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defence services regulations pension regulations for the army

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914. Details of Family members as on date------------------- including parents,widowed daughter, step child, bro<strong>the</strong>r(s) and sister(s)Sl Name Date of Birth Relationship Martial statusNo.(i)(ii)(iii)(iv)(v)5. Name of handicapped child, if any.--------------------------------------------------6. Address after retirement. ---------------------------------------------------------------7. Details of Pre-Commissioned Service, if anyallowed to be counted <strong>for</strong> <strong>pension</strong> ------------------------------------------------(with No. and date of letter from PCDA(P)Allahabad allowing to count previous service)8. I wish to commute ------------------ percent of my ---------------------- <strong>pension</strong>.I am enclosing a copy of Medical Examination Report (AFMSF-18) /copy ofannotation made about my longevity on Release Medical Board proceeding(AFMSF-16) (to be completed only when <strong>the</strong> Officer retires on completion of proscribedage/tenure).Place:Date:Yours faithfully( )Note:1. Photograph after pasting at above fixed place shall be attested by aCommissioned Officer.2. Strikeout which is not applicable.Pension Regulations <strong>for</strong> <strong>the</strong> Army, Part II (2008)

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