• Skip to main content
  • Skip to primary sidebar

New Pay Commission Updates

You are here: Home / Pensioners Issue / Life Certificate for Pensioners – Application Format with Non-Employment Certificate

Life Certificate for Pensioners – Application Format with Non-Employment Certificate

November 16, 2018 by Admin

Life Certificate for Pensioners – Application Format with Non-Employment Certificate

“Revised Application Format of Life Certificate for Pensioners”

STATE BANK OF INDIA
CERTIFICATE TO BE SUBMITTED BY PENSIONER

A) LIFE CERTIFICATE

Certified that I have seen the pensioner ________________________________________ (Name of pensioner), holder of Pension Payment Order No. ____________________ and
he / she is alive on this date.

Savings Bank A/c No.

Name & Designation of Authorized Officer

Specimen Signature of pensioner

Seal
Place:
Date

B) NON-EMPLOYMENT CERTIFICATE

# I declare that I have not received any remuneration for serving in any capacity in an establishment of Central Government or a State Government or a Government Undertaking or from a Local Fund during the period November ____ to October _____.

# I declare that I have been employed / re-employed in the office of _________________ and was in receipt of the following emoluments during the period _____________

# I declare that I have not accepted any employment under any Government outside India, after obtaining / without obtaining sanction of the EPF organization (to be furnished by Class I officer only)

# Delete whichever is not applicable.

Signature_________________________
Name of Pensioner _________________
PPO No.

Place:

C) CERTIFICATE OF RE-MARRIAGE / NON-MARRIAGE

I hereby declare that I am not married / have not married during the past twelve months.

Signature__________________
Name of Pensioner _______________
PPO No.

Place:
————————————————————————-

I certify to the best of my knowledge and belief that the above declaration is correct.

Signature of a responsible officer/well known person

Name: ________________________________
Designation:_______________________________

Place:
Date:

Click to View as PDF

Filed Under: Pensioners Issue Tagged With: Pension Portal Orders, Pensioners, Pensioners Issue

Primary Sidebar

Age Calculator

PHP Age Calculator | Tutsmake.com
PHP Age Calculator

Holiday List

  • 24 May 2021 Monday | Tamil Calendar with Holidays April 7, 2022
  • 23 May 2021 Sunday | Tamil Calendar with Holidays April 7, 2022
  • 22 May 2021 Saturday | Tamil Calendar with Holidays April 6, 2022
  • 21 May 2021 Friday | Tamil Calendar with Holidays April 6, 2022
  • 20 May 2021 Thursday | Tamil Calendar with Holidays April 6, 2022
  • 19 May 2021 Wednesday | Tamil Calendar with Holidays April 6, 2022
  • 18 May 2021 Tuesday | Tamil Calendar with Holidays April 6, 2022
  • 17 May 2021 Monday | Tamil Calendar with Holidays April 6, 2022
  • 16 May 2021 Sunday | Tamil Calendar with Holidays April 6, 2022
  • 15 May 2021 Saturday | Tamil Calendar with Holidays April 6, 2022
  • 14 May 2021 Friday | Tamil Calendar with Holidays April 6, 2022
  • 13 May 2021 Thursday | Tamil Calendar with Holidays April 6, 2022
  • 12 May 2021 Wednesday | Tamil Calendar with Holidays April 6, 2022
  • 11 May 2021 Tuesday | Tamil Calendar with Holidays April 6, 2022
  • 10 May 2021 Monday | Tamil Calendar with Holidays April 6, 2022
  • 9 May 2021 Sunday | Tamil Calendar with Holidays April 6, 2022
  • 8 May 2021 Saturday | Tamil Calendar with Holidays April 6, 2022
  • 7 May 2021 Friday | Tamil Calendar with Holidays April 6, 2022
  • 6 May 2021 Thursday | Tamil Calendar with Holidays April 6, 2022
  • 5 May 2021 Wednesday | Tamil Calendar with Holidays April 6, 2022
  • 4 May 2021 Tuesday | Tamil Calendar with Holidays April 6, 2022
  • 3 May 2021 Monday | Tamil Calendar with Holidays April 6, 2022
  • 2 May 2021 Sunday | Tamil Calendar with Holidays April 6, 2022
  • 1 May 2021 Saturday | Tamil Calendar with Holidays April 6, 2022
  • 30 April 2021 Friday | Tamil Calendar with Holidays April 5, 2022
  • 29 April 2021 Thursday | Tamil Calendar with Holidays April 5, 2022
  • 28 April 2021 Wednesday | Tamil Calendar with Holidays April 5, 2022
  • 27 April 2021 Tuesday | Tamil Calendar with Holidays April 5, 2022
  • 26 April 2021 Monday | Tamil Calendar with Holidays April 5, 2022
  • 25 April 2021 Sunday | Tamil Calendar with Holidays April 5, 2022
  • 24 April 2021 Saturday | Tamil Calendar with Holidays April 5, 2022

Copyright © 2022 governmentemployeesupdates.in

  • Simple Calculator