Madhu Babu Pension Yojana Application Form | ||||||||
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: | Disability Pension | : | UMARANI DAS | |||||
: | HAREKRUSHNA DAS | : | 01-02-1982 | |||||
: | 42 | : | 991906065620 | |||||
: | Female | |||||||
: | 9861298612 | : | BALESHWAR | |||||
: | BALASORE | : | Block | |||||
: | BALIAPAL | : | PRATAPPUR | |||||
: | PRATAPPUR | : | PRATAPPUR | |||||
: | : | 756083 | ||||||
: | General | |||||||
: | Mental Illness | : | OD0810819820533470 | |||||
: | Yes | : | Yes | |||||
: | Yes | : | SSEPD/BNFAPP/MBPY/02/06/2024/330200 |
Bank Account Details | |||||
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: | Single Account | : | UAMARANI DAS | ||
: | 36043017724 | : | SBIN0006412 | ||
: | STATE BANK OF INDIA | : | PRATAPPUR |
Declaration |
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I Mr/Mrs UMARANI DAS 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.