Life Certificate for Pension
Certified that I have seen the pensioner _________________ holder of Pension Payment Order No. _________________and that he/she is alive on this date.
                                                                                            Signature of the pensioner
Place: _________________                                                 Name : _________________
Date: _________________                                                                                                     
                                                                      Designation of Authorized Officer: _________________                                                                          Seal:
 
                    
                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
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