APPLICATION FOR SWITCH OVER OF PENSION PAYMENT THROUGH PUBLIC SECTOR BANK (To be submitted in duplicate)
To
The PAO/Treasury/Pension Disbursing Officer, ______________________________________ ______________________________________ (Address)
Sir,
I opt to draw my pension through Public Sector Bank and give below necessary particulars to enable you to make arrangements in this regard:
1. PARTICULARS OF PENSIONER (a) Name (b) P.P.O.No. (c) Present Address 2. PARTICULARS OF THE AUTHORISED PSB WHERE PAYMENT IS DESIRED (a) Name (b) Branch and Address where payment is desired (c) My S.B./Current Account No.______________
Yours Faithfully, (Pensioner) (SD)
Place: Date: * (Joint or either or survivor account is not permissible)
Pensioner's Specimen Signature.........
FOR USE IN THE OFFICE OF THE PENSION DISBURSING AUTHORITY
Forwarded to the Central Pension Accounting Office for transmission to the Link Branch of PSB____________________________(Name of the Link Branch).The Disburser's half of PPO of Shri/Smt./Km._______________________bearing No._____________is (are) sent herewith. The pensioner has been paid pension @ Rs._____________p.m and Dearness relief thereon @ Rs.________________upto the month of _________________________________. Pension due from the month of ________________________is to be arranged by the Bank.
Station: Date:
(Pension Disbursing Authority) (With Name & Seal)