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    Form F Form of Application For Commutation On Pension Without Medical Examination Application Before Date of Retirement 20210224121435

    Uploaded by

    Raman Kataria
    1. The document is an application form for commuting a fraction of a government employee's superannuation pension without a medical examination. 2. It requests that the payment of the commuted pension value be authorized through the employee's Pension Payment Order. 3. The form collects information such as the applicant's name, designation, date of birth, retirement date, proposed pension commutation fraction, and chosen disbursing authority.

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    © All Rights Reserved
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    Form F Form of Application For Commutation On Pension Without Medical Examination Application Before Date of Retirement 20210224121435

    Uploaded by

    Raman Kataria
    36 views3 pages
    1. The document is an application form for commuting a fraction of a government employee's superannuation pension without a medical examination. 2. It requests that the payment of the commuted pension value be authorized through the employee's Pension Payment Order. 3. The form collects information such as the applicant's name, designation, date of birth, retirement date, proposed pension commutation fraction, and chosen disbursing authority.

    Original Title

    Form-F-Form-of-Application-for-Commutation-on-Pension-without-Medical-Examination-application-before-date-of-retirement-20210224121435 (1)

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    1. The document is an application form for commuting a fraction of a government employee's superannuation pension without a medical examination. 2. It requests that the payment of the commuted pension value be authorized through the employee's Pension Payment Order. 3. The form collects information such as the applicant's name, designation, date of birth, retirement date, proposed pension commutation fraction, and chosen disbursing authority.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    36 views3 pages

    Form F Form of Application For Commutation On Pension Without Medical Examination Application Before Date of Retirement 20210224121435

    Uploaded by

    Raman Kataria
    1. The document is an application form for commuting a fraction of a government employee's superannuation pension without a medical examination. 2. It requests that the payment of the commuted pension value be authorized through the employee's Pension Payment Order. 3. The form collects information such as the applicant's name, designation, date of birth, retirement date, proposed pension commutation fraction, and chosen disbursing authority.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    SCH.

    X] 157
    1
    FORM ‘F'

    (Referred to Rule 33-A)

    Form of application for commutation of a fraction of superannuation pension


    without Medical Examination when applicant desires that the payment of the
    commuted value should be authorized through the Pension Payment Order .

    (To be submitted in duplicate at least three


    months before the date of retirement).

    PART I

    The
    (indicate the designation and full Space for
    address of Head of Office). Photograph

    Subject. -Commutation of Pension without Medical Examination.

    Sir,

    I desire to commute a fraction of my pension in accordance with the


    provisions of the Civil Pension Commutation Rules (Referred to Rule 33-A). The
    necessary particulars are furnished below :

    1. Name in block letters


    2. Father's name (and also husband's
    name in case of female Govt. servant)

    3. Designation

    4. Name of Office/Department in which


    employed
    .
    5. Date of birth (By Christian era)

    6. Date of retirement on superannuation


    on the expiry of extension in service

    7. ' Fraction of superannuation pension


    proposed to be commuted. --

    1 Inserted vide SRO-514 dated 8-8-1986,


    158 [SCH. X

    8. Disbursing authority from which pen-


    sion is to be drawn after retirement.

    (a) Treasury/Sub-Treasury

    (b) Branch of the J&K Bank and Bank


    Account No. if pension is drawn
    from the Bank each month .

    Signature
    Present Postal Address
    Place:

    Dated:

    Postal address after retirement

    Note. -The payment of commuted value of pension shall be made through the discharging authority
    from which pension is to be drawn after retirement. It is not open to an applicant to draw the
    commuted value of pension from a disbursing authority other than the disbursing authority
    from which pension is to be drawn.

    The applicant should indicate the fraction of the amount of monthly pension
    (subject to a maximum of the one-third thereof) which he/she desires to commute,
    and not the amount in rupees.

    PART II

    (Acknowledgement)

    Received from Shri/Smt./Kumari


    (Name)
    application in Part I of Form for commutation of
    (Designation)
    a fraction of pension without medical examination.

    Place: Signature

    Date: Head of Office.

    Note. -If the application has been received by the Head of Office before the expiry of three months
    before the date of retirement on superannuation, this acknowledgement should be detached
    from the Form and handed over to the applicant. If the Form has 'been received by post, it has
    to be acknowledged on the same day and the acknowledgement sent under registered cover to
    the applicant. In case it is received after the specified date, it should be accepted only if it has
    been put into. the post on or before that date subject to the production of evidence to that
    effect by the applicant.
    SCH.X] 159

    PART III

    Forwarded to the Accountant General the with


    remarks that:

    (i) the particulars furnished by the applicant in Part I have been verified
    and are correct;

    (ii) the applicant is eligible to get a fraction of his pension commuted


    without medical examination;

    (iii) the commuted value of pension determined with reference to Table


    applicable at present comes to Rs. ; and

    (iv) the amount of residuary pension after commutation will be Rs.

    2. The pension papers of the applicant completed in all respects were


    forwarded under this Department/Office letter No. Dated
    It is requested that the payment of
    commuted value of pension, may be authorized through the Pension Payment
    Order which may be issued one month before the retirement of the applicant.

    3. The receipt of Part I of this Form has been acknowledged in Part II which
    has been forwarded separately to the applicant on

    4. The commuted value of pension is debitable to Head of Account

    Place:

    Dated: Signature

    Head of Office.

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