defence services regulations pension regulations for the army

127other hand the disability is so severe that longevity has beenconsiderably curtailed, the board should not recommend commutation atall.APPENDIX-XIIANNEXURE - ‘III’FORM“C”(Referred to in Regulation-50(b) & 52)Medical examination by the …………………………………………………………(Here enter the name of the medical authority).PART-IStatement by the applicant for commutation of a portion of his pension.The applicant must complete this statement prior to his examination by the…………………………………………….. (Name of the medical authority) and mustsign the declaration appended there to in the presence of that authority.1. Name & Army No. &Rank……………………………………………………….. (In Block letters)2. Name of Records office……………………………………………………………3. Date of Birth ………………………………………………………………………4. Have you ever been granted leave on medical grounds, if so, state the periodof leave and nature of illness.Pension Regulations for the Army, Part II (2008)