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

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

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APNDIX - IX<br />

ANNEXURE - I<br />

FRONT<br />

<strong>PENSION</strong>ER’S IDENTITY CARD<br />

GOVERNMENT OF <strong>ANDHRA</strong> <strong>PRADESH</strong><br />

NAME OF THE DIST.TREASURY : STO:<br />

<strong>PENSION</strong>ER I.D.NO.<br />

Name : Space for<br />

Res. Address: Photograph<br />

Telephone No :<br />

Blood Group :<br />

Signature of<br />

Issuing Authority Signature of Card holder<br />

With Seal<br />

1. Date of birth :<br />

2. Date of retirement :<br />

3. Name of the Department :<br />

4. Post held at the time of<br />

Retirement :<br />

5. P.P.O.No. and Date :<br />

6. Amount of Pension :<br />

(Without DR)<br />

7. Bank Account No.(Pension)/ :<br />

Name of the Bank & Branch<br />

REVERSE<br />

318

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