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Rth/Age P.P.O.No. Name of Bank and Branch Bank Account No. :Service Pension / Family Pension : : : : Photo of the Individual (To be attested by the Gazetted Officer / Bank Manager or Notary) Old: 6. Employment Particulars a) Name of Office b) Date of Employment / ReEmployment c) What is the D.A. being drawn On Employment New: (Applicable if Re-Employed after retirement / Appointed on Compassionate Grounds) : d) Date from which D.A. is drawn 7. Re-Marriage Particulars if any a) Date of Re-.

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