DocHub form-library100679Pensioner Life Certificate Form - Fill and Sign Printable 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the name of the pensioner in the designated field. Ensure accuracy as this is crucial for identification.
3. Fill in the Pension A/C No. and P.F. Index Number, which are essential for processing your certificate.
4. Provide the pensioner's residence address and mobile number in the respective fields to maintain updated contact information.
5. For verification, a Branch Manager or Gazetted Officer must sign and date the form, along with their office seal.
6. Complete any additional sections required for family pension declarations, ensuring all relevant parties sign where indicated.

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