Form C, Life Certificate & C-I for Non Marriage Certificate

Form‐C

LIFE CERTIFICATE FORM

TO WHOM IT MAY CONCERN

This is to certify that________________________________S/O_____________________________

Holder of PPO No.____________________ CNIC No.________________________ whose specimen

signature / thumb impression and address are appended below is alive todate_________________

Address

_______________________________________ ______________________________

(Pensioner Signature/Thumb Impression) __________________________________________

Date _____________________________

Phone No._____________________

(City / Area Code)

________________________ Name________________

(Signature of attesting officer with date) Address___________________

_________________________

__________________________

_____________________________ Phone No._________________

(Official Stamp of attesting officer)

NOTE‐1: THIS CERTIFICATE IS TO BE SIGNED BY CLASS‐1 GAZETTED OFFICER/MILITARY

COMMISSIONED OFFICER / MAGISTRATE / SUB‐REGISTRAR / PENSIONED OFFICER / MUNSIF

/ MEMBER OF THE CENTRAL OR PROVINCIAL LEGISLATURE ASSEMBLIES / MANAGER OF THE

SCHEDULED BANK.

NOTE‐2: THIS CERTIFICATE MAY BE FURNISHED TO THE AG (PUNJAB) / DAO IN PERSON OR A

THROUGH REPRESENTATIVE OR BY POST/COURIER SERVICE

Form‐C‐I

NO MARRIAGE CERTIFICATE

BIANNUAL DECLARATION OF FEMALE PENSIONERS WHOSE PENSIONS ARE TERMINABLE ON THEIR MARRIAGE

[This certificate is to be furnished six monthly alongwith the life certificate]

Pension Payment Order No._______________

I hereby declare that I am not married and that I have not been married during the last six months.

Widow / Daughter of the late______________________