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LIFE CERTIFICATE FOR THE YEAR 2017 - …

2017 life CERTIFICATE FOR THE year 2017 (To be submitted by Pensioner / Family Pensioner once a year ) (Vide Ms. , Finance (Pension) Department, ) Certified that I have seen the Pensioner / Family Pensioner Thiru / Tmt _____ _____ holder of No. _____ and that he / she is alive on this date. _____ Specimen Signature of Pensioner / Family Pensioner _____ Signature of Attesting Officer Name : Place : Designation : Date : Office Seal : _____ This CERTIFICATE shall be attested by any one the following authorities: 1. Revenue Inspector of the area where the Pensioner / Family Pensioner resides.

2017 LIFE CERTIFICATE FOR THE YEAR 2017 (To be submitted by Pensioner / Family Pensioner once a year) (Vide G.O. Ms. No.103, Finance (Pension) Department, Dated.31.03.2015)

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