‘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