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

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

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

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APNDIX - IX<br />

CERTIFICATE OF NON-REMARRIAGE/NON MARRIAGE<br />

312<br />

(<strong>As</strong> per para 8.3 of G.O.Ms.No.213 F & P (FW.PSC) Dept. Dt.19-12-97<br />

read with G.O.Ms.No. 65, F&P (FW.PSC) Dept. dt. 17-5-99)<br />

I hereby declare that I am not married/I have not been married during<br />

the past six months.<br />

OR<br />

I hereby declare that I have not been remarried and I undertake to<br />

report such an event promptly to the Treasury/Bank.<br />

Applicable only for widow recipient of family pension and to be furnished.<br />

Place : .........................<br />

Date : ...........................<br />

Signature ................................<br />

Name of the Pensioner : ........................<br />

P.P.O.No. ...................................<br />

I certify to the best of my knowledge and belief that the above declaration<br />

is correct.<br />

Signature of a responsible Gazetted Officer/Bank<br />

Manager/Municipal Commission and Notary public<br />

: .............................<br />

Name : ....................................<br />

Designation : ...........................<br />

Place : ...................................<br />

Date : .................................

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