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‘ranch Manager le requested to obtain ie ceriicate from the stall pensionerifarily Pensioner during Novenber every year and enter the same in the Power-Apps ‘without fal, for continuation of payment of pension. Please do not forward the UC's tous but maintain record atthe Branch, ‘ANDHRA BANK (EMPLOYEES’) PENSION FUND TRUST LIFE CERTIFICATE Ccertiied that Ihave seen the Staff Pensioner Sr/Sint staff. Code No. -wshlder of Pension AC No. of Anda Bank... Branch and that he/she salve con this date Signature of Andhra Bank Officer only ‘Signature of the Pensioner Name Code No. contact No, — Designation: Specimen Signature No [REQUEST FOR NON- DEDUCTION OF TDS. {wish 9 Inform you thet wil make my own arrangements regarding payment of Income Tax. 1 undertake to payle the Income Tax return n person on my oan Hence, I request you NOT to deduct ax at source. Signature of Pensioner Addvess. - ate "NON RE:MARRIAGE/NON-MARRIAGE CERTIFICATE (7 GE OBTAINED FROM STAFF FAMILY PENSIONER ONLY) hereby cecare that I am marrea/re-msrried on 1 declare that tam not marcied/re-marted and 1 undertake to report such an event ‘romptly tothe pension disbursing authorty/Bank, ‘Signature of Pensioner Signature of Andhra Bank Officr only Name Code No, Designation Specimen Signature No, ‘aa ge et a ea 0 Pane Oa OS

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