defence services regulations pension regulations for the army

106(j)Secretary, Zila Sainik Board.PART-IICLAIM FOR FAMILY PENSION - PERSONNEL BELOW OFFICER RANK(To be filled in by record office concerned from the service documents of the deceased)1. Number, Rank, Group and Name of the deceased-----------------------------------------------------------------------------------------------------------------------------------------------2. Unit in which last served ----------------------------------------------------------------------3. Date place and cause of death-----------------------------------------------------------------4. Number and date of Pension Payment Order notifying the grant of Pension, if thedeceased was a pensioner----------------------------------------------------------------------5. If death occurred in service: -(a) Date of enrolment--------------------------------------------------------------------(b) Age of enrolment--------------------------------------------------------------------(c) Date, place and cause of the death ------------------------------------------------(d) Periods not counting as qualifying service for pension-------------------------(e) Any previous service counting towards Pension or Gratuity------------------(f) Length of qualifying service -------------------------------------------------------(g) If length of qualifying service is 7 years or more, the date of which thedeceased would have completed the terms of his engagement but for hisdeath and date of his attainment of the age of compulsoryretairement/discharge----------------------------------------------------------------(h) Rank last held irrespective of whether in substantive or paid actingcapacity at the time of death--------------------------------------------------------------------------------------------------------------------------------------------------(i) Pay emoluments for the purpose of family pension/death gratuity1.Basic Pay (including increments of Pay--------) Rs.-----------------2.Classification Allowance Rs. ----------------3.Dearness Pay Rs. ---------------4.-------------------------- Rs. ---------------Total Rs. ----------------6. Rate of family pension/allotment indicating the total amount paid the period forwhich paid and the name relation ship of allottee-----------------------------------------------------------------------------------------------------------------------------------------------7. Whether the family allotment paid beyond the date of death of the individual wasmet from his balance indicate the total amount and the period to which it relates----------------------------------------------------------------------------------------------------------Pension Regulations for the Army, Part II (2008)