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

Madhu Babu Pension Yojana Application Form

Madhu Babu Pension Yojana Application Form
Pension Type	:	Old Age Pension		Name	:	MANDA PRADHAN
Father's/Spouse Name	:	SHANKAR PRADHAN		DOB	:	01-01-1960
AGE	:	63		Aadhar No	:	439688461442
	Gender	:	Female
Mobile No	:	7873573465		District	:	GANJAM
Sub-division	:	CHHATRAPUR		Address Type	:	Block
Block	:	GANJAM		GP	:	POIRASI
Village	:	KAINCHAPUR		Habitation	:	KAINCHAPUR
House No/Plot No	:			PIN	:	761019
Social Category(Caste)	:	OBC
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/04/05/2023/247974

Bank Account Details
Bank Account Type	:	Single Account	Account Holder Name	:	MANDA PRADHAN
Account Number	:	12623211020950	IFSC Code	:	UCBA0001262
Bank Name	:	UCO BANK	Branch Name	:	SANTOSHPUR

Declaration

I Mr/Mrs MANDA PRADHAN 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