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defence services regulations pension regulations for the army

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1078. The rate of special family <strong>pension</strong> allowance, if paid indicating <strong>the</strong> total amountpaid and <strong>the</strong> period <strong>for</strong> which paid----------------------------------------------------------------------------------------------------------------------------------------------------------------9. Name and relationship of <strong>the</strong> person/persons to whom special family allowance hasbeen paid-------------------------------------------------------------------------------------10. The total amount of family allotment/Final Settlement of Account paid and notment from credit balance requiring adjustment against <strong>pension</strong>ary award-------------------------------------------------------------------------------------------------------------------11. Details regarding <strong>the</strong> claimant to family <strong>pension</strong>: -(a) Name in full (in block letters)------------------------------------------------------(b) Relationship with deceased --------------------------------------------------------(c) Residence Village------------------------------- Post Office----------------------Tehsil --------------------------------------------- District --------------------------(d) Date of birth or age, if known------------------------------------------------------12. Details regarding Children: -Name Date of Whe<strong>the</strong>r son or Residence i.e. Whe<strong>the</strong>r <strong>the</strong>birth/Age daughter Village, Post child has anyOffice, Tehsil permanentand District disability.1 2 3 4 5Note: - The Particulars in items 6 to 10 are required to be verified by <strong>the</strong> Pay AccountOffice (O<strong>the</strong>r ranks).13. Name (s) of <strong>the</strong> person (s) to whom <strong>the</strong> death gratuity is payable as pernomination-------------------------------------------------------------------------------------14. Rate of family <strong>pension</strong> considered to be admissible, if <strong>the</strong> claim is established(quote authority) ------------------------------------------------------------------------------Pay Account OfficerOfficer –in-Charge RecordsRegiment/CorpsPension Regulations <strong>for</strong> <strong>the</strong> Army, Part II (2008)

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