Pension Check List 20200720125633
Pension Check List 20200720125633
(i) In Single Comprehensive Form as prescribed under Memo. No. 398-F (Pen) dt.
13/09/2012, no column in this Form should be left blank;
(ii) Service Book with annual verification of service, proper noting regarding increment, pay
fixation relating to promotion, career advancement, Pay Fixation Statement relating to
ROPA Rules, date of birth, date of entry, leave, treatment of the period of suspension,
extra-ordinary leave, full context of the order passed by the Hon’ble court/SAT in respect
of the drawl of pay by the concerned Government employee and the Government Order
issued in that regard etc.;
(iii) Calculation sheet for qualifying service, pension, gratuity, commuted value of pension
and family pension.
(iv) Certificates including pay certificate, outstanding dues etc as given in ANNEXURE to
the Memo No.1315-F (pen) dt. 14.10.96;
(vi) Three slips bearing specimen Signature/left hand thumb and finger impression of the
pensioner/Family pensioner duly attested by the competent authority,
(xi) Duly filled in Nomination Form (Form A) under Arrears of Pension (Nomination) Rules,
1986;
(xii) Nomination for payment of Death Gratuity in prescribed form, duly counter signed by
the Head of the office is required to be pasted in the service book. One set of such
nomination is also to be forwarded to the Pr. Accountant General office along with Pension
papers.
(xiii) Death Certificate/Medical Certificate (in case of death or invalidation);
(xiv) Authenticated Age Proof Certificate (in the case of Family Pension to minor child);
(xv) A Certificate to the effect that no case or appeal is pending in respect of drawal of pay
of the concerned Government Servant;
(xvi) ANNEXURE –A, showing the name of the Branch of the Bank with B.S.R/IFS Code
No. of paying branch of the bank from where pension/family pension to be drawn;
(xix) Guardianship Certificate in the case of payment to minor child and to mentally retarded
son/daughter.
(xx) Recent Disability Certificate issued by the Competent Medical Authority, Marital status
(applicable for girl child) as well as a certificate to the effect by the Pension Sanctioning
Authority that the handicap is of such a nature which prevents him from earning a living is
to be furnished in case of Family Pension to handicapped son/daughter;
(xxi) Succession Certificate along with sanction in favour of the successor in cases where
both the nominee for death gratuity as well as family members as defined in Rule 7(1)(e)(1)
of the WBS(DCRB)Rules,1971 do not exist
(a) Single Comprehensive Form, as modified under Memo. No. 398-F (Pen) dt.
13/09/2012.;
(i) The Service Book of the Government Employee. In absence of Service Book, a
certificate in terms of G.O. No. 732-F (Pen) dated 12/11/2008.
(iv) Certificate to the effect that there is no other eligible member to receive Family Pension
(v) Recent Passport Size Photograph, Specimen Signature, Annexure ‘A’ (for drawal of
pension through Public Sector Banks) and Descriptive Roll (4 copies each).
(viii) Attested copy of death certificate of her husband in case of widowed daughter.
(ix) Attested copy of Decree of Divorce Certificate issued by the Court of Law in case of
Divorced Daughter.
(x) A proof of her identity e.g. Voter Identity Card, Ration Card etc.
(xi) An income certificate from the employer (if the claimant is employed) or from a Gazetted
Officer of Central Government or a State Government Officer belonging to Group “A”
service other than the same Department of the deceased employee.