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Pension Regulation Army 2008 Part - II

107

8. The rate of special family pension allowance, if paid indicating the total amount
paid and the period for which paid-----------------------------------------------------------
-----------------------------------------------------------------------------------------------------
9. Name and relationship of the person/persons to whom special family allowance has
been paid-------------------------------------------------------------------------------------
10. The total amount of family allotment/Final Settlement of Account paid and not
ment from credit balance requiring adjustment against pensionary award--------------
-----------------------------------------------------------------------------------------------------
11. Details regarding the claimant to family pension: -
(a) Name in full (in block letters)------------------------------------------------------
(b) Relationship with deceased --------------------------------------------------------
(c) Residence Village------------------------------- Post Office----------------------
Tehsil --------------------------------------------- District --------------------------
(d) Date of birth or age, if known------------------------------------------------------

12. Details regarding Children: -

Name Date of Whether son or Residence i.e. Whether the
birth/Age daughter Village, Post child has any
Office, Tehsil permanent
and District disability.
1 2 3 4 5

Note: - The Particulars in items 6 to 10 are required to be verified by the Pay Account
Office (Other ranks).
13. Name (s) of the person (s) to whom the death gratuity is payable as per
nomination-------------------------------------------------------------------------------------
14. Rate of family pension considered to be admissible, if the claim is established
(quote authority) ------------------------------------------------------------------------------

Officer –in-Charge Records
Pay Account Officer Regiment/Corps

Pension Regulations for the Army, Part II (2008)

267