How it works
  • Open form

    Open form follow the instructions

  • Easily sign form

    Easily sign the form with your finger

  • Share form

    Send filled & signed form or save

How to fill out the Annexure 4 Form For Pensioners online

The Annexure 4 Form for Pensioners is essential for those who wish to provide details necessary for the Health Insurance Scheme for Pensioners. This guide will walk you through each section of the form, ensuring that you complete it accurately and efficiently.

Follow the steps to fill out the Annexure 4 Form For Pensioners online.

  1. Click ‘Get Form’ button to obtain the form and open it for editing.
  2. Begin filling out the section entitled ‘Pensioner / Family Pensioner Details’. Start with entering your Pension Payment Order number (PPO No.), the name of the Pension Disbursing Office, and select your scheme type.
  3. Fill in your name in block letters as the Pensioner or Family Pensioner. If applicable, include your spouse's name along with a joint photograph.
  4. Provide the bank and branch details from where your pension is disbursed, including the account number.
  5. Complete your permanent address and current address in block letters, including district and PIN code.
  6. Enter your contact details including phone number, mobile number, and email ID (if available).
  7. If you possess a Permanent Account Number (PAN), input it in the designated section of the form.
  8. Specify the post you held at the time of retirement, including details of the office or department from which you retired.
  9. Include your pension details, which may consist of original pension, commuted amount, provisional pension, and family pension.
  10. Provide your date of birth and the date of retirement along with proof where required.
  11. Input details of any legal heir, including their name, relationship to you, and their contact information.
  12. Sign or provide a thumb impression to certify that all information provided is accurate.
  13. Finally, review the form for accuracy before saving changes. You can then download, print, or share the completed form as necessary.

Complete your Annexure 4 Form For Pensioners online for a smoother processing experience.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

AGENCY REPORT (Due on or before July 31, 2022)

Jul 31, 2022 — The categories of information covered by this approval include incident...

Learn more
Insurance_Advt_extn._23-242.doc

... Annexure-IV: The policies proposed for the staff in this category are -. (a) Group...

Learn more
Corporate InformatIon

Mar 31, 2018 — is enclosed in Annexure-VII in the prescribed Form MGT-9, and forms...

Learn more
Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

What is Annexure 4?

Annexure – IV (Life Certificate, Non Employment and Remarriage or Non-Marriage Certificate)

To whom it is payable 7850/p.m. wef 01/10/2017. Where the children of the deceased earn more than Rs. 7850/p.m. or where the parents were not wholly dependant on the Government Servant, no family pension is payable.

Procedure for getting Pension & related Forms Application for Family Pension in Form - 14. ... Proof for Death; Legal heirship certificate issued by the Tahsildar or by the Court of Law; Where claim is made by guardian, guardianship certificate. All other documents specified in Form -1.

SWATANTRATA SAINIK SAMMAN PENSION SCHEME. APPLICATION FORM. (TO BE SENT BY REGISTERED POST IN DUPLICATE-ONE COPY TO BE SENT TO THE STATE GOVERNMENT CONCERNED AND ONE COPY TO THE DEPUTY SECRETARY TO THE GOVERNMENT OF INDIA.

Family Pension is 30% of the last pay. Maximum ceiling of family pension is Rs. 21,000/-. The amount of pension increases with the increase of the age of the family pensioner.

Pension Payment Order (PPO) is a unique 12-digit number that is given to every pensioner under the Employees' Provident Fund Organisation (EPFO). This number plays a vital role as a reference number for transactions and communications linked with the Employee Pension Scheme (EPS).

Annexure - IV (Life Certificate, Non Employment and Remarriage or Non-Marriage Certificate) | Treasuries & Accounts Department, Haryana | India.

The maximum qualifying service reduced from 33 years to 30 years to become eligible for full pension. Pension shall be determined based on 50% of pay last drawn. NOTE: Now the minimum pension is Rs. 3050/-w.e.f. 1.1.

Procedure for getting Pension & related Forms Application for Family Pension in Form - 14. ... Proof for Death; Legal heirship certificate issued by the Tahsildar or by the Court of Law; Where claim is made by guardian, guardianship certificate. All other documents specified in Form -1.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down process here.

Get Annexure 4 Form For Pensioners