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Click ‘Get Form’ to open it in the editor.
Begin by filling in your full name and permanent address in the designated fields. Ensure accuracy as this information is crucial for identification.
Indicate whether you are applying for OPTIONAL or COMPULSORY retirement by selecting the appropriate option and entering the effective date of retirement.
In section 2, specify if you have a pending case or not. If applicable, check the relevant boxes for administrative disciplinary or criminal cases.
Detail the nature of any pending charges in section 3, providing specific information about the offense.
Fill in the venue of investigation/trial in section 4, ensuring that all details are correct.
If there is an appeal, indicate its status and where it is pending in sections 5 and 6.
Finally, sign and date the document at the bottom, ensuring that your signature matches your printed name above.

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