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Modification in Life Certificate (Annexture- XVII)

Modification in Life Certificate (Annexture- XVII): Format of Revised Life Certificate

GOVERNMENT OF INDIA
MINISTRY OF FINANCE
DEPARTMENT OF EXPENDITURE
CENTRAL PENSION ACCOUNTING OFFICE
TRIKOOT-Il, BHIKAJI CAMA PLACE.
NEW DELHI-110066

CPAO/Tech/Amdt.-Sch. Book/2015-16/1655

dated: 12.10.2015

Amendment to the Scheme for Payment of Pensions to Central Government Civil Pensioners by Authorized Banks [Fourth Edition, 3rd December, 2004)

Correction Slip-24
Modification in Life Certificate (Annexure-XVII)

ANNEXURE-XVII

(See para 15.1 page 11 of
CPAO’s Scheme Booklet)

Part-A (Every year)
LIFE CERTIFICATE
(To be submitted by Pensioner once a year in November)

      Certified that I have seen the pensioner Shri/Smt./Ms.
___________________________________ (Name of Pensioner) holder of Pension Payment Order No. _________________________ and that
he/she
is alive on this date.

1. Present address of the pensioner/ family pensioner.

2. Telephone/Mobile number (if any).

3. E-mail Address (if any).

Name
Place:

Designation of Authorised Officer

Date: .

Seal
ACKNOWLEDGEMENT

           Life Certificate of Pensioner/Family Pensioner of Shri/Smt/Ms._______ _____________ _________ _________
(Name of Pensioner)
holder of Pension Payment Order No.___________________ has been received.

Date:-

Signature…………………..
Name
Stamp of the receiving Bank branch
sd/-
(Vijay Singh)
Sr. Accounts Officer (Tech)

CGA’S Authority No. 1(7) CPAO SCI]. Book (1)/4-th Edition/2005/TA-III/566 dated-9th October, 2015.

Revised+Life+Certificate

Source: http://cpao.nic.in/pdf/Modification_in_Life_certificate.pdf

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COMMENTS

WORDPRESS: 3
  • S.B. Mathur 6 years ago

    You can send a scanned copy by e mail to your branch with a copy of the mail to Central Pension Processing cell of your bank. If personally handing over you can hand over to any branch manager of your bank but must insist and obtain an acknowledgement.If they don't tell manager that you will send a complaint.

  • there are not been mentioned any s/b account number of the drawing bank.

  • umapathy sabesan 7 years ago

    We convenient to all Senior citizens (pensioners) but can it be acceptable in any branches or the life certificate to be given in the same branch. Of pension dispersed branch.Pl. clarify.