Life Certificate for Pensioners – Application Format with Non-Employment Certificate
“Revised Application Format of Life Certificate for Pensioners”
‘Life Certificate’ is mandatory to submit for pensioners and family pensioners every year to the Central Govt through physically or Digitally in the month of November.
An increasing number of pensioners can count easily by the Govt every year. And the process of Life Certificate is helps to find the exact total number of pensioners and family pensioners.
If a pensioner is not submitted their Life Certificate to the disbursal agency banks, the pension or family pension will stop!
For the convenience of Senior Citizen (80 years and above) Pensioners are allowed to submit their life certificate from 1st October every year instead of November.
Pension payment authorized banks are collecting the data from pensioners and send to the Govt. The application format of Life Certificate are given below including State Bank of India (SBI) pensioners.
STATE BANK OF INDIA
CERTIFICATE TO BE SUBMITTED BY SBI PENSIONER
LIFE CERTIFICATE
Certified that I have seen the pensioner ____________________________ (Name of pensioner), holder of Pension Payment Order No. ______________and he / she is alive on this date.
Savings Bank A/c No.
Name & Designation of Authorised Officer
Specimen Signature of pensioner
Seal
Place:
Date:
Check also: Pay Matrix Table for Central Government Employees
NON-EMPLOYMENT CERTIFICATE
# I declare that I have not received any remuneration for serving in any capacity in an establishment of Central Government or a State Government or a Government Undertaking or from a Local Fund during the period November ____ to October _____.
# I declare that I have been employed / re-employed in the office of _________________ and was in receipt of the following emoluments during the period _____________
# I declare that I have not accepted any employment under any Government outside India, after obtaining / without obtaining sanction of the EPF organization (to be furnished by Class I officer only)
# Delete whichever is not applicable.
Signature_________________________
Name of Pensioner _________________
PPO No.
Place:
Check also: Central Government Employees News Latest Update
CERTIFICATE OF RE-MARRIAGE / NON-MARRIAGE
I hereby declare that I am not married / have not married during the past twelve months.
Signature__________________
Name of Pensioner _______________
PPO No.
Place:
I certify to the best of my knowledge and belief that the above declaration is correct.
Signature of a responsible officer/well known person
Name: ________________________________
Designation:_______________________________
Place:
Date:
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