Available Required
Documents Documents(Sets )
SL.NO. CHECKLIST DOCUMENTS from Applicant
(sets )
1 DEATH CERTIFICATE OF PENSIONER 01 orginal ,2 xerox
Late Shri.N.K.Kunjappan
( 03 Xerox )(P. /Cf)
2 DEATH CERTIFICATE OF FAMILY PENSIONER
Late Smt. C.K.Sarasamma (P. /Cf)
01 orginal ,2 xerox
(03 Xerox)
4 LEGAL HEIR CERTIFICATE(P. /Cf) 1 Original,
02 Xerox
(1 Original, 02 Xerox )
5 INCOME CERTIFICATE of Kum. Asha N.K 01 Original
(P. /Cf)
(2 Original)
7 UN-MARRIED CERTIFICATE of Kum. Asha N.K 01 Original
(P.23 /Cf)
(2 Original)
8 PENSIONER/FAMILY PENSIONER PPO BOOKLET 01 xerox
COPY
9 APPLICANT BANK PASS BOOK – FIRST PAGE(P. /
Cf)
04 xerox
( 03 Xerox copies )
10 APPLICANT AADHAR CARD XEROX COPY (P. /Cf)
(03 copies)- 03 xerox
11 APPLICANT PAN CARD
XEROX COPY(P. /Cf) 03 xerox
(03 copies )
12 THREE SPECIMENS OF SIGNATURE ON A SLIP OF
PAPER ATTESTED BY A GAZETTED
OFFICER ( Three SETS orginal ) - 03 orginal
APPLICANT(P. /Cf)
13 SPECIMEN LETTER OF UNDERTAKING BY THE
PENSIONER (APPLICANT) ANNEXURE-XI (03
Original)(P. /Cf) 01 Original 02 orginal
14 APPLICANT PHOTOS – 6 Nos. (P. /Cf) 05 Nos -
15 Descriptive Roll(03 Original) (P. /Cf) -
05 orginal
16 FORM-14 (03 Original)(P. /Cf) 03 Original -
17 FORM-5 (03 Original )(P. /Cf) 03 Original -
18 No objection certificate (OTHER FAMILY 01 orginal ,
MEMBERS) – ATTESTATION BY NOTARY PUBLIC 02 xerox
(ADVOCATE) - ATTESTATION BY
NOTARY PUBLIC
(ADVOCATE)
19 FORM-3 Official
(PENSIONER OFFICIAL RECORD)
20 COMMITTEE REPORT / VERIFICATION REPORT Official
22 Form-12 01 orginal,
02 xerox
23 Form-21 Official
