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VOLUME – I CHAPTER 2
94
APPENDIX-VI
Annexure-I
(Referred to in Regulations 31,32,38,39 & 40)
FORMAT FOR ATTRIBUTABILITY CERTIFICATE IN CASE OF
DISABLEMENT DUE TO INJURY
The injury sustained by No-------------------- Rank ---------------------------------
Name ---------------------------------- Arm/Service/Records Office -------------------------
Present Unit ----------------------------- on (Date) -------------------------------------- due to
(cause of injury) ------------------------------- is declared as attributable to military service
in terms of Rule ------------------------------- of the Entitlement Rules of Casualty
Pensionary Awards to Armed Forces Personnel, 1982. This declaration is, however,
subject to approval of the Competent Authority.
Date ------------------------------- Bde/Stn/Sub Area Commander
APPENDIX-VI
Annexure-II
(Referred to in Regulations 34,35,42 & 43)
FORMAT FOR ATTRIBUTABILITY CERTIFICATE IN CASE OF DEATH DUE
TO INJURY
The death of No--------------------------------Rank ---------------------------------
Name ---------------------------------- Arm/Service/Records Office -------------------------
Present Unit ----------------------------- on (Date) -------------------------------------- due to
(cause of death) ------------------------------- is declared as attributable to Military Service
in terms of Rule ------------------------------- of the Entitlement Rules of Casualty
Pensionary Awards to Armed Forces Personnel, 1982. This declaration is, however,
subject to approval of the Competent Authority.
Date ------------------------------- Bde/Stn/Sub Area Commander
Pension Regulations for the Army, Part II (2008)
254
