Format of Undertaking for Handicapped Pension
NAME : _________
FATHER’S NAME : _________
RESIDENTIAL ADDRESS : _________
CATEGORY : HANDICAPPED
ELIGIBILITY : I AM HANDICAPPED PERSON ABOVE _________
This is also certify that I have no source of incomes and direly need of pension recommended by the _________ and I have not applied/not taking any pension from any Organization i.e. _________ Government/Central Government /any _________ except this pension I am also residing _________ for more than _________ years.
All the above details are true and correct and nothing has been concealed if any instant is noticed in this regards i will be fully responsible for the same.
APPLICANT