing my detailed particulars as mentioned below:-
1. Name of the Applicant (in Block letters) :
& full postal address. :
Telephone No. - if any :
E. Mail address - if any :
2. Name & designation of the Pensioner/ :
Family Pension. :
3. Last pay and scale. :
4. Category of pension :
5. Date of retirement /death of Pensioner :
6. Date of birth of Pensioner/ Family
Pensioner. :
7. Date of commencement of Family
Pension (Applicable in case the Applicable
is a Family Pensioner). :
8. Pension Payment Order No (photo
copy enclosed). :
9. Option for commutation of Pension @ 40%
(revised) (In case of retire in between 01/01/2006 : YES/ NO
& 01/09/2008)
10. Office/Department in which the
Pensioner/deceased Govt. servant was
working at the time of retirement. :
11. Details of the Pension Disbursing
Authority. :
I) Name & Postal address of the Pension
Paying Bank . :
II) SB A/c Number of the Pensioner/
Family Pensioner. :
III) Phone No/fax No of Bank /E-mail
Address (to facilitate quick communication.) :
Kindly revise my pension accordingly.
Date: - Yours faithfully,
Signature of the Pensioner/Family Pensioner.