Format of Pension Undertaking Old Age

Format of Pension Undertaking Old Age

Birth Certificate Affidavit FormatThis is certify that the under mentioned particulars are correct and true solemnly declare that the documents submitted by me are true and details is given as under: –

NAME                                               :    _________
FATHER’S NAME                         :    _________
RESIDENTIAL ADDRESS          :    _________
CATEGORY                                     :    OLD AGE
ELIGIBILITY                                 :    MY AGE IS _________

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

Format of Pension Undertaking Widow

Format of Pension Undertaking Widow

Birth Certificate Affidavit FormatThis is certify that the under mentioned particulars are correct and true solemnly declare that the documents submitted by me are true and details is given as under: –

NAME                                               :    _________
FATHER’S NAME                         :    _________
RESIDENTIAL ADDRESS          :    _________
CATEGORY                                     :    WIDOW
ELIGIBILITY                                 :    I AM WIDOW AND WILL NOT REMARRY IN FUTURE AND I ATTACHED MY HUSBAND DEATH CERTIFICATE

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.

Format of Affidavit for Old Age Pension

Format of Affidavit for Old Age Pension

affidavitI _________ son/daughter/wife of _________ resident of _________ do hereby solemnly affirm and declare as under

1.    That I have not received any kind of pension from _________  or Non- Govt. Institute and from any other state for the same.
2.    That my whole family income is _________ /- per annum.
3.    That I am citizen of _________ and residing in _________ for the at least last _________ years.
4.    That my correct date of birth /age is _________  years as my date of birth _________.
5.    That I am fully entitled to get the old age pension from the _________  Department Govt. or _________.
6.    That I am unemployed person.
7.    That is my true and correct statement.

DEPONENT

Verification: –
I, the above named deponent do hereby verify that the contents of the contents of this affidavit are true and correct to the best of my knowledge.

DEPONENT

Format of Affidavit for Handicap Pension

Format of Affidavit for Handicap Pension

affidavitI _________ son/daughter/wife of _________ resident of _________ do hereby solemnly affirm and declare as under:-

1.    That I have not received any kind of pension any kind of pension from _________ and from any other _________ from the same.
2.    That I am a citizen of _________ and residing in _________ from __ Years
3.    That my correct date of birth / age is __ years .
4.    That I was born on _________ at _________.
5.    That I am Handicap and enclosing the Handicap Certificate as a documental proof for the same, Details are below
a.    Date of Registration     :    _________
b.    Registration No.         :    _________
c.    Certificate no.         :    _________
d.    Disability Percentage     :    _________
6.    That I am unemployed.
7.    That my family annual income with all sources is _________/-.
8.    That I am fully entitled not to get the Handicap pension scheme from the _________.
9.    That this is my true statement.

DEPONENT

VERIFICATION: –

I, the above named deponent do hereby verify that the contents of this affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed therein.

DEPONENT

Format of Affidavit for Widow Pension

AFFIDAVIT

Format of Affidavit for Widow Pension
Format of Affidavit for Widow Pension

I, Smt. _________ widow of Late _________,  resident of _________  , do hereby solemnly affirm and declare as under:-

1-    That I am legally wedded wife of the above named deceased pensioner I have not remarried since the demise of my late husband.
2-    That I am not in the receipt of any other family pension from any other source.
3-    That my correct date of birth / age is _________ years.
4-    That I am fully entitled to get the Widow pension from the _________.

                                                                                                                                          Deponent

VERIFICATION

Verified that the contents of my above affidavit are true and correct to best of my knowledge and belief and nothing has been concealed therein.

Verified at _________ on _________.

                                                                                                                                          Deponent