Follow the steps to complete the form correctly.

1. Click 'Get Form' button to obtain the form and open it in your editing interface.
2. Enter the name of the government servant in respect of whom family pension is being claimed in the appropriate field.
3. Provide details of the last office, department, or ministry served by the government servant.
4. Fill in the date of retirement of the government servant.
5. Input the date of death of the government servant, pensioner, or the date marking the ineligibility of the family pensioner.
6. Include the PPO number of the government servant, pensioner, or family pensioner.
7. Enter the name, date of birth, relationship with the deceased, and postal address of the claimant.
8. If the claimant is a minor or suffers from a mental disorder, provide details of their guardian or nominee, including name, date of birth, relationship with the minor, and postal address.
9. Attach details of surviving relatives such as the widow/widower, children, dependent parents, and disabled siblings in Form 3.
10. Fill in the bank account number, name, and BSR code of the branch where the family pension will be credited.
11. Indicate any other sources of family pension the claimant may have, such as from military, state government, or public sector undertakings.
12. Acknowledge that good conduct is an implied condition for receiving the family pension.
13. Ensure the signature or left-hand thumb impression of the claimant or guardian is present.
14. Fill in the mobile or telephone number, PAN, and Aadhaar number, if available.
15. Provide signatures of two witnesses along with their names and addresses.
16. Review all information for accuracy.
17. Save changes, download, print, or share the completed form as required.

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