Application form : Revision of Pension of Pre-2016 Pensioners/Family Pensioners on the basis of Pay Matrix prescribed by 7th CPC

Application form : Revision of Pension of Pre-2016 Pensioners/Family Pensioners on the basis of Pay Matrix prescribed by 7th CPC

Date :_____________

To

(Name & address of Head of Office – from where retired)

____________________________________________

____________________________________________

____________________________________________

Subject : Revision of Pension of Pre-2016 Pensioners/Family Pensioners on the basis of Pay Matrix prescribed by 7th CPC

Ref. : Deptt of Pension & Pensioners’ Welfare OM No. 38/37/2016-P&P’W(A) dt 12.5.2017 .
Ministry of Finance (Deptt of Expenditure) OM No.1/13/EV/2017 dt 23 May 2017

Sir/Madam,

I am the Central Government Pensioner. I/my spouse retired from the above cited Central Government Department. I hereby apply for revision of my pension/family Pension in terms of the Government orders cited above. My details are as under :

 

1.  

Name

 

2.  

Designation on retirement

 

3.  

Date of Retirement

 

4.  

PPO No.

(Photocopy enclosed)

 

5.  

Bank Account details

Name of Bank : Bank A/c No.:

Bank IFSC Code:

6.  

Residential address

 

7.  

Contact No.

Landline : Mobile :

Email ID :

Yours sincerely,

( Signatures)

(Name & Address of Pensioner)

___________________________

___________________________

___________________________

Mob/Landline No.

 

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