Madhu Babu Pension Yojana Application Form | ||||||||
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: | Widow Pension | : | SUNITA PATRA | |||||
: | BIBHUTI PATRA | : | 11-09-1988 | |||||
: | 33 | : | Not Captured | |||||
: | Female | |||||||
: | 7809665283 | : | GANJAM | |||||
: | BHANJANAGAR | : | Block | |||||
: | SURADA | : | BADAGADA | |||||
: | BADAGADA (CT) | : | ||||||
: | : | 761109 | ||||||
: | General | |||||||
: | Yes | : | Yes | |||||
: | Yes | : | SSEPD/BNFAPP/MBPY/11/11/2021/743494 |
Bank Account Details | |||||
---|---|---|---|---|---|
: | Single Account | : | SUNITA PATRO | ||
: | 33586211726 | : | SBIN0001337 | ||
: | STATE BANK OF INDIA | : | SURADA |
Declaration |
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I Mr/Mrs SUNITA PATRA 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.