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- 173 -4. Designation of post and the Office / Department in whichthe deceased was working, at the time of death5. Relationship of the applicant to the deceased Governmentservant6. Date of death of the Government servant7. Name and ages of following surviving kindred of thedeceasedWidow / Widower Minor SonsNameUnmarried Minor DaughterDate of Birth(by Christian Era)Application should be filed by wife / husband of the deceased Government servant; if either ofthem is not alive application should be filed by the guardian of the minor children of the deceased.8. Name of Treasury / Sub-treasury at which payment isdesired9. Whether the following documents are enclosed alongwiththe application(1) Death Certificate (In original)(2) Two copies of passport size photograph of the applicantduly attested by a Gazetted Officer(3) Two slips each bearing two specimen signatures of theapplicant duly attested(4) Two slips each bearing left hand thumb and fingerimpressions of the applicant duly attested (Applicable onlyin the case of applicants who are illiterate)(5) Two slips each showing particulars of height andconspicuous identification marks of the applicant(6) Guardianship Certificate issued by the DeputyCommissioner of the District where pension is admissibleto the minor children in case natural guardians are notalive.(7) A list of surviving members of the family indicating theirdates of birth furnished by the Revenue authority notbelow the rank of a Tahasildar. If the family includesmarried daughters, the date of marriage should bementioned.Place :Date :Signature or left hand thumbimpression of the applicant.* Father or mother is the natural guardian of the minor children.In the case of Muslim families, mother is not the natural guardian.FORM - C(See Rule 11)(Form for sanctioning Family Pension)1. Name of the Government Servant2. Father's name (and also husband's name in the case of awomen Government servant)3. Religion and Nationality4. Last appointment held including name of establishment