SSEPD::Social Security & Empowerment of Persons With Disabilities Department

Madhu Babu Pension Yojana Application Form

Madhu Babu Pension Yojana Application Form
Pension Type	:	Disability Pension		Name	:	Shekhar Suman Panda
Father's/Spouse Name	:	Prakash Chandra Panda		DOB	:	11-11-2020
AGE	:	2		Aadhar No	:	324967346029
	Gender	:	Male
Mobile No	:	7008342873		District	:	BALESHWAR
Sub-division	:	BALASORE		Address Type	:	Block
Block	:	SORO		GP	:	ANANTAPUR
Village	:	MULAKAEDA		Habitation	:	MULAKAEDA
House No/Plot No	:			PIN	:	756046
Social Category(Caste)	:	General
Disability Type	:	Others		UDID Certificate Number	:
The parental/family income of the applicant is not more than Rs.60,000/-per annum.	:	Yes		Has not been convicted of any criminal offence involving moral turpitude.	:	Yes
Is a permanent resident/domicile of Odisha since 20 years.	:	Yes		Application Number	:	SSEPD/BNFAPP/MBPY/12/20/2022/721329

Bank Account Details
Bank Account Type	:	Joint Bank Account	Account Holder Name	:	MASTR SHEKHAR SUMAN PANDA
Additional Account Holder Name	:	PRAKASH CHANDRA PANDA
Account Number	:	723702010006490	IFSC Code	:	UBIN0572373
Bank Name	:	UNION BANK OF INDIA	Branch Name	:	REMUNA JANUGANJ

Declaration

I Mr/Mrs Shekhar Suman Panda truely declare that:

The parental/family income of the applicant is not more than Rs.60,000/-per annum.

Has not been convicted of any criminal offence involving moral turpitude.

Is a permanent resident/domicile of Odisha since 20 years.

I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately.In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it and that my pension will be terminated.

Back