Form Of Application For Revision Of Pension (Pre-2006)

FORM OF APPLICATION FOR REVISION OF PENSION (PRE-2006)
(TO BE SUBMITTED BY RAILWAY PENSIONERS)
To
CPO/ICF
Sub : Revision of Pension/Family Pension (pre-2006)
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Kindly revise my pension in terms of Railway Board’s letter
No.F(E)III/2008/PN1/12 dated 08/09/2008. The requisite details are given below :
1. Name of the Applicant
(pensioner/family pensioner)
2. Emp.No. of the Pensioner
3. Designation
4. Date of Retirement and/or
Death(in case of death of the
ex-employee after retirement
enclose a copy of the death
certificate)
5. Name of the Family Pensioner
included in the PPO
6.* Date of Birth of the Family
Pensioner included in the PPO
7. Relationship of the family
pensioner with the employee
8. Date from which Family
Pension is drawn
9. Pay & Scale of Pay of
pensioner(at the time of
retirement)
10. Pension Payment Order
Number & Date (Latest Copy
enclosed)
11. Bank Details(S.B.A/c.No,
Bank Name, Branch Name,
PIN CODE)
12. Full Address for
communication (with PIN
CODE)
13. Contact Phone Number/
Mobile Number
14. Any other information
15.
Signature of the
Pensioner/family pensioner
Encl : 1. Copy of Pension Payment Order (issued at the time of
retirement and subsequent revised orders, if any)
2. Proof for date of birth of the Family Pensioner.
3. Xerox copy of Death Certificate in case of death of ex-employee
after retirement.