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Life Certificate Form PDF Free Download
Life Certificate Form
Certified that I have seen the Pensioner Mr./ Mrs. Miss____________________________ Son/ Daughter/Wife/Husband of____ ____________________________________ holder of P.P.O No.____________________and he/she is alive on this date.
Signature of Patwari/DTO/TO/Gazetted off. of HP/Bank Manager
Date: (With Seal)
RE-MARRIAGE/NON-RE-MARRIAGE CERTIFICATE
(Only in the case of Family Pensioners)
I hereby declare that I have /have not re-married during the last one year.
Signature/ Thumb impression of Pensioner
EMPLOYMENT / NON-RE-EMPLOYMENT CERTIFICATE
(I). I hereby declare that I have not held any post in any Government Department/Office Company, Corporation, Autonomous Body Central or State Government Union Territory, or any Local Fund during the last one year.
OR I declare that I am employed/re-employed in the office of ____________ Which is a part of / funded by __________________ Govt.
Further, my re-employment orders do not stipulate the suspension of my pension.
(ii). I declare that I have not accepted any commercial employment in India.
Or
I declare that I have accepted commercial employment in India after obtaining prior approval from the Central/State Government and have not violated any conditions, if any, attached by the Government.
Note:- This declaration is required to be given for a period of 2 years from the date of retirement. I declare that I have not accepted employment outside India under any Government/ any international organization of which the Government of India is not a member.
Or
I declare that I have accepted employment under a Government outside India/an international organization of which the Government of India is not a member, after obtaining prior approval of the Central/State Government and without any condition imposed by the Government.
has strayed.
| Language | English |
| No. of Pages | 1 |
| PDF Size | 0.07 MB |
| Category | General |
| Source/Credits | himkosh.hp.nic.in |
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Life Certificate Form PDF Free Download