Madhu Babu Pension Yojana Application Form | ||||||||
---|---|---|---|---|---|---|---|---|
: | Old Age Pension | : | SUDHAKAR SWAIN | |||||
: | SUSHAMA SWAIN | : | 28-04-1960 | |||||
: | 62 | : | 765239044820 | |||||
: | Male | |||||||
: | 8763620569 | : | JAGATSINGHAPUR | |||||
: | JAGATSINGHPUR | : | Block | |||||
: | ERASAMA | : | ERSAMA | |||||
: | ERSAMA | : | ERSAMA | |||||
: | : | 754139 | ||||||
: | General | |||||||
: | Yes | : | Yes | |||||
: | Yes | : | SSEPD/BNFAPP/MBPY/02/01/2023/884996 |
Bank Account Details | |||||
---|---|---|---|---|---|
: | Single Account | : | SUDHAKAR SWAIN | ||
: | 31553282188 | : | SBIN0012045 | ||
: | STATE BANK OF INDIA | : | ERSAMA |
Declaration |
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I Mr/Mrs SUDHAKAR SWAIN 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.