Application form : Revision of Pension of Pre-2016 Pensioners/Family Pensioners on the basis of Pay Matrix prescribed by 7th CPC

Application form : Revision of Pension of Pre-2016 Pensioners/Family Pensioners on the basis of Pay Matrix prescribed by 7^th CPC

Date :_____________

To

(Name & address of Head of Office – from where retired)

____________________________________________

____________________________________________

____________________________________________

Subject : Revision of Pension of Pre-2016 Pensioners/Family Pensioners on the basis of Pay Matrix prescribed by 7^th CPC

Ref. : Deptt of Pension & Pensioners’ Welfare OM No. 38/37/2016-P&P’W(A) dt 12.5.2017 .
Ministry of Finance (Deptt of Expenditure) OM No.1/13/EV/2017 dt 23 May 2017

Sir/Madam,

I am the Central Government Pensioner. I/my spouse retired from the above cited Central Government Department. I hereby apply for revision of my pension/family Pension in terms of the Government orders cited above. My details are as under :

 

1.	Name
2.	Designation on retirement
3.	Date of Retirement
4.	PPO No. (Photocopy enclosed)
5.	Bank Account details	Name of Bank : Bank A/c No.: Bank IFSC Code:
6.	Residential address
7.	Contact No.	Landline : Mobile : Email ID :

Yours sincerely,

( Signatures)

(Name & Address of Pensioner)

___________________________

___________________________

___________________________

Mob/Landline No.