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

APNDIX - IX
ANNEXURE - II
FRONT
FAMILY PENSIONER’S IDENTITY CARD
GOVERNMENT OF ANDHRA PRADESH
NAME OF THE DIST.TREASURY : STO:
PENSIONER I.D.NO.
Name : Space for
Res. Address: Photograph
Telephone No :
Blood Group :
Signature of
Issuing Authority Signature/Thumb Impression
With Seal of Card holder
REVERSE
1. Name of the Service Pensioner :
2. Name of the Department :
3. Date of Death :
4. Date of Commencement of
Family pension
5. Date of Birth/Age of the
:
Family Pensioner :
6. P.P.O.No. and Date :
7. Amount of Pension
(Without DR)
:
8. Bank Account No.(Pension)/
Name of the Bank & Branch
:
319