SUBMISSION OF NOMINATION FROM-A FOR LTA

Dear veteran bothers  and Family pensioners,

We all know that, every one has to give Nomination to their  Bank account.   that is in 

normal procedure.   Even though, the Nomination is given some bank officials demand Legal heir certificate to settle the death / LTA claims.

To avoid such hardship,  our DOP&PW  department  has issued a OM  instructing the Pensioners   to Submit  Nomination For A   for  getting the   LTA  when contingency arises   with out any difficulty..

All our veterans  are requested to give this Nomination For A   to your banks  without delay.

Our ESM Associations are requested to pass on this message to our veterans and families in their area as it is good service to veterans .

SOI : DOP&PW  -GOI-  OM No. 1/2(40)2022-P&PW(E)  dated  31-03-2022

 

Submit 4 copies to the bank get sign and get 3 copies back.Keep one for personal record and send two copies to  Record Office

 

NOMINATION FOR LIFE TIME ARREARS

 

(FORM – A)

 

(See Rule 5)              (To be submitted in 4 copies)

 

Name and details of Bank

 

I  Mrs/Ms,………………………………………………………………………………………………….. hereby nominate the person named below under rule 5 of the Payment of Arrears of Pension (Nomination) Rules, 1983.

 

1. Name and address of the nominee			:
2.	Relationship with the pensioner		:
3.	Date of Birth		:
4. Name and address of the person who may receive the said pension			:
during the nominee’s minority (if the nominee is minor)
5. Name and address of other nominee in case the nominee under			:
column (1) above predeceases the, Pensioner
6.	Relationship with the pensioner		:
7.	Date of birth if the other nominee is a minor		:
8. Name and address of the person who may receive the pension			:
during the other nominee’s minority
9. Contingency on happening of which nomination shall become invalid			:
Place:		Signature (or thumb impression if illiterate) and the
		name of the pensioner
Date:
Witness’s Signature:
Name and Address:

Signature of Pension Disbursing Authority/Head of Office

Acknowledgement to be sent by the Pension Disbursing Authority/Head of Office

 

Certified that application/nomination has been received from ……………………………………………………………………

 

(Name of the pensioner) whose address is 

 

Place:                                                             

 

Signature of Pension disbursing Authority

 

 

Date:                                                               Full Address ……………………………………………………