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Forms for Download (Disbursement Form)

SL.No

Nomenclature of the forms

To be submitted by

To be submitted to

1

Application for drawal of Pension  through public sector Banks

Pensioner

PDA

2

Loss certificate

PDA

PSA

3

1st  payment call letter

PDA

Pensioner

4

Form: consolidated  certificates submitted at time of 1st payment

Pensioner

PDA

5

Certificate of Re-employment/ Employment

Pensioner

PDA

6

Letter from PDA for family Pension/LTA payment

PDA

Family Pensioner/ Nominated heir

7

Application for change of PDA  

Pensioner

PDA

8

NRI Pensioners: Consolidated life certificate/ nationality certificate   

Pensioner

PDA

9

NRI Pensioners :Form of Power of Attorney   

Pensioner

PDA

10

Consolidated certificates to be submitted at the time of annual identification  

Pensioner

PDA

11

Application for restoration of commuted value of Pension  

Pensioner

Pension Disbursing Agencies

12

PBOR :Application form for revision of Pension (V CPC) Pre-01.01.86 retiree  

Pensioner

Records Office through the PDA

13

Certificate to be submitted by re-employed pensioners for payment of Dearness Relief on Pension  

Pensioner

Pension Disbursing Agencies

14

Affidavit by family pensioner at the time of receiving first pension  

Family Pensioner

Pension Disbursing Agencies

15

Form to claim family pension and children allowance  

Claimant to Family Pension

Record Office

16

Re-employment/Non-Re-employment details

Pensioner

Pension Disbursing Agencies

17

Form to claim arrears of pension:  IAFA (CDA) 651,  

Pensioner

PCDA(P)/CDA(PD)/CDA Chennai through the PDA.

18

Form to claim Life Time Arrears: IAFA (CDA) 652  

Pensioner

PCDA(P)/CDA(PD)/CDA Chennai through the PDA.

19

Indemnity Bond in case of missing pensioners

WIDOW

Pension Disbursing Agencies

20

For for pensioners not able to appear in person to receive pension IAFA 409 (containing Life Certificate, Letter of Authority)  

Pensioner

Pension Disbursing Agencies

21

Form for nomination  Form A & B  

Pensioner

Pension Disbursing Agencies