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Certified that I have seen the pensioner …

LIFE CERTIFICATE(To be submitted by pensioner once a year in November) Certified that I have seen the pensioner holderof Pension Payment Order that he/she is alive on this date. Name:Date:Place: Designation of Authorised Officer Seal

LIFE CERTIFICATE (To be submitted by Pensioner once a year in November) Certified that I have seen the pensioner Shri/Smt./Ms. holder

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Transcription of Certified that I have seen the pensioner …

1 LIFE CERTIFICATE(To be submitted by pensioner once a year in November) Certified that I have seen the pensioner holderof Pension Payment Order that he/she is alive on this date. Name:Date:Place: Designation of Authorised Officer Seal


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