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	:	JANAKI ROUT
Father's/Spouse Name	:	JALADHAR ROUT		DOB	:	01-01-1962
AGE	:	61		Aadhar No	:	219387726957
	Gender	:	Female
Mobile No	:	8249416163		District	:	BALESHWAR
Sub-division	:	NILGIRI		Address Type	:	Block
Block	:	NILGIRI		GP	:	GARADIHI
Village	:	SIARIMALA		Habitation	:	SIARIMALA
House No/Plot No	:	CHEKAMARA		PIN	:	756041
Social Category(Caste)	:	ST
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/04/05/2023/359438

Bank Account Details
Bank Account Type	:	Single Account	Account Holder Name	:	Janaki Rout
Account Number	:	1101010317177	IFSC Code	:	PUNB0110120
Bank Name	:	PUNJAB NATIONAL BANK	Branch Name	:	BERHAMPUR BALASORE

Declaration

I Mr/Mrs JANAKI ROUT 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