ANDHRA PRADESH REVISED PENSION RULES, 1980 (As ... - APHB

APNDIX - IV
FORM - B
PART - I
245
The commutation for a lumpsum payment of the pension as found
admissible under the rules by the Accoutnant-General is administratively sanctioned
subject to the medical authority’s recommendations. The sum payable
will be the sum appropriate to the applicant’s age on his birthday next
after the date on which the commutation becomes absolute or, if the medical
authority directs that years shall be added to that age, to consequent assumed
age.
Place : Signature
Date : Name and address of
the Pension Sanctioning
Authority with Office Stamp
PART - II
Forwarded in original to ................................................................
(Here enter the designation and address)
the District Medical Officer/Medical Board ................................. with the request
that he/it will arrange for the medical examination of the applicant by the
proper medical authority as early as possible within three months from the
date of administrative sanction (vide Form ‘B’ - Part.I) but not earlier than
....................................... and to inform the applicant direct in sufficient time
(date of retirement)
where and when he should appear for the medical examination.
(*) The next birthday of the applicant falls on ...................... and his
medical examination may be arranged before that date but within the period
prescribed in the sanctioning order vide Form ‘B’ Part-II.
Place : Signature
Date : Name and address of
the Pension Sanctioning
Authority with Officer Stamp
(*) With one copy of Form ‘C’