DATA SHEET FOR SANCTION OF PENSIONARY AWARDS TO DEFENCE CIVILIAN

Appendix-E Post-2006

1. Organisation Code*

4. Office/Unit Formation*

9. Post Last Held 11. Date of Birth

25. E-mail ID

12. Date of Joining (Current Spell)

18. Former Service Counted Towards (Current Spell)

35.

27. Pay Band

33.Gal Award31.Date of Last Pay Drawn

34. Last pay reduced due to penalty (Y/N)

41. Percent to be Commuted in (%) 42. Age-Load

28. Pay in Pay Band 29. Grade Pay 30. NPA/MS Pay

10. Industrial/Non-Industrial

7.Nationality Code 8. Sex

14. Retirement FN/AN

13. Date of Retirement/ Superannuation

16. Total Service (Current Spell)

20. Medical Allowance 21. Medical Allowance option date

6. Individual’s Name*

PART - B PAY PARTICULARS

PART - C COMMUTATION PARTICULARS

PART - D FAMILY PARTICULARS

PART - E PDA DETAILS

LAST PAY DETAILS

AMOUNT OF DEMAND

49. PDA Code

56. Bank Branch /Sub Treasury

55. Bank A/c No.

53. Bank/Sub Try Code

52. PDA Station 51. PDA State Code

54. Link Bank

50. DPDO Code

57. BSR Code Paying Branch.

59. Dual Family Pension 60. Gratuity withheld

58. BSR Code Link Bank/CPPC

44. Spouse Alive 45. Name of spouse

47. Date of Birth of Spouse

2. ORG. GROUP for GPF-NO. 3. GPF-NO.

5. Head of Office Adress*

15. Nature of Pension

17. Non-Qualifying Service

19. Net Qualifying Service

32. 10 Months Average

23. Aadhaar No.

48. Spouse Aadhaar No.46. NationalityCode of Spouse

43. Whether Married

22. Group 24. Mobile No.

26(a). Pensioner Address

26(b). State Code

On A/c. of RDR Head 36. On A/c. of other than RDR Head

40. Date of receipt of Commutation applicationor Date of Medical Examination

37. Interest on RDR Demand 38. Interest Payable 39. Refund

26( c ). Pin Code

9 1

Personal Details PART-A

Whether Handicapped

Whether Handicapped

Whether Handicapped

Whether Handicapped

Whether Handicapped

Relation with Ind.

Relation with Ind.

Relation with Ind.

Relation with Ind.

Relation with Ind.

Date of Birth

Date of Birth

Date of Birth

Date of Birth

Date of Birth

Aadhaar No.

Aadhaar No.

Aadhaar No.

Aadhaar No.

Aadhaar No.

CERTIFICATE

1. Certified that Col. Nos. 1 61to of LPC- Cum- Data Sheet in respect of

Name------------------------------------ ----------------------- -------- --------------------------------------------------

have been properly checked with reference to the entries in the Enrolment Form, Discharge Roll,(Original) etc. and found correct.

2. Certified that qualifying service has been checked with reference to the Sheet Roll

(Original).

Auditor SO(A)/AAO AO/SAO PAO(Ors)

Claim Notified Vide

PPO No. / /20

Adr/Sr.Adr. SO(A)/AAO AO/SAO (P)

PART-F (DETAILS OF DEPENDENTS)

61(I). Name

61(II). Name

61(III). Name

61(VI). Name

61(V). Name

H.O.O. CDA (P)CDA/AAO

CORRIGENDUM DATA SHEET FOR SANCTION OF PENSIONARY AWARDS TO DEFENCE CIVILIAN

Appendix-F Post-2006

1. Organisation Code*

4. Office/Unit Formation*

9. Post Last Held 11. Date of Birth

25. E-mail ID

12. Date of Joining (Current Spell)

18. Former Service Counted Towards (Current Spell)

35.

27. Pay Band

33.Gal Award31.Date of Last Pay Drawn

34. Last pay reduced due to penalty (Y/N)

41. Percent to be Commuted in (%) 42. Age-Load

28. Pay in Pay Band 29. Grade Pay 30. NPA/MS Pay

10. Industrial/Non-Industrial

7.Nationality Code 8. Sex

14. Retirement FN/AN

13. Date of Retirement/ Superannuation

16. Total Service (Current Spell)

20. Medical Allowance 21. Medical Allowance option date

6. Individual’s Name*

PART - B PAY PARTICULARS

PART - C COMMUTATION PARTICULARS

PART - D FAMILY PARTICULARS

PART - E PDA DETAILS

LAST PAY DETAILS

AMOUNT OF DEMAND

49. PDA Code

56. Bank Branch /Sub Treasury

55. Bank A/c No.

53. Bank/Sub Try Code

52. PDA Station 51. PDA State Code

54. Link Bank

50. DPDO Code

57. BSR Code Paying Branch.

59. Dual Family Pension 60. Gratuity withheld

58. BSR Code Link Bank/CPPC

44. Spouse Alive 45. Name of spouse

47. Date of Birth of Spouse

2. ORG. GROUP for GPF-NO. 3. GPF-NO.

5. Head of Office Adress*

15. Nature of Pension

17. Non-Qualifying Service

19. Net Qualifying Service

32. 10 Months Average

23. Aadhaar No.

48. Spouse Aadhaar No.46. NationalityCode of Spouse

43. Whether Married

22. Group 24. Mobile No.

26(a). Pensioner Address

26(b). State Code

On A/c. of RDR Head 36. On A/c. of other than RDR Head

40. Date of receipt of Commutation applicationor Date of Medical Examination

37. Interest on RDR Demand 38. Interest Payable 39. Refund

26( c ). Pin Code

9 1

Personal Details PART-A

B. Pensioner ID.A. Original PPO No.

C. Action Code

Whether Handicapped

Whether Handicapped

Whether Handicapped

Whether Handicapped

Whether Handicapped

Relation with Ind.

Relation with Ind.

Relation with Ind.

Relation with Ind.

Relation with Ind.

Date of Birth

Date of Birth

Date of Birth

Date of Birth

Date of Birth

Aadhaar No.

Aadhaar No.

Aadhaar No.

Aadhaar No.

Aadhaar No.

CERTIFICATE

1. Certified that Col. Nos. 1 61to of LPC- Cum- Data Sheet in respect of

Name------------------------------------ ----------------------- -------- --------------------------------------------------

have been properly checked with reference to the entries in the Enrolment Form, Discharge Roll,(Original) etc. and found correct.

2. Certified that qualifying service has been checked with reference to the Sheet Roll

(Original).

Auditor SO(A)/AAO AO/SAO PAO(Ors)

Claim Notified Vide

PPO No. / /20

Adr/Sr.Adr. SO(A)/AAO AO/SAO (P)

PART-F (DETAILS OF DEPENDENTS)

61(I). Name

61(II). Name

61(III). Name

61(VI). Name

61(V). Name

H.O.O. CDA (P)CDA/AAO