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Pension and Gratutity

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Forms related to Pension and Gratuity for Government Servants

12 files

  1. Form of application for revision of family pension as on 1.1.96

    Revision of Pension/family pension in the case of pre-1986 pensioners/family pensioners as on 1.1.1996 in terms of Department of Pension & Pensioners' Welfare OM. No. 45/86/97- P&PW(A)-Part-III dated 10th February 1998.

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  2. Form of application for endorsement of particulars of spouse from post-retiral marriage and children born after retirement in the PPO

    The form of application for endorsement of particulars of the spouse from post-retiral marriage and children born after retirement in the PPO. To be filled in triplicate and submitted to Head of Office, who processed pension papers initially.)

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  3. Form of application for switch over of pension payment through authorised Bank

    Form of application for switch over of pension payment through authorised Bank

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  4. Form of application for family pension under CCS (Extraordinary Pension) Rules

    Form of application for disability pension under CCS (Extraordinary Pension) Rules

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  5. Form of application for disability pension under CCS (Extraordinary Pension) Rules

    Form of application for disability pension under CCS (Extraordinary Pension) Rules [See rule 13 (4) (ii)]

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  6. Form of application for permission to Central Services officers to accept commercial employment with in a period of one year after retirement

    The form of application for permission to Central Services officers to accept commercial employment with in a period of one year after retirement. (Form 25 is under revision)

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  7. Form of application for the grant of residuary gratuity on the death of a pensioner

    A form of application for the grant of residuary gratuity on the death of a pensioner.
    If a retired Government servant in receipt of service gratuity or pension dies within five years from the date of his retirement from service including compulsory retirement as a penalty and the sums actually received by him at the time of his death on account of such gratuity or pension including ad-hoc increase, if any, together with the death-cum-retirement gratuity and the commuted value of any portion of pension commuted by him are less than the amount equal to 12 times of his emoluments, a residuary gratuity equal to the deficiency becomes payable to the family. When a Government servant has retired before earning a pension, the amount of service gratuity should be indicated.
    Note 2.- Two specimen signatures duly attested by a Gazetted Government servant (to be furnished in a separate sheet). Two slips each bearing the left-hand thumb and finger impressions duly attested may be furnished by a person who is not literate to sign his name. If such a person on account of physical disability is unable to give left-hand thumb and finger impressions, he/she may give thumb and finger impressions of the right hand. Where a Government servant has lost both the hands, he/she may give toe impressions. Impressions should be duly attested by a Gazetted Government servant.

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  8. Form of application for the grant of family pension on the death of Government servant/ pensioner/ family pensioner

    A form of application for the grant of family pension on the death of Government servant/ pensioner/ family pensioner.
    Form 14 is not to be filled if the spouse had a joint account with the deceased pensioner. In such cases, the family pension shall be allowed by the Pension Disbursing Authority on the basis of an application on plain paper. The permanently disabled children/siblings and dependent parents to whom a family pension has been authorised in the PPO of the pensioner will submit this Form to the Pension Disbursing Authority.

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  9. Form of application for the grant of death gratuity on the death of a Government servant

    To be filled in separately by each claimant and in case the claimant is minor, the Form should be filled in by the guardian on his/her behalf. Where there is more than one minor and one guardian for all of them, the guardian should claim gratuity in one Form on their behalf

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  10. Form for obtaining particulars by the Head of Office from retiring goverment servant eight months before the date of his/her retirement

    Form for obtaining particulars by the Head of Office  from retiring government servant eight months before the date of his/her retirement

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  11. Details of Family

    [ See Rule 54 (12) of CCS (Pension) Rules, 1972 ]

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  12. Application for GPF Nomination

    Instructions for the subscriber:-
    Y our name may be filled in.
    Name of the fund may be completed suitably.
    1 Definition of term “family” as given in the General Provident Fund (Central Services) Rules, 1960, is reproduced below:-
    Family means:-
    in the case of a male subscriber, the wife or wives, parents, children, minor brothers, unmarried sisters, deceased son’s widow and children and where no parent of the subscriber is alive a paternal grandparent.
    Provided that if a subscriber proves that his wife has been judicially separated from him or has ceased under the customary law of the community to which she belongs to be entitled to maintenance she shall henceforth be deemed to be no longer a member of the subscriber’s family in maters to which these rules relate unless the subscriber subsequently intimates in writing to the Accounts Officer that she shall continue to be so regarded.
    In the case of a female subscriber, the husband, parents, children, minor brothers, unmarried sisters, deceased son’s widow and children and where no parent of the subscriber is alive a paternal grandparent.
    Provided that if a subscriber by notice in writing to the Accounts Officer expresses her desires to exclude her husband from her family, the husband shall henceforth be deemed to be no longer a member of the subscriber’s family in matters to which these rules relate unless the subscriber subsequently cancels such notice in writing.

    Note:- Child means legitimate child and includes an adopted child where adoption is recognized by the personal law governing the subscriber or a ward under the Guardians and Wards Act, 1890 (8 of 1890) who lives with the Government servant and is treated as a member of the family and to whom the Government Servant has, through a special will, given the same status as that of a natural born child.
    Col.4. If only one person is nominated, the words “in full” should be written against the nominee. If more than one person is nominated, the share payable to each nominee over the whole amount of the Provident Fund shall be specified.
    (e) Col5. Death of nominee(s) should not be mentioned as contingency in this column.
    (f) Col.6. Do not mention your name.
    (g) Draw line across the blank space below last entry to prevent insertion of any name after you have signed.

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