defence services regulations pension regulations for the army

124APPENDIX-XIIANNEXURE - ‘II’(Referred to in Regulation 56 )FORM-BRegistered/ADNo.Office of the Pension Sanctioning AuthorityDated....................To(State Medical Authority).................................................................Subject: Medical examination for commutation of a portion of pension –Ex.No ....................Rank…………Name…………………………………………Unit …………….Sir,I have the honour to forward herewith the under mentioned documents in respectof the above named individual, who have applied for commutation of a portion of hispension:(a)(b)(c)Application for commutation of pension (Form A) in original with an unattestedcopy of individual’s photograph;A copy of Form ‘C’ with a spare copy of Part - III thereof;A copy of AFMSF-16 (proceedings of the Release/Invaliding Medical board, heldat Military Hospital............……….............) dated....…………….........with therequest to arrange for his medical examination, Keeping in view the requirementsindicated below and those set out in the Annexure.2. The individual has applied for commutation at Rs........per month out of hispension, and he is to be examined by a medical board/single medical officer.3. The individual’s date of birth for commutation has been acceptedas............................Thus, as his next birthday falls on......................his medicalexamination may please be arranged before that date but within three monthsfrom the date of issue of this letter, which is the period of validity of thesanctioning order.4. The individual desires to be examined at ......................his address is given in theendorsement and he has been asked to await further instructions from you inregard to the medical examination.Pension Regulations for the Army, Part II (2008)