DESCRIPTIVE ROLL FOR PENSION TO BE ATTACHED WITH WIDOW PENSION
Family Pension Papers by Rana Amjad
CHECK LIST FOR TRANSFER IN FAMILY PENSION
| S.No. | PENSION PAPERS / DOCUMENTS | COPIES | REMARKS |
| 1. | Application of Applicant (Duly verified / forwarded by the department concerned of the deceased pensioner) | 1 Copy | |
| 2. | Photocopies of CNICs both Deceased Government Servant and Widow etc. (Attested) | 3 Copies | |
| 3. | Photograph (Attested from back side) | 3 Photographs | |
| 4. | List of family members (Attested) B-17 and above. | 3 Copies | |
| 5. | Death Certificate NADRA (Attested) B-17 and above. | 3 Copies | |
| 6. | Specimen Signature (Attested) B-17 and above. | 3 Copies | |
| 7. | Right Hand and Fingers Impression and descriptive Roll | 3 Copies | |
| 8. | Non-Separation Certificate (Attested) B-17 and above. | 3 Copies | |
| 9. | Certificate of No Re-marriage after death only widow (Attested) B-17 and above. | 3 Copies | |
| 10. | Declaration of Account No. & Bank (Attested) B-17 and above. | 3 Copies | |
| 11. | Original Pension Book of deceased / Pension Payment Slip (Attested) B-17 and above. | Complete Set | |
| 12. | No Marriage Certificate from Union Council / Town Administration / DCO (in case of daughter of deceased) | Original | |
| 13. | Heirship Certificate from Deputy District Officer (Revenue) City District Govt. / Town Administration | 3 Copies | |
| 14. | Family Registration Certificate (FRC) from NADRA(Attested) B-17 and above. | 3 Copies | |
| 15. | Option Form (in case intend draw pension from any schedule bank through Direct Credit System (DCS) | Original | |
| 16. | Indemnity Bond on Stamp paper of Rs. 100/- in case Direct Credit System (DCS) | 1 Copy duly attested concerned bank branch |
SPECIMEN SIGNATURE OF MST. ____________________________
WD/O __________________________________________________
- ____________________________
- ____________________________
- ____________________________
____________________________ ATTESTED
MST.
WD/O
DESIGNATION
RIGHT HAND THUMB AND FINGER IMPRESSION OF
MST. ____________________________________________
| Thumb | Fore Finger | Middle Finger | Ring Finger | Little Finger |
|
|
____________________________ ATTESTED
MST.
WD/O
DESIGNATION
DECLARATION OF ONLY WIDOW AND NON-REMARRIAGE CERTIFICATE
I, _____________________________Widow of __________________________ (Late) ____________________ (BPS- ), O/o ____________________________, hereby declare that I am the only wife / widow of ________________________ and I was always residing with him and was solely dependent on him was never judicially separated from him and that I have no intention to re-marry.
____________________________ ATTESTED
MST.
WD/O
DESIGNATION
LIST OF FAMILY MEMBERS OF LATE ____________________________
EX-______________________ (BPS- )
__________________________________________________________
| S. No. | Name | Relationship | Date of Birth | Age |
| 1. | ||||
| 2. | ||||
| 3. | ||||
| 4. | ||||
| 5. | ||||
| 6. | ||||
| 7. |
____________________________ ATTESTED
MST.
WD/O
DESIGNATION
DECLARATION OF PERMANENT / POSTAL ADDRESS
BANK BRANCH
- Name of Applicant ___________________________________
- Husband’ Name ___________________________________
- Present Address ___________________________________
___________________________________
- Permanent Address ___________________________________
___________________________________
- Bank Name / Branch /
Address / Account Number ___________________________________
___________________________________
___________________________________
____________________________ ATTESTED
MST.
WD/O
DESIGNATION
DESCRIPTIVE ROLL
Name _________________________________________
Husband’s Name _________________________________________
Cast _________________________________________
Height _________________________________________
Color _________________________________________
Marks of Identification _________________________________________
Religion _________________________________________
Nationality _________________________________________
Residential Address _________________________________________
_________________________________________
Designation _________________________________________
Date of Birth _________________________________________
- N.I.C. No. _________________________________________
Specimen Signature 1. _______________________________
- _______________________________
- _______________________________
____________________________ ATTESTED
MST.
WD/O
DESIGNATION
FINGER IMPRESSIONS:
RIGHT HAND LEFT HAND
THUMB
FORE FINGER
MIDDLE FINGER
RING FINGER
LITTLE FINGER
____________________________ ATTESTED
MST.
WD/O
DESIGNATION
DCS FORM
FORM FOR DIRECT CREDIT OF PENSION THROUGH BANK ACCOUNT
Pensioner information (To be filled in by the Pensioner)
| PPO NO/DCS NO. | ||
| SAP Personal No. (AS PER PAY SLIP ) | ||
| Account office (From where PPO originally issued) | ||
| NAME OF PENSIONER | ||
| Father / Husband Name | ||
| Pensioner old NIC No. | ||
| Pensioner CNIC (NADRA) | ||
| FAMILY PENSIONER NAME | ||
| Spouse/Son/Daughter/Father/Mother(select one) | ||
| Family Pensioner CNIC (NADRA) | ||
| Residential address (Current) | ||
| Residential address (Permanent) | ||
| Designation & Grade at the time of Retirement | ||
| Ministry / Division / Deptt. / Office | ||
| E MAIL ADDRESS ( G-MAIL ONLY) | ||
| CONTACT NUMBER (COMPULSORY) | ||
| I hereby opt to draw pension through direct credit scheme 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 of 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. |
||
| Pensioner`s Signature / Thumb Impression
Dated:
|
||
ACCOUNT VERIFICATION (TO BE VERIFIED BY THE BANK)
CUTTING / OVERWRITING / FLUID / JOINT ACCOUNT NOT ACCEPTABLE
BELOW MENTIONED PORTION MAY PLEASE BE FILLED COMPLETELY.
| Account Title (Name) | |
| Account No. | |
| Bank Name | |
| Branch Address | |
| Branch Code | |
| Indemnity Bond / Lien submitted by the pensioner | |
SIGNATURE / STAMP OF BANK MANAGER
(Indemnity bond on stamp paper duly verified by notary public/oath commissioner)
INDEMNITY BOND
To,
The Manager,
____________________________ (Name of Bank)
____________________________ (Branch)
____________________________ (City)
In compliance with the SBP`s instructions for payment of pension through your bank branch I agree to indemnify you and keep you indemnified about liabilities with all sums of money whatsoever including mark-up of my pension account. I further undertake that my legal heirs, successors, executors shall be liable to refund excess amount, if any , credited to my pension account either in full or in installments equal to such excess amount.
Co-Indemnifier/Nominee/Successor Signature__________________________________
Next of Kin: ________________________ Name of Pensioner :__________________________
CNIC : _____________________________ Date of Retirement : _________________________
Address : __________________________ PPO No : __________________________________
__________________________________ Bank Account No: ____________________________
Signature : _________________________ CNIC : ____________________________________
Witness – 1 Witness -2
CNIC : ___________________________ CNIC : ____________________________________
Signature : ________________________ Signature : ________________________________
Date : ____________________________ Date : ____________________________________
LIFE CERTIFICATE
TO WHOM IT MAY CONCERN
This is to certify that Mst. ____________________Wd/o ________________ (Late)Ex-_____________________ (BPS-) O/o __________________________, holder of P.P.O. No._____________________ C.N.I.C. No. __________________whose specimen signature/thumb impression and address are appended below is alive todate ________________.
Signature of attesting Officer
& Seal
NON MARRIAGE CERTIFICATE
This is to certify that I, Mst. ____________________Wd/o _________________(Late), Ex-____________________(BPS- ) _____________________________, have not re-married after the expiry of my husband on _____________and that I am the only widow of my husband Late __________________.
Signature of attesting Officer
& Seal
NOTE: THIS CERTIFICATE IS TO BE SIGNED BY CLASS-I GAZZETED OFFICER/MILITARY COMMISSIONED OFFICER OR AS AUTHORIZED UNDER FTR-343