Madhu Babu Pension Yojana Application Form | ||||||||
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: | Disability Pension | : | Debasish Bhola | |||||
: | Lalitendu Keshari Bhola | : | 15-11-2001 | |||||
: | 22 | : | Not Captured | |||||
: | Male | |||||||
: | 7847962375 | : | KHORDHA | |||||
: | KHURDA | : | Block | |||||
: | BANAPUR | : | AYATPUR | |||||
: | AYATAPUR | : | AYATAPUR | |||||
: | : | 752031 | ||||||
: | General | |||||||
: | Locomotor Disability | : | ||||||
: | Yes | : | Yes | |||||
: | Yes | : | SSEPD/BNFAPP/MBPY/07/06/2024/903861 |
Bank Account Details | |||||
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: | Single Account | : | Debasish Bhola | ||
: | 110149880805 | : | CNRB0018017 | ||
: | CANARA BANK | : | BHUBANESHWAR CET CAMPUS |
Declaration |
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I Mr/Mrs Debasish Bhola 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.