Madhu Babu Pension Yojana Application Form | ||||||||
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: | Widow Pension | : | GOURI JAL | |||||
: | MADHUBAN JAL | : | 01-01-1965 | |||||
: | 58 | : | 721226935975 | |||||
: | Female | |||||||
: | 9692139173 | : | BOLANGIR | |||||
: | TITILAGARH | : | Block | |||||
: | TUREKELA | : | BUROMAL | |||||
: | KUKURAHAD | : | KUKURAHAD | |||||
: | : | 767039 | ||||||
: | SC | |||||||
: | Yes | : | Yes | |||||
: | Yes | : | SSEPD/BNFAPP/MBPY/01/06/2023/362052 |
Bank Account Details | |||||
---|---|---|---|---|---|
: | Single Account | : | GOURI JAL | ||
: | 7414001700031752 | : | PUNB0741400 | ||
: | PUNJAB NATIONAL BANK | : | KANTABANJI (ODISHA) |
Declaration |
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I Mr/Mrs GOURI JAL truely declare that:
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.