New Pension Case

CERTIFICATE / INFORMATION TO BE GIVEN BY THE PENSIONER Annexure-A
(to be given by retiring government servant in case of superannuation / invalid pension / compulsory
retirement / retiring pension / family pension).
Descriptive roll (list of family member)

Sr. # Name Relation with CNIC # Age/Date of Marital Photo
the retiring Birth Status
/deceased
government
servant /
deceased
pensioner
1.
2.
3.
4.
5.
6.
Signature of retiring Govt. Servant /

Person Claiming Family Pension
Name: _______________________
Address: _____________________
_____________________________
Contact # _____________________
-------------------------------------------------------------------------------------------------------------------------------
I hereby undertake to refund the amounts established against me during or after my service or the same may be deducted
at source from my pension / commutation (applicable in case of superannuation / invalid / compulsory retirement / retiring
pension)
Signature of retiring
Government Servant
-------------------------------------------------------------------------------------------------------------------------------
I hereby opt full pension without commutation or commutation @------ (subject to a maximum of 35%) of my gross
pension. (applicable in case of superannuation / invalid / compulsory retirement / retiring pension)
Government Servant
-------------------------------------------------------------------------------------------------------------------------------
I hereby undertake to refund any outstanding amount /liability established against the deceased government servant /
pensioner during his service or thereafter and if so, the same may be deducted at source/ adjusted against my family
pension / gratuity. (applicable in case of Family Pension)
Signature of the person claiming

Family pension
I hereby solemnly declare that I Mst./Mr./Ms. _________________________________________________
(name and relation with government servant/pensioner)
Am a bonafide entitled family member to receive pension of late Mr./Mrs.___________________________ S/O D/O
____________________ who expired on ________________ while in-service /after retirement and who was in receipt of
pension/family pension, as the case may be
i. Death Certificate is attached.
ii. PPO /FPPO (in case of pensioners death certificate is attached)
(applicable in case of Family Pension only)
Signature of the Person claiming
Family pension
Impression of the balls of the thumb and of fingers of the left hand.
Left Hand Thumb ______________________________________________
Left Hand 1 finger ______________________________________________
Left Hand 2 finger ______________________________________________
Left Hand 3 finger ______________________________________________
Left Hand 4 finger ______________________________________________
Impression taken in my presence
Specimen signature of Mr.
Signature _____________________________________________
1. _____________________________________________
2. _____________________________________________
3. _____________________________________________
4. _____________________________________________
Attested
Form D-I
FAMILY PENSION FORM

[To be issued by the appointing authority / PSA in the event of in-service death of a government
servant]
Subject: - SPECIMEN OF NOTIFICATION / ORDERS FOR SANCTION OF FAMILY PENSION

IN CASE OF IN-SERVICE DEATH OF GOVERNMENT SERVANT.
Notification / order No: _________ Dated: _________________
(1) Mr / Mst. _____________________________________ Residing at __________________________

_______________________________ having Contact No. __________________ Designation
_______________drawing pay Rs. ___________ (reckonable for pension), as under, in BPS
________ Personal No. __________ CNIC No. ______________________ presently posted at
(office) ______________________ place of posting _________________ expired on _____________
while in service. [Death certificate is attached]
Basic Pay:
Special Pay: 00
Personal Pay: 00
Qualification Pay: 00
Technical Pay: 00
Senior Post Allowance: 00______
Total Pay Rs. __________
(1) Orderly Allowance (if any) Rs. __--__/.

(2) His date of Birth is ___________ dated of 1st entry into government service is _____________ and
EOL availed is __--_. Total length of qualifying service for pension is ___ years ____ months ___
days. His deputation period is days _--_ months _--_ years _--_. (Enclose an attested copy of last
month pay slip, service book and paid challan of pension contributions). Also enclose original service
book in case of non-gazetted government servant and posting profile of gazetted government servant.
(3) No inquiry is pending against him. (certificate attached)
(4) No Demand / Recovery is due against him. (certificate attached)
(5) Advances drawn (if any) stand repaid in full, along with interest.
(6) Description Roll, undertaking to make good Government losses and option for commutation is
enclosed as Annex-A.
(2) Administrative and financial sanction for grant of pension without commutation or pension with
commutation @ (35%), to be determined by the Accountant General, Punjab / DAO is hereby
accorded in favour of ___________________________ as admissible under the rules..
Signature (by name) with stamp

Pension Sanctioning Authority
Pension cost center Code No __________
CC to: -
1- The District Accounts Officer, Jhelum with the request to endorse a copy of the PPO to this
department/ office. The original service book after recording necessary entries regarding issuance
of PPO may also be returned to this department / office.
2- ______________________________________________________________. You are hereby
informed that your gratuity and monthly family pension shall be transfer-credited by DAO, Jhelum
in the same bank account No. ______________________________. However, if you,
subsequently want to receive your family pension in any other bank account, you may inform the
DAO, Jhelum in writing, after due attestation by a gazette officer.
Form D-I
FAMILY PENSION FORM
servant]

(3) Mst. Maryam Bibi Widow of Muhammad Rafiq (Late) Residing at Mohallah Islam Gung Khewra
Tehsil PD Khan District Jhelum having Contact No. 0346-5437266 Designation Dai drawing pay
Rs. 10850+200 (reckonable for pension), as under, in BS-03 Personal No. 30180694 CNIC No.
37301-5548021-0 presently posted at (office) BHU Chak Shadi place of posting BHU Chak Shadi
expired on 15-08-2014 while in service. [Death certificate is attached]
Basic Pay: 10850 + 200
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 10850 + 200

(5) Her date of Birth is 31-07-1959 dated of 1st entry into government service is 01-08-1982 and EOL
availed is __--_. Total length of qualifying service for pension is 32 years 00 months 14 days. Her
deputation period is days _--_ months _--_ years _--_. (Enclose an attested copy of last month pay slip,
service book and paid challan of pension contributions). Also enclose original service book in case of
non-gazetted government servant and posting profile of gazetted government servant.
(10) As per record, it is verified that Mr. Muhammad Akbar S/O Muhammad Abdullah CNIC
No. 37301-7207439-1 and contact No. 0346-5437266 is bonafide family member entitled to family
pension of Mst. Maryam Bibi.
(relation with deceased government servant)
(11)Bank Account No in which family pension / gratuity is to be credited Bank of Punjab, Mareer
Chowk, Rawalpindi A/C No. 8481-7.
(12) Administrative and financial sanction for grant of pension with gratuity to be determined by the
Accountant General, Punjab / DAO is hereby accorded in favour of Mst. Muhammad Akbar S/O
Muhammad Abdullah CNIC No. 37301-5548021-0 as admissible under the rules.

CC to: -
4- Muhammad Akbar S/O Muhammad Abdullah, Mohallah Islam Gung Khewra Tehsil PD
Khan District Jhelum. You are hereby informed that your gratuity and monthly family pension
shall be transfer-credited by DAO, Jhelum in the same bank account No. Bank of Punjab,
Mareer Chowk, Rawalpindi A/C No. 8481-7. However, if you, subsequently want to receive
your family pension in any other bank account, you may inform the DAO, Jhelum in writing, after
due attestation by a gazette officer.
Form D-I
FAMILY PENSION FORM

servant]

(7) Mst. Muhammad Khaliq S/O Muhammad Akram Residing at Muftian Tehsil Dina District
Jhelum having Contact No. 0300-5411368 Designation Technician (E&CMT) drawing pay Rs.
13500+500 (reckonable for pension), as under, in BS-12 Personal No. 30184214 CNIC No. 37301-
2712663-1 presently posted at (office) BHU Kalvantpur place of posting BHU Pandori expired on
22-09-2014 while in service. [Death certificate is attached]
Basic Pay: 13500 + 500
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

(9) His date of Birth is 25-04-1970 dated of 1st entry into government service is 23-01-1996 and EOL
availed is __--_. Total length of qualifying service for pension is 18 years 07 months 29 days. His
(11)No Demand / Recovery is due against him. (certificate attached)
(14) As per record, it is verified that Mst. Rehana Razzaq Widow of Muhammad Khaliq CNIC
pension of Mr. Muhammad Khaliq.
(15) Bank Account No in which family pension / gratuity is to be credited A/C No
___________________.
Accountant General, Punjab / DAO is hereby accorded in favour of Mst. Rehana Razzaq Widow of
Muhammad Khaliq CNIC No. 37301-2712663-1 as admissible under the rules.

CC to: -
6- Rehana Razzaq Widow of Muhammad Khaliq, Muftian Tehsil Dina District Jhelum. You are
hereby informed that your gratuity and monthly family pension shall be transfer-credited by DAO,
Jhelum in the same bank account No. ______________. However, if you, subsequently want to
receive your family pension in any other bank account, you may inform the DAO, Jhelum in
writing, after due attestation by a gazette officer.

Sr. # Name Relation with the CNIC # Age/Date Marital Photo
retiring /deceased of Birth Status
government servant /
deceased pensioner
7.
8.
9.
10.
11.
12.
13.

Name: _______________________
Address: _____________________
_____________________________
Contact # _____________________
-------------------------------------------------------------------------------------------------------------------------------
I hereby undertake to refund the amounts established against me during or after my service or the same may be
deducted at source from my pension / commutation (applicable in case of superannuation / invalid /
compulsory retirement / retiring pension)
Government Servant
-------------------------------------------------------------------------------------------------------------------------------
I hereby opt full pension without commutation or commutation @------ (subject to a maximum of 35%) of my
gross pension. (applicable in case of superannuation / invalid / compulsory retirement / retiring pension)
Government Servant
-------------------------------------------------------------------------------------------------------------------------------
I hereby undertake to refund any outstanding amount /liability established against the deceased government
servant / pensioner during his service or thereafter and if so, the same may be deducted at source/ adjusted
against my family pension / gratuity. (applicable in case of Family Pension)

Family pension
Am a bonafide entitled family member to receive pension of late Mr./Mrs.___________________________
S/O D/O ____________________ who expired on ________________ while in-service /after retirement and
who was in receipt of pension/family pension, as the case may be
iii. Death Certificate is attached.
iv. PPO /FPPO (in case of pensioners death certificate is attached)

Family pension
PENSION FORM TO BE USED IN CASE OF RETIREMENT ON SUPERANNUATION OR
RETIRING PENSION.
[To be issued by the Appointing Authority 90 days before superannuation / retirement of the retiring
Government servant].
Subject: - SPECIMEN OF NOTIFICATION / ORDERS OF RETIREMENT ON RETIRING

PENSION AND SANCTION OF PENSIONER BENEFITS.
(17) On having applied for retiring pension vide application No. ___________dated
_________________ Mr. Muhammad Muzafar Khan S/O Muhammad Akram Khan Residing at
Village Karim Pur P.O. Dharyala Jalip Tehsil PD Khan District Jhelum having Contact No. 0345-
5520218 Designation Junior Technician (HCO) drawing pay Rs. 13800/- + 380/- (reckonable for
pension), as under, in BS-09 Personal No. 30181741 CNIC No. 37302-1133582-3 presently posted at
(office) BHU Dharyala Jalip place of posting DOH Office, Jhelum shall stand retired from
Government service on retiring pension (score out whichever is not applicable) 01-09-2014 A/N.
Basic Pay: 13800 + 380
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

(19) His date of Birth is 20-10-1965 dated of 1st entry into government service is 10-01-1984 and
EOL availed is __--_. Total length of qualifying service for pension is 30 years 07 months 21 days. His
(24) Administrative and financial sanction for grant of pension without commutation or pension
with commutation @ (35%), to be determined by the Accountant General, Punjab / DAO is hereby
accorded in favour of Muhammad Muzafar Khan as admissible under the rules.

CC to: -
8- Muhammad Muzafar Khan, Junior Technician (HCO), of this office. You are hereby informed that
your commutation (if opted) and first (retiring government servant) monthly pension shall be
transfer-credited by DAO, Jhelum in the same bank account in which your last payment of salary
was credited. However, if you, subsequently want to receive your pension in any other bank
account, you may inform the DAO, Jhelum in writing, after due attestation by a gazette officer.
RETIRING PENSION.

(1) On having applied for retiring pension vide application No. 3877 dated 05-08-2014 Mr. Muhammad
Rafiq S/O Raj Muhammad Residing at House No. 103 Bagh Mohallah Jhelum City having
Contact No. 0306-5843820 Designation Naib Qasid drawing pay Rs. 9830/- + 170/- (reckonable for
(office) DOH Office, Jhelum place of posting DOH Office, Jhelum shall stand retired from
Basic Pay: 9830 + 170
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

accorded in favour of Muhammad Rafiq, Naib Qasid as admissible under the rules.

CC to: -
2- Muhammad Rafiq, Naib Qasid, of this office. You are hereby informed that your commutation (if
opted) and first (retiring government servant) monthly pension shall be transfer-credited by DAO,
Jhelum in the same bank account in which your last payment of salary was credited. However, if
you, subsequently want to receive your pension in any other bank account, you may inform the
RETIRING PENSION.

(25) On having applied for retiring pension vide application No. ___________dated
_________________ Mr. Abdul Rashid S/O Noor Muhammad Residing at Village & P.O.
Dharyala Jalip Tehsil PD Khan District Jhelum having Contact No. 0346-5833533 Designation
Sanitary Petrol drawing pay Rs. 9660+190(reckonable for pension), as under, in BS-02 Personal
No. 30182403 CNIC No. 37302-1847317-1 presently posted at (office) TSI P.D.Khan. place of
posting DOH Office, Jhelum shall stand retired from Government service on retiring pension (score
out whichever is not applicable) 31-07-2014 A/N.
Basic Pay: 9660 + 190
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

EOL availed is __--_. Total length of qualifying service for pension is 26 years 04 months 18 days.
His deputation period is days _--_ months _--_ years _--_. (Enclose an attested copy of last month pay
slip, service book and paid challan of pension contributions). Also enclose original service book in
case of non-gazetted government servant and posting profile of gazetted government servant.
accorded in favour of Abdul Rashid as admissible under the rules.

CC to: -
10- Abdul Rashid, Sanitary Petrol of this office. You are hereby informed that your commutation (if
RETIRING PENSION.
Subject: - SPECIMEN OF NOTIFICATION / ORDERS OF RETIREMENT ON

SUPERANNUATION PENSION AND SANCTION OF PENSIONER BENEFITS.
(1) On attaining the age of superannuation vide application No. ___________dated _________________
Mr. Parveen Akhtar D/O Bagh Ali Residing at Village & P.O. Bara Gowah Tehsil Sohawa District
Jhelum having Contact No. 0345-5863582 Designation Dai drawing pay Rs. 10650+200 (reckonable
for pension), as under, in BS-03 Personal No. 30183036 CNIC No. 37303-1086910-6 presently
posted at (office) GRD Bara Gowah place of posting Bara Gowah shall stand retired from
Government service on retiring pension (score out whichever is not applicable) 18-12-2014 F/N.
Basic Pay: 10650 + 200
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

accorded in favour of Parveen Akhtar, Dai as admissible under the rules.

CC to: -
2- Parveen Akhtar, Dai, GRD Bara Gowah. You are hereby informed that your commutation (if
RETIRING PENSION.

Mr. Maryam Bibi D/O Karim Bukhash Residing at Village Kotla Ditta P.O. Mara Tehsil &
District Jhelum having Contact No. 0346-5437266 Designation Dai drawing pay Rs. 10850+200
(reckonable for pension), as under, in BS-03 Personal No. 30180694 CNIC No. 37301-5548021-0
presently posted at (office) BHU Chak Shadi place of posting BHU Chak Shadi shall stand retired
from Government service on retiring pension (score out whichever is not applicable) 15-08-2014 F/N.
Basic Pay: 10850 + 200
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 10850 + 200_

(3) Her date of Birth is 31-07-1959 dated of 1st entry into government service is 01-08-1982 and EOL
availed is __--_. Total length of qualifying service for pension is 32 years 00 months 14 days. Her
accorded in favour of Maryam Bibi, Dai as admissible under the rules.

CC to: -
2- Maryam Bibi, Dai, BHU Chak Shadi. You are hereby informed that your commutation (if opted)
and first (retiring government servant) monthly pension shall be transfer-credited by DAO, Jhelum
in the same bank account in which your last payment of salary was credited. However, if you,
subsequently want to receive your pension in any other bank account, you may inform the DAO,
Jhelum in writing, after due attestation by a gazette officer.
RETIRING PENSION.

Mr. Aurangzed S/O Muhammad Nazir Residing at Village Kot BasiraTehsil & District Jhelum
having Contact No. 0544-658674 Designation Office Assistant drawing pay Rs. 14710 (reckonable
for pension), as under, in BS-14 Personal No. 30180448 CNIC No. 37301-3701137-7 presently
posted at (office) EDO (H) Office, Jhelum place of posting EDO (H) Office, Jhelum shall stand
retired from Government service on retiring pension (score out whichever is not applicable)
15-01-2015 A/N.
Basic Pay: 14710
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Senior Post Allowance: 00__
Total Pay Rs. 14710_

accorded in favour of Aurangzed, Office Assistant as admissible under the rules.

CC to: -
2- Aurangzed, Office Assistant, EDO (H) Office, Jhelum. You are hereby informed that your
commutation (if opted) and first (retiring government servant) monthly pension shall be transfer-
credited by DAO, Jhelum in the same bank account in which your last payment of salary was
credited. However, if you, subsequently want to receive your pension in any other bank account,
you may inform the DAO, Jhelum in writing, after due attestation by a gazette officer.
RETIRING PENSION.

(1) On having applied for retiring pension vide application No. ___________ dated _________________
Mr. Ghulam Hussain S/O Muhammad Bakhash Residing at Village Kohrah Tehsil PD Khan
District Jhelum having Contact No. 0333-5761427 Designation Chowkidar drawing pay Rs. 9490/-
presently posted at (office) BHU Golpur place of posting BHU Golpur shall stand retired from
Basic Pay: 9490
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 9490/-_____

accorded in favour of Ghulam Hussain, Chowkidar as admissible under the rules.

CC to: -
2- Ghulam Hussain, Chowkidar, BHU Golpur. You are hereby informed that your commutation
(if opted) and first (retiring government servant) monthly pension shall be transfer-credited by
DAO, Jhelum in the same bank account in which your last payment of salary was credited.
However, if you, subsequently want to receive your pension in any other bank account, you may
inform the DAO, Jhelum in writing, after due attestation by a gazette officer.
RETIRING PENSION.

Mr. Safdar Ali S/O Muhammad Fazal Residing at Pandori Jadeed P.O. Mara Tehsil & District
Jhelum having Contact No. 0346-5808254 Designation CDC Inspector drawing pay Rs.
16080+380/- (reckonable for pension), as under, in BS-09 Personal No. 30179297 CNIC No. 37301-
2274505-9 presently posted at (office) DOH Office, Jhelum place of posting DOH Office, Jhelum
shall stand retired from Government service on retiring pension (score out whichever is not applicable)
31-12-2014 A/N.
Basic Pay: 16080+380
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
(1)
accorded in favour of Safdar Ali, CDC Inspector as admissible under the rules.

CC to: -
2- Safdar Ali, CDC Inspector, DOH Office, Jhelum. You are hereby informed that your
RETIRING PENSION.

Mr. Arshad Ali Paracha S/O Fazal Ellahi Residing at Parachghan. Dharyala Jalip Tehsil PD
Khan District Jhelum having Contact No. 0345-5962854 Designation Junior Technician (HCO)
(Vaccinator) drawing pay Rs. 16080/- (reckonable for pension), as under, in BS-09 Personal No.
30181966 CNIC No. 37302-1157058-7 presently posted at (office) DOH Office, Jhelum place of
posting DOH Office, Jhelum shall stand retired from Government service on retiring pension (score
out whichever is not applicable) 10-01-2015 A/N.
Basic Pay: 16080
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 16080/-_____

accorded in favour of Arshad Ali Paracha, Junior Technician (HCO) (Vaccinator) as admissible
under the rules.

CC to: -
2- Arshad Ali Paracha, Junior Technician (HCO) (Vaccinator), DOH Office, Jhelum. You are
hereby informed that your commutation (if opted) and first (retiring government servant) monthly
pension shall be transfer-credited by DAO, Jhelum in the same bank account in which your last
payment of salary was credited. However, if you, subsequently want to receive your pension in
any other bank account, you may inform the DAO, Jhelum in writing, after due attestation by a
gazette officer.
RETIRING PENSION.

Mr. Abdul Razzaq S/O Qadir Bakhush Residing at House No. B-1-1/43A/13, Mohallah No. 32,
Abbaspura, District Jhelum having Contact No. 0313-5505363 Designation Naib Qasid drawing
pay Rs. 10000/- (reckonable for pension), as under, in BS-02 Personal No. 30184149 CNIC No.
37301-2222537-9 presently posted at (office) T.B Center, DHQ Hospital, Jhelum place of posting
T.B Center, DHQ Hospital, Jhelum shall stand retired from Government service on retiring pension
(score out whichever is not applicable) 11-05-2015 A/N.
Basic Pay: 10000
Special Pay: 00
Personal Pay: 680
Technical Pay: 00
Total Pay Rs. 10680/-_____

accorded in favour of Abdul Razzaq, Naib Qasid as admissible under the rules.

CC to: -
2- Abdul Razzaq, Naib Qasid, T.B Center, DHQ Hospital, Jhelum. You are hereby informed that
your commutation (if opted) and first (retiring government servant) monthly pension shall be
transfer-credited by DAO, Jhelum in the same bank account in which your last payment of salary
was credited. However, if you, subsequently want to receive your pension in any other bank
Form D-I
FAMILY PENSION FORM
servant]

(13) Mst. RUKHSANA BIB Widow of RAJA GHAZANFAR ALI (Late) Residing at Post office
Kinial Bajrana Mohra Kinial Teshil Gujer Khan District Rawalpindi having Contact No. 0345-
5684918 Designation Ward Servant drawing pay Rs. 10000 (reckonable for pension), as under, in
BS-02 Personal No. 30183851 CNIC No. 37401-7364173-4 presently posted at (office) RHC Dina
place of posting RHC Dina expired on 01-06-2015 while in service. [Death certificate is attached]
Basic Pay: 10000
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 10000

(15) Her date of Birth is 15.06.1964 dated of 1st entry into government service is 01.06.1985 and
EOL availed is __--_. Total length of qualifying service for pension is 30 years 00 months 00 days. Her
(20) As per record, it is verified that Mr. RAJA ASFAND YAR ALI S/o RAJA GHAZANFAR
ALI CNIC No. 37401-2106793-1 and contact No. 0345-5684918 is bonafide family member entitled
to family pension of Mst. RUKHSANA BIBI
(21) Bank Account No in which family pension / gratuity is to be credited United Bank Limited
G.T Road Dina Branch Code 0242 & A/C No. 223092253
Accountant General, Punjab / DAO is hereby accorded in favour of MR. RAJA ASFAND YAR ALI
S/o RAJA GHAZANFAR CNIC No. 37401-2106793-1 as admissible under the rules.

CC to: -
12- RAJA ASFAND YAR ALI S/o RAJA GHAZANFAR ALI Post office Kinial Bajrana Mohra
Kinial Teshil Gujer Khan District Rawalpindi You are hereby informed that your gratuity and
monthly family pension shall be transfer-credited by DAO, Jhelum in the same bank account No.
United Bank Limited G.T Road Dina Branch Code 0242 & A/C No. 223092253. However, if
you, subsequently want to receive your family pension in any other bank account, you may inform
the DAO, Jhelum in writing, after due attestation by a gazette officer.

Sr. # Name Relation with the CNIC # Age/Date of Marital Photo
retiring /deceased Birth Status
government
servant / deceased
pensioner
1.
2.
3.
4.
5.
6.

Name: Mst. Shahmim Akhter.
Address: Post Office Malot Tehsil
Dina District Jhelum.
Contact # ___________________
-------------------------------------------------------------------------------------------------------------------------------
Government Servant
-------------------------------------------------------------------------------------------------------------------------------
Government Servant
-------------------------------------------------------------------------------------------------------------------------------

Family pension
v. Death Certificate is attached.
vi. PPO /FPPO (in case of pensioners death certificate is attached)

Family pension
REVISED
RETIRING PENSION.

Mr. SYED ZAFAR HUSSAIN SHAH s/o MUZAFFAR HUSSAIN SHAH Residing at Village
Mohara Saydian P/o Chak Abdul Khalid Tehsil Dina District Jhelum having Contact No. 0300-
5414134 Designation Junior Technician (HCO) (Vaccinator) drawing pay Rs.20,105+650/-
presently posted at (office) DOH Office, Jhelum place of posting DOH Office, Jhelum shall stand
retired from Government service on retiring pension (score out whichever is not applicable) 07-07-
2015 F.N.
Basic Pay: 20,105+650/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 20,105+650/- .

availed is 276 Days. Total length of qualifying service for pension is 31 years 01 months 21 days. His
accorded in favour of SYED ZAFAR HUSSAIN SHAH Junior Technician (HCO) (Vaccinator) as
admissible under the rules.

CC to: -
2- SYED ZAFAR HUSSAIN SHAH Junior Technician (HCO) (Vaccinator) . You are hereby
informed that your commutation (if opted) and first (retiring government servant) monthly pension
shall be transfer-credited by DAO, Jhelum in the same bank account in which your last payment of
salary was credited. However, if you, subsequently want to receive your pension in any other bank
RETIRING PENSION.

Mr. FAKHIRA SULTANA W/o MUHAMMAD JAVED IQBAL SABRI Residing at Mohallah
Dipo Bazar Khewara Tehsil P.D Khan District Jhelum having Contact No. 0307-8468204
Designation DAI drawing pay Rs.11050 /- (reckonable for pension), as under, in BS-03 Personal No.
30433360 CNIC No. 37302-6683356 presently posted at (office) GRD SAROBA place of posting
GRD SAROBA shall stand retired from Government service on retiring pension (score out whichever
is not applicable) 15.08.2015 F.N.
Basic Pay: 11050
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 11050 .

(11)His date of Birth is 03-05-1959 dated of 1st entry into government service is 26-01-1980 and EOL
availed is Nil. Total length of qualifying service for pension is 35 years 06 months 19 days. His
accorded in favour of FAKHIRA SULTANA Dai BPS-03 as admissible under the rules.

CC to: -
4- FAKHIRA SULTANA Dai. You are hereby informed that your commutation (if opted) and first
(retiring government servant) monthly pension shall be transfer-credited by DAO, Jhelum in the
same bank account in which your last payment of salary was credited. However, if you,
Form D-I
FAMILY PENSION FORM
servant]

(1) Mr. AMJAD MEHMOOD S/o MEHBOOB ALAM (Late) Residing at Village & Post Office Malot
Tehsil & District Jhelum having Contact No. 0307-5895887 Designation Junior Technician
(HOC)/Vaccinator drawing pay Rs. 14940/- (reckonable for pension), as under, in BS-09 Personal
No. 30178340 CNIC No. 37301-2196850-1 presently posted at (office) DOH, Office Jhelum place of
posting DOH, Office Jhelum expired on 18-06-2015 while in service. [Death certificate is attached]
Basic Pay: 10000
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 14940 ,

(8) As per record, it is verified that Mst. SHAMIM AKHTER Widow of AMJAD MEHMOOD CNIC
pension of MR. AMJAD MEHMOOD
(9) Bank Account No in which family pension / gratuity is to be credited United Bank Limited Khai
Kotli Branch Jhelum Branch Code 0314 & A/C No. 223448764
Accountant General, Punjab / DAO is hereby accorded in favour of Mst. SHAMIM AKHTER
Widow of AMJAD MEHMOOD CNIC No. 37301-2138091-6 as admissible under the rules.

CC to: -
2- Mst. SHAMIM AKHTER Widow of AMJAD MEHMOOD Village & Post Office Malot
Tehsil & District Jhelum You are hereby informed that your gratuity and monthly family pension
shall be transfer-credited by DAO, Jhelum in the same bank account No. United Bank Limited
Khai Kotli Branch Jhelum Branch Code 0314 & A/C No. 223448764 However, if you,
subsequently want to receive your family pension in any other bank account, you may inform the
Impression of the balls of the thumb and of fingers of the left hand.
Left Hand Thumb ______________________________________________
Left Hand 1 finger _________ _____________________________________
Left Hand 2 finger ______________________________________________
Left Hand 3 finger ______________________________________________
Left Hand 4 finger ______________________________________________
Specimen signature of Mst. MUSART BEGUM, DAI GRD GADDARI
Signature _____________________________________________
1. _____________________________________________
2. _____________________________________________
3. _____________________________________________
4. _____________________________________________
Attested

retiring Birth Status
/deceased
government
servant /
deceased
pensioner
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Name: MUHAMMAD ZAMAN
Address: Village & P/o Ahmedabad Teshil
P.D Khan District Jhelum.
Contact # 0335-5564154
-------------------------------------------------------------------------------------------------------------------------------
Government Servant
-------------------------------------------------------------------------------------------------------------------------------
Government Servant
-------------------------------------------------------------------------------------------------------------------------------

Family pension
vii. Death Certificate is attached.
viii. PPO /FPPO (in case of pensioners death certificate is attached)
Family pension
RETIRING PENSION.

(17) On having applied for retiring pension vide application No. ___________ dated
_________________ Mr. Muhammad Zaman S/o Sharaf Din Residing at VPO Ahmed Abad Tehsil
P.D Khan District Jhelum having Contact No. 0335-5564154 Designation Sweeper drawing pay Rs.
12055/- (reckonable for pension), as under, in BS-02 Personal No. 30184245 CNIC No. 37302-
7248574-1 presently posted at (office) DOH Office, Jhelum place of posting DOH Office, Jhelum
shall stand retired from Government service on retiring pension (score out whichever is not applicable)
30-09-2015 A/N.
Basic Pay: 12055
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 12055/-_____

EOL availed is __--_. Total length of qualifying service for pension is 31 years 06 months 08 days. His
accorded in favour of Arshad Ali Paracha, Junior Technician (HCO) (Vaccinator) as admissible
under the rules.

CC to: -
4- Arshad Ali Paracha, Junior Technician (HCO) (Vaccinator), DOH Office, Jhelum. You are
gazette officer.
RETIRING PENSION.

Mr. TARIQ MEHMOOD s/o BASHIR AHMED Residing at Dhorkey Post Office Gunja Tehsail &
District Jhelum having Contact No. 0342-6459932 Designation Ward Servant drawing pay Rs.
12275/- (reckonable for pension), as under, in BS-02 Personal No. 30176682 CNIC No. 34201-
5821594-9 presently posted at (office) BHU Kotla Faquir place of posting BHU Kotla Faquir shall
stand retired from Government service on retiring pension (score out whichever is not applicable) 01-
08-2015 F/N.
Basic Pay: 12275
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 12275/-_____

(3) His date of Birth is 01.07.1968 dated of 1st entry into government service is 01-08-1989 and EOL
accorded in favour of TARIQ MEHMOOD s/o BASHIR AHMED , Ward Servant (BPS-02), BHU
Kotla Faquir as admissible under the rules.

CC to: -
1- TARIQ MEHMOOD s/o BASHIR AHMED , Ward Servant, BHU Kotla Faquir You are
gazette officer.
RETIRING PENSION.

Mr. MUHAMMAD ZAMAN s/o SHARF DIN Residing at Post Office Ahmed Tehsil P.D Khan
District Jhelum having Contact No. 0333-1756311 Designation Sweeper drawing pay Rs. 12515/-
presently posted at (office) BHU Kotla Syedian place of posting BHU Kotla Syedian shall stand
2015 A/N.
Basic Pay: 12515
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 12515/-_____

accorded in favour of MUHAMMAD ZAMAN s/o SHARF DIN R/o Post Office Ahmed Tehsil P.D
Khan District Jhelum as admissible under the rules.

CC to: -
2- MUHAMMAD ZAMAN s/o SHARF DIN R/o Post Office Ahmed Tehsil P.D Khan District
Jhelum You are hereby informed that your commutation (if opted) and first (retiring government
servant) monthly pension shall be transfer-credited by DAO, Jhelum in the same bank account in
which your last payment of salary was credited. However, if you, subsequently want to receive
your pension in any other bank account, you may inform the DAO, Jhelum in writing, after due
attestation by a gazette officer.
RETIRING PENSION.

Mr. SYED NASIR ALI SHAH S/o SYED MUMTAZ HUSSAIN SHAH Residing at Village & Post
Office Chak Abdul Khaliq Tehsial & District Jhelum having Contact No. 0336-0001512
Designation Junior Technician (Pharmacy) drawing pay Rs. 17,420 + 495/- (reckonable for
(office) BHU Jandala place of posting BHU Jandala shall stand retired from Government service on
retiring pension (score out whichever is not applicable) 03-11-2015
Basic Pay: 17,420+495
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 17,420+495/-_____

accorded in favour of SYED NASIR ALI SHAH S/o MUMTAZ HUSSAIN SHAH JUNIOR
TECHNICIAN (PHARMACY) BPS-09 , BHU JANDALA as admissible under the rules.

CC to: -
2- SYED NASIR ALI SHAH S/o MUMTAZ HUSSAIN SHAH JUNIOR TECHNICIAN
(PHARMACY) BPS-09 , BHU JANDALA You are hereby informed that your commutation (if

retiring /deceased Birth Status
government
servant /
deceased
pensioner
Raja Muhammad
1. Husband Died
Nawaz
Raja Baber
2. SON 37301-6450116-9 10.10.1978 MARRIED
Sohail

Name: MUSARAT BEGUM W/o RAJA
MUHAMMAD NAWAZ
Address: VPO Hoon, Tehsil & District Jhelum
Contact # 0302-5836740
-------------------------------------------------------------------------------------------------------------------------------
Government Servant
-------------------------------------------------------------------------------------------------------------------------------
Government Servant
-------------------------------------------------------------------------------------------------------------------------------

Family pension

Family pension
RETIRING PENSION.

Mr. MUHAMMAD NAEEM-UR-REHMAN S/o CH. ABDUL RAHMAN Residing at Dungi Galli
Post Office Kalan Gujran Tehsial & District Jhelum having Contact No. 0322-5972243
Designation CDC SUPERVISIOR drawing pay Rs. 19400 + 495/- (reckonable for pension), as
under, in BS-09 Personal No. 30178236 CNIC No. 37301-2190927-1 presently posted at (office)
BHU CHAK KHASA place of posting BHU CHAK KHASA shall stand retired from Government
service on retiring pension (score out whichever is not applicable) 01-10-2015
Basic Pay: 19,400+495
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 19,400+495

accorded in favour of MUHAMMAD NAEEM-UR-REHMAN S/o CH. ABDUL RAHMAN CDC
Supervisor (PBS-09) as admissible under the rules.

CC to: -
2- MUHAMMAD NAEEM-UR-REHMAN S/o CH. ABDUL RAHMAN CDC Supervisor (PBS-
09), BHU Chak Khasa.You are hereby informed that your commutation (if opted) and first
(retiring government servant) monthly pension shall be transfer-credited by DAO, Jhelum in the
same bank account in which your last payment of salary was credited. However, if you,
RETIRING PENSION.

Mst. TALZEEM AKHTER W/o FAZAL QADIR Residing at Mohallah Rajgan Post office Domeli
Tehsil Sohawa District Jhelum having Contact No. 0331-5131038 Designation DAI drawing pay
Rs. 13930 + 300/- (reckonable for pension), as under, in BS-04 Personal No. 30183615 CNIC No.
37303-3653203-8 presently posted at (office) GRD LEHRI place of posting GRD LEHRI shall stand
2015
Basic Pay: 13930+300
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 13930+300

accorded in favour of TALZEEM AKHTER W/o FAZAL QADIR DAI (BPS-04) as admissible
under the rules.

CC to: -
2- TALZEEM AKHTER W/o FAZAL QADIR DAI (BPS-04).You are hereby informed that your
FAMILY PENSION FORM
[To be forwarded by the Appointing Authority/PSA in the event of death of the
pensioner}
Subject: - GRANT OF FAMILY PENSION IN THE CASE OF DEATH OF PENSIONER.

(1) Mr. AZIZ-UL-HAQ S/o ALLAH DITTA residing at R/o Post of Mahra Tehsial Dina
District Jhelum Designation at the time of retirement Lab. Attendant drawing
pension/family pension @ ______________ per month vide PPO/FPPO No.
__________________ CNIC No. 37301-2207663-4 drawing pension from bank/bank
branch _____________________________ expired on 18-10-2015 [death certificate is
attached] Net Pension ________________________ per month
Increases ______________________
________________________________
________________________________
________________________________
________________________________
Total Pension Rs. _____________ per month.
(2) Orderly allowance (if any) Rs. ______________
(3) His Date of Birth was 04-04-1956 Date of retirement from Government service/date
of sanction of family pension was 29-02-1992
Enclose original PPO/FPPO of deceased pensioner.
(4) No Demand/Recovery was due against him or recover/demand amounting to Rs.
________ is recoverable against him which needs to be recovered from family
pension.
(5) Advance drawn (if any) stand repaid in full, along with interest.
(6) Descriptive Roll, undertaking to make good Government losses in enclosed at
Annex-A.
(7) As per record, it is verified that Mst. MONEEZA AKHTAR CNIC No. 37301-
2207660-6 and Contact No. 0300-9528561 is bonafide entitled for family pension
of Mr. AZIZ-UL-HAQ S/o ALLAH DITTA
(8) Family pension to be determined by the Accountant General, Punjab / DAO, in favour
of Mst. MONEEZA AKHTAR CNIC No. 37301-2207660-6 and Contact No. 0300-
9528561
*** Bank Account No in which family pension is to be credited
[094679001884403-HBL- Maira (0946)]
*(Attested copy of CNIC of both the deceased pensioner and the claimant of family pension attached)
** (to be allocated by AG, Punjab/DATO)
***(the bank account should be verified by the Manger of the concerned bank)
Signature [BY NAME] with

stamp
** Pension Cost Center Code No.
________
Note:- The sanction accorded, as above, is subject to change on account of any

additional information / facts reported subsequently.
CC:
1. Accountant General, Punjab Lahore / DAO JHELUM , with request to endorse a
copy of the Family PPO to this department/office.
2. Mst. Moneeza Akhter, W/o Aziz-Ul-Haq R/o Maira Tehsil Dina District
Jhelum you are hereby informed that your monthly family pension shall be
transfer-credited by Accountant General, Punjab / DAO Jhelum in the bank
Account No [094679001884403-HBL- Maira (0946)]However, if you,
subsequently want to receive your family pension in any other bank account, you
may inform the Accountant General, Punjab / DAO in writing, after due attestation
by a gazatted officer.
FAMILY PENSION FORM
pensioner}

(1) Mr. SHAMSHAD HUSSAIN S/o ABDUL AZIZ residing at R/o Khatana Post Office
Dulyal District Jhelum Designation at the time of retirement Junior Technician
drawing pension/family pension @ ______________ per month vide PPO/FPPO No.
30179096-01CNIC No. 37301-2258200-5 drawing pension from bank/bank branch
_____________________________ expired on 04-11-2015 [death certificate is
attached] Net Pension ________________________ per month
Increases ______________________
________________________________
________________________________
________________________________
________________________________
Total Pension Rs. _____________ per month.
pension.
Annex-A.
(7) As per record, it is verified that Mst. FARKHANDA BEGUM CNIC No. 37301-
2197702-6 and Contact No. 0314-5493041 is bonafide entitled for family pension
of Mr. SHAMSHAD HUSSAIN S/o ABDUL AZIZ
of Mst. FARKHANDA BEGUM CNIC No. 37301-2197702-6 and Contact No. 0314-
5493041
*** Bank Account No in which family pension is to be credited
_________________________

stamp
________

CC:
2. Mst. Farkhanda Begum W/o Shamshad Hussain R/o Khatana P/o Dlyal
Tehsil Dina District Jhelum you are hereby informed that your monthly family
pension shall be transfer-credited by Accountant General, Punjab / DAO Jhelum in
the bank Account No [______________________________________]However, if you,
(to be given by retiring government servant in case of superannuation /
invalid pension / compulsory retirement / retiring pension / family pension).

Sr. Name Relation CNIC # Age/Date Marital Photo
# with the of Birth Status
retiring
/deceased
governme
nt servant
/
deceased
pensioner
Tahzeem 37303-3653203- 26.11.195
1. Mother Died
Akhter 8 7
37303-1119203- 11.09.196
2. Fazal Qadir Father Died
1 2
37303-5349353- 22.08.199 Un-
3. Arooj Qadir Self
1 4 Married

Name: AROOJ QADIR D/o FAZAL
QADIR
Address: Moh; Rajgan Domeli
Tehsil Sohawa District Jhelum.
Contact # 0331-5131038
---------------------------------------------------------------------------------------------------------------------------
----
I hereby undertake to refund the amounts established against me during or after my
service or the same may be deducted at source from my pension / commutation
(applicable in case of superannuation / invalid / compulsory retirement / retiring
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
I hereby opt full pension without commutation or commutation @------ (subject to a
maximum of 35%) of my gross pension. (applicable in case of superannuation / invalid /
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
I hereby undertake to refund any outstanding amount /liability established against the
deceased government servant / pensioner during his service or thereafter and if so, the
same may be deducted at source/ adjusted against my family pension / gratuity.
(applicable in case of Family Pension)

Family pension
I hereby solemnly declare that I Mst./Mr./Ms.
_________________________________________________
Am a bonafide entitled family member to receive pension of late
Mr./Mrs.___________________________ S/O D/O ____________________ who expired on
________________ while in-service /after retirement and who was in receipt of
Family pension
PENSION FORM TO USED IN CASE OF COMPULSORY/INVALIDATION

RETIREMENT
[to be issued by the Appointing Authority/Pension Sanctioning Authority in

case of grant of in-valid pension/pension on compulsory retirement of a
Government servant]
Subject: - SPECIMEN OF NOTIFICATION / ORDERS OF RETIREMENT IN CASE OF

INVALIDATION/COMPULSORY RETIREMENT.
Notification/order No: 947-50/B&A Dated 16-01-2016.
(1) Mr. GULAM ABBAS S/o TALIB HUSSAIN R/o Moh: Noor Pur VPO Dharyala Jalip
Tehsil P.D Khan District Jhelum having contact No. 0345-3923698 Designation
Technician (PHT)/TSI(BPS-14) drawing pay Rs. 22190/- as under in BPS 14
personal No. 30182500 CNIC No 37302-2934762-7 presently posted at DO(H)
Office Jhelum place of posting DO(H) Office Jhelum shall stand retired from
Government service on 11-12-2015 F/N on account of being invalidated from
service on medical grounds in category-A/compulsory retirement (strike down which
ever are not applicable). Medical certificated issued by an authorized Medical Board
duly countersigned by the DG, Health Services declaring him invalid in category-
A/order of compulsory retirement as a result of inquiry proceedings (as the case may
be).
Basic Pay Rs. 22190/-

Special pay _______________
Personal Pay_______________
Qualification Pay__________
Technical Pay______________
Senior Post Allowance __________
Total Pay Rs. __________________
(2) Orderly allowance (if any) Rs. _____________

(3) His date of birth is 17-11-1968 Date of first entry into government service is 29-04-
1993 and EOL availed is __________. Total length of qualifying service for pension is
22 Years 07 Months 22 days. His deputation period is day _______months_________
years________. (Enclose an attested copy of last month pay slip, service book and
paid challan of pension contribution). Also enclose original service book in case
of non-gazetted government servant and posting profile of gazetted
government
(4) No inquiry is pending against him.
(5) No demand/recovery is due against him or an amount of Rs. ______ is recoverable
form him.
(7) Descriptive Roll, undertaking to make good Government losses and option for
commutation is enclosed as Annex-A
(8) Administrative and financial sanction for grant of pension without commutation ***
or pension with commutation @ ( %)******, to be determined by the Accountant
General, Punajb/DAO is hereby accorded in favour of MR. GHULAM ABBAS,
TECHNICIAN(PHT)/TSI, BS-14 as admission under the rules.
Signature [By NAME] with

stamp
Note 1:- The sanction accorded, as above, is subject to change on account of any
additional information/facts reported subsequently.
Note2:- Pay reckonable for pension includes basic pay, special pay, personal pay,
qualification pay, technical pay and senior post allowance or any other emolument
reckonable for pension.
CC:
1. The District Accounts Officer Jhelum with the request to endorse a copy of the
PPO to this department/office. The original service book after recording necessary
entries regarding issuance of PPO may also be returned to this department/office.
2. MR. GHULAM ABBAS, TECHNICIAN(PHT)/TSI, You are hereby informed that
your commutation (if opted) and first monthly pension shall be transfer-credited
by the District Accounts Officer Jhelum in the same bank account in which your
last payment of salary was credited. However, if you, subsequently want to
receive your pension in any other bank account, you may inform the DAO in
writing, after due attestation by a gazetted officer.

Sr. Name Relation CNIC #/B. Form Age/Date Marita Photo
# with the Registration of Birth l
retiring No. Status
/deceased
governme
nt servant
/
deceased
pensioner
37301-2282079- 01-02-
1. Shagufta Jamil Wife Married
2 1963
37301-2587013- 04-04-
2. Aneela Rauf Daughter Married
4 1988
37301-0344281- 11-11- Un-
3. Maryum Rauf Daughter
4 1989 Married
37301-4732933- 11-02- Un-
4. Bilal Rauf Son
5 1992 Married
37301-8273351- 02-04- Un-
5. Ayesha Rauf Daughter
6 1995 Married

Name: ABDUL RAUF S/o MANGAT
ALI
Address: R/o Chak Almas P/o
Ghar Mahal Teshil & District
Jhelum. Jhelum
Contact # 0333-5817994
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension
I hereby solemnly declare that I Mst. is a bonafide entitled family member to receive
pension of late Mr. who expired on while in-service /after retirement and who was in
receipt of pension/family pension, as the case may be

Family pension
Impression of the balls of the thumb and of fingers of the left

hand.
Left Hand Thumb ______________________________________________
Left Hand 1 finger _________ _____________________________________
Left Hand 2 finger ______________________________________________
Left Hand 3 finger ______________________________________________
Left Hand 4 finger ______________________________________________
Specimen signature of ZAFAR JAVED S/O BIR WALI
Signature _____________________________________________
1. _____________________________________________
2. _____________________________________________
3. _____________________________________________
4. _____________________________________________
Attested
District Officer Health

Jhelum
OPTION FORM DIRECT CREDIT OF PENSION THROUGH BANK
ACCOUNT
Pensioner information (to be filled by the pensioner)
PPO NO
Personal No
Name of Pensioner
Father/Husband Name
Family Pensioner Name TAQUIR AHMED
Father/Mother/Spouse GHULAM AHMED (LATE)
Pensioner old NIC No.
Family Pensioner CNIC No. 37301-8719709-9
VPO Badal Tehsil Dina District
Residential Address (Current)
Jhelum
Residential Address (Permanent)
Designation & Grade at the time of
Naib Qasid (BPS-02)
Retirement
Department/Office Health
Present NBP Address and Code No.
I hereby opt to draw pension through direct credit system and have also submitted indemnity bound to the
bank.
The pensioner shall produce an indemnity bound to keep the bank indemnified about liabilities with all
sums of money what so ever including mark up of his/her pensioner account. The pensioner would further
undertake that his/her legal hairs, successors, executors shall be liable to refund excess amount, if any,
credited to his/her pension account either in full or in installments (as agreed mutually) equal to such
excess amount.
Date Pensioners Signature/Thumb Impression:
Account Verification (To be verified by the Bank)
Account Title (Name)

Account No. `
Branch
Name/Address
Branch Code
Indemnity Bound/Lien submitted by the
pensioner
Signature/stamp of
Bank Manager
To be issued by the Accounts Office
Acknowledgement Receipt No. _________________________

Signature________________
Date _________________________
PENSION FORM TO BE USED IN CASE OF RETIREMENT ON SUPERANNUATION
OR RETIRING PENSION.
[To be issued by the Appointing Authority 90 days before superannuation /
retirement of the retiring Government servant].

RETIRING PENSION AND SANCTION OF PENSIONER BENEFITS.
Notification / order No:9967-72/C dated17 December, 2015
(1)On having applied for retiring pension vide application No. 07 dated 03-12-2015 Mr.
MUHAMMAD RAB NAWAZ S/o ABDUL KHALIQ Residing at VPO Chotala Tehsil
& District Jhelum having Contact No. 0348-1180863 Designation Ward Cleaner
drawing pay Rs. 12495/- (reckonable for pension), as under, in BS-02 Personal
No. 30179716 CNIC No. 37301-2310483-7 presently posted at (office) GRD
Khurd place of posting GRD Khurd shall stand retired from Government service on
retiring pension (score out whichever is not applicable) 01-01-2016
Basic Pay: 12495
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 12495/-
(2)Orderly Allowance (if any) Rs. __--__/.

(3)His date of Birth is 24-06-1965 dated of 1st entry into government service is 01-06-
1989 and EOL availed is __--_. Total length of qualifying service for pension is 26
years 07 months 00 days. His deputation period is days _--_ months _--_ years _--_.
(Enclose an attested copy of last month pay slip, service book and paid challan of
pension contributions). Also enclose original service book in case of non-gazetted
government servant and posting profile of gazetted government servant.
(4)No inquiry is pending against him. (certificate attached)
(6)Advances drawn (if any) stand repaid in full, along with interest.
(7)Description Roll, undertaking to make good Government losses and option for
commutation is enclosed as Annex-A.
(8)Administrative and financial sanction for grant of pension without commutation or
pension with commutation @ (35%), to be determined by the Accountant General,
Punjab / DAO is hereby accorded in favour of MUHAMMAD RAB NAWAZ S/o
ABDUL KHALIQ (BPS-02) as admissible under the rules.
District Officer Health,

Jhelum
CC to: -
1- The District Accounts Officer, Jhelum with the request to endorse a copy of the PPO
to this department/ office. The original service book after recording necessary entries
regarding issuance of PPO may also be returned to this department / office.
2- MUHAMMAD RAB NAWAZ S/o ABDUL KHALIQ You are hereby informed that your
commutation (if opted) and first (retiring government servant) monthly pension shall
be transfer-credited by DAO, Jhelum in the same bank account in which your last
payment of salary was credited. However, if you, subsequently want to receive your
pension in any other bank account, you may inform the DAO, Jhelum in writing, after
FAMILY PENSION FORM
pensioner}

(1) Mst. TAHZEEM AKHTAR w/o FAZAL QADIR residing at R/o Moh: Rajgan Post
Office Domeli Tehsil Sohaw District Jhelum Designation at the time of
retirement Dai drawing pension/family pension @ Rs. 12723/- per month vide
PPO/FPPO No. 13784/JMCNIC No. 37303-3653203-8 drawing pension from
bank/bank branch NBP Domeli A/c # 9130-0 expired on 24-12-2015 [death
certificate is attached] Net Pension Rs. 12723/- per month
(2) Increases ______________________
________________________________
________________________________
________________________________
________________________________
Total Pension Rs.12723 per month.
(4) His Date of Birth was 26.11.1957 Date of retirement from Government service/date
of sanction of family pension was 30-11-2015.
pension.
Annex-A.
(8) As per record, it is verified that Mst. AROOJ QADER CNIC No. 37303-5349353-4
and Contact No. 0331-5131038 is bonafide entitled for family pension of Mst.
TAHZEEM AKHTAR w/o FAZAL QADIR
of Mst. AROOJ QADER CNIC No. 37303-5349353-4 and Contact No. 0331-
5131038
*** Bank Account No in which family pension is to be credited A/c #
4113959269 NBP Domeli (1460)

stamp
________

CC:
2. Mst. UROOJ QADIR you are hereby informed that your monthly family pension
shall be transfer-credited by Accountant General, Punjab / DAO Jhelum in the bank
Account No [A/c # 4113959269 NBP Domeli (1460)]However, if you,
FAMILY PENSION FORM
pensioner}

(1) Mr. MUHAMMAD AKBER S/o ABDUL GHANI residing at R/o House No. MCB-
12/484/ Moh. Masoodabad Chakwal Designation at the time of retirement
Sanitary Patrol drawing pension/family pension @ Rs. 10182/- per month vide
PPO/FPPO No. 5786/JMCNIC No. 37201-1760363-5 drawing pension from
bank/bank branch _______________________ expired on 22-12-2015 [death
certificate is attached] Net Pension Rs. 10182/- per month
(2) Increases ______________________
________________________________
________________________________
________________________________
________________________________
Total Pension Rs.10182/- per month.
pension.
Annex-A.
(8) As per record, it is verified that Mst. SURRIYA BEGUM CNIC No. 37201-1716714-4
and Contact No. ____________________ is bonafide entitled for family pension of Mr.
MUHAMMAD AKBER S/o ABDUL GHANI
of Mst. SURRIYA BEGUM CNIC No. 37201-1716714-4 and Contact No.
____________________
*** Bank Account No in which family pension is to be credited (A/c #
3115151477 NBP MAIN BRANCH (0421)

stamp
________

CC:
2. Mst. SURRIYA BEGUM you are hereby informed that your monthly family
pension shall be transfer-credited by Accountant General, Punjab / DAO Jhelum in
the bank Account No [A/c # 3115151477 NBP MAIN BRANCH (0421]
However, if you, subsequently want to receive your family pension in any other
bank account, you may inform the Accountant General, Punjab / DAO in writing,
after due attestation by a gazatted officer.

Notification / order No:738-73/C dated 02 February, 2016.
ANSAR MEHMOOD S/o ALLAH DITTA Residing at Village Ria Chak Mado Post
Office Lota Tehsil & District Jhelum having Contact No. 0348-0578776
Designation Ward Servant drawing pay Rs. 13035/- (reckonable for pension), as
under, in BS-02 Personal No. 30180544 CNIC No. 37301-4449574-9 presently
posted at (office) BHU Kotla Faqir place of posting Kotla Faqir shall stand retired
from Government service on retiring pension (score out whichever is not applicable)
01-02-2016 F/N.
Basic Pay: 13035
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

(3)His date of Birth is 15-04-1966 dated of 1st entry into government service is
18.09.1989 and EOL availed is __--_. Total length of qualifying service for pension is
26 years 04 months 13 days. His deputation period is days _--_ months _--_ years _--
_. (Enclose an attested copy of last month pay slip, service book and paid challan of
Punjab / DAO is hereby accorded in favour of ANSAR MEHMOOD S/o ALLAH DITTA
as admissible under the rules.

Jhelum
CC to: -
2- ANSAR MEHMOOD S/o ALLAH DITTA You are hereby informed that your

Notification / order No: 1503-1507/E-I/2016 dated 13-02-2016.
(1)On having applied for retiring pension vide application No. _______ dated ________ Mr.
ABDUL RAUF S/o MANGAT ALI Residing at R/o Chak Jamal Post Office Gharmal
Tehsil & District Jhelum having Contact No. 0333-5817994 Designation
EST(General) drawing pay Rs. 22750/- (reckonable for pension), as under, in BS-
15 Personal No. 30180180 CNIC No. 37301-2364513-5 presently posted at
(office) Govt. Elementary School Chak Akka, Tehsil Dina place of posting Govt.
Elementary School Chak Akka, Tehsil Dina shall stand retired from Government
service on retiring pension (score out whichever is not applicable) 31-03-2016 A/N.
Basic Pay: 22750
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

1993 and EOL availed is __--_. Total length of qualifying service for pension is 23
Punjab / DAO is hereby accorded in favour of MR. ABDUL RAUF S/o MANGAT ALI as

stamp
________
CC to: -
2- Mr. ABDUL RAUF S/o MANGAT ALI You are hereby informed that your commutation
(if opted) and first (retiring government servant) monthly pension shall be transfer-
credited by DAO, Jhelum in the same bank account in which your last payment of
salary was credited. However, if you, subsequently want to receive your pension in
any other bank account, you may inform the DAO, Jhelum in writing, after due
Form D-I
FAMILY PENSION FORM

[To be issued by the appointing authority / PSA in the event of in-
service death of a government servant]
Subject: - SPECIMEN OF NOTIFICATION / ORDERS FOR SANCTION OF FAMILY

PENSION IN CASE OF IN-SERVICE DEATH OF GOVERNMENT SERVANT.
Notification / order No: 2786-89/E&A Dated: 10-02-2016
(1) Mr. SHAKEEL AHMED S/o MUHAMMAD AKHTER Residing at Shahmad Pur Post
Office Gharmahal Tehsil Dina District Jhelum having Contact No. 0335-5044215
Designation JUNIOR TECHNICIAN (PHARMACY)/DISPENSER drawing pay Rs.
16430/- (reckonable for pension), as under, in BS-09 Personal No. 30178383 CNIC
No. 37301-2198873-5 presently posted at (office) BHU ADRANA place of posting
BHU ADRANA expired on 22.01.2016 while in service. [Death certificate is attached]
Basic Pay: 16430/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 16430/- ,

(3) Her date of Birth is 10-04-1968 dated of 1st entry into government service is
09.03.1993 and EOL availed is __--_. Total length of qualifying service for pension is 22
(7) Description Roll, undertaking to make good Government losses and option for
(8) As per record, it is verified that Mst. ANEELA BEGUM W/o SHAKEELA AHMED CNIC
No. 37301-2140053-4 and contact No. 0335-5044215 is bonafide family member
entitled to family pension of MR. SHAKEELA AMED
(9) Bank Account No in which family pension / gratuity is to be credited
_____________________________________________________________________________________
(10) Administrative and financial sanction for grant of pension with gratuity to be
determined by the Accountant General, Punjab / DAO is hereby accorded in favour of
MST. ANEELA BEGUM W/o SHAKEELA AHMED CNIC No. 37301-2140053-4 as

Pension cost center Code No
__________
CC to: -
1- The District Accounts Officer, Jhelum with the request to endorse a copy of the
PPO to this department/ office. The original service book after recording necessary
entries regarding issuance of PPO may also be returned to this department /
office.
2- ANEELA BEGUM W/o SHAKEELA AHMED CNIC No. 37301-2140053-4You are
hereby informed that your gratuity and monthly family pension shall be transfer-
credited by DAO, Jhelum in the same bank account No.
_____________________________________________________________________. However, if
you, subsequently want to receive your family pension in any other bank account,
you may inform the DAO, Jhelum in writing, after due attestation by a gazette
officer.
FAMILY PENSION FORM
pensioner}
(1) Mr. RANA NAZIR AHMED S/o RANA NAWAB KHAN residing at R/o House No.
69 Lane Hazrat Ali Military Accounts Society College Road Green Town
Lahore. Designation at the time of retirement Assistant
SuperintendentVaccination drawing pension/family pension @ Rs. /- per
month vide PPO/FPPO No. LR/LF(I)/7533 CNIC No. 38201-2837298-1 drawing
pension from bank/bank branch _______________________ expired on 11-11-2015
[death certificate is attached] Net Pension Rs. ______/- per month
(2) Increases ______________________

________________________________
________________________________
________________________________
________________________________
Total Pension Rs.___________/- per month.
pension.
Annex-A.
(8) As per record, it is verified that Mst. TAZEEM FATIMA CNIC No. 38201-8707982-8
and Contact No. 0302-6322284 is bonafide entitled for family pension of Mr. RANA
NAZIR AHMED S/o RANA NAWAB KHAN Family pension to be determined by the
Accountant General, Punjab / DAO, in favour of Mst. TAZEEM FATIMA CNIC No.
38201-8707982-8 and Contact No. 0302-6322284
*** Bank Account No in which family pension is to be credited {A/c #
12467901262203 HBL Township Branch Lahore (1246)}

stamp
________

CC:
2. Mst. Tazeem Fatima you are hereby informed that your monthly family pension
shall be transfer-credited by Accountant General, Punjab / DAO Jhelum in the bank
Account No {A/c # 12467901262203 HBL Township Branch Lahore
(1246)}However, if you, subsequently want to receive your family pension in any
other bank account, you may inform the Accountant General, Punjab / DAO in
writing, after due attestation by a gazatted officer.

Notification / order No: 1861-65/C dated 05-03-2016.
(1)On having applied for retiring pension vide application No. 249 dated 29-02-2016
Mr. MEHMOOD KHAN S/o ALLAH DIN Residing at R/o Muftain Near Railway
Station Moh: Nawab Pura Dina District Jhelum having Contact No. 0345-
5696826 Designation Driver drawing pay Rs. 19940/- (reckonable for pension), as
under, in BS-07 Personal No. 30177787 CNIC No. 37301-0635632-5 presently
posted at (office) Rural Health Centre Dina place of posting RHC Dina shall stand
retired from Government service on retiring pension (score out whichever is not
applicable) 10-03-2016 F/N.
Basic Pay: 19940
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

1984 and EOL availed is 01 month 29 days. Total length of qualifying service for
pension is 31 years 03 months 06 days. His deputation period is days _--_ months _--
_ years _--_. (Enclose an attested copy of last month pay slip, service book and paid
challan of pension contributions). Also enclose original service book in case of non-
gazetted government servant and posting profile of gazetted government servant.
Punjab / DAO is hereby accorded in favour of MR. MEHMOOD KHAN S/o ALLAH
DIN as admissible under the rules.
Senior Medical Officer

RHC Dina
CC to: -
2- Mr. MEHMOOD KHAN S/o ALLAH DIN You are hereby informed that your

retiring No. Status
/deceased
governme
nt servant
/
deceased
pensioner
37301-4244527- 31-05-
1. Hameeda Naz Wife Married
0 1963
37301-1250980- 11-03- Un-
2. Riffat Zohaib Son
9 1988 Married
Farhat 37304-0338955- 16-10- Un-
3. Son
Mehmood 1 1990 Married

Name: MEHMOOD KHAN S/o
ALLAH DIN
Address: R/o Muftian Near
Railway Station Moh: Nawab
Pura Dina District Jhelum.
Contact # 0345-5696826
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension
hand.
Left Hand Thumb ______________________________________________
Left Hand 1 finger _________ _____________________________________
Left Hand 2 finger ______________________________________________
Left Hand 3 finger ______________________________________________
Left Hand 4 finger ______________________________________________
Specimen signature of GHULAM MUHAMMAD S/o SHAMS UD DIN
Signature _____________________________________________
1. _____________________________________________
2. _____________________________________________
3. _____________________________________________
4. _____________________________________________
Attested

RHC Dina

Notification / order No: NO.SO(G-II) 27-17/2014 DATED 26-02-2016
(1)On having applied for retiring pension vide application No. _______ dated _________
Mr. MUHAMMAD MEHFOOZ S/o LEHRASAB KHAN Residing at R/o Pandori P/o
Maira Tehsil & District Jhelum having Contact No. __________________
Designation Chief Technician (E&CMT) drawing pay Rs. _________/- (reckonable for
pension), as under, in BS-16 Personal No. _________________ CNIC No. 37301-
1268803-3 presently posted at (office) BHU Jallo Chak place of posting BHU Jallo
Chak shall stand retired from Government service on retiring pension (score out
whichever is not applicable) 15.09.2015 F/N.
Basic Pay:
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. /-

(3)His date of Birth is 01.12.1961 dated of 1st entry into government service is 06-04-
Punjab / DAO is hereby accorded in favour of MR. MUHAMMAD MEHFOOZ S/o
LEHRASAB KHAN as admissible under the rules.

Jhelum.
CC to: -
2- Mr. MUHAMMAD MEHFOOZ S/o LEHRASAB KHAN You are hereby informed that
your commutation (if opted) and first (retiring government servant) monthly pension
shall be transfer-credited by DAO, Jhelum in the same bank account in which your
last payment of salary was credited. However, if you, subsequently want to receive
your pension in any other bank account, you may inform the DAO, Jhelum in writing,
after due attestation by a gazette officer.

retiring No. Status
/deceased
governme
nt servant
/
deceased
pensioner
Zaniat 37303-7547645- 01-01-
1. Wife Married
Parveen 4 1961
Naveed 37303-4821381- 07-05-
2. Son Married
Shahzad 1 1983
Nadia 37303-3165336- 15-12-
3. Daughter Married
Shahzad 0 1985

Name: MUHAMMAD SHAHZAD
S/o MUHAMMAD YAQOOB
Address: R/o Post Office Jandala
Tehsil Sohawa District Jhelum
Contact # 0300-9537677
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension

Notification / order No: NO. 980-84/B&A dated 23-01-2015
(1)On having applied for retiring pension vide application No. 03/2015 dated 02-01-
2015 Mr. SYED MAZHAR HUSSAIN SHAH S/o SYED SABIR HUSSAIN SHAH
Residing at R/o Kotla Syedan P.O Bajwala Kalan Tehsil & District Jhelum
having Contact No. 0334-8202641 Designation Junior Technician
(HOC)/Vaccinator drawing pay Rs. _________/- (reckonable for pension), as under,
in BS-09 Personal No. _________________ CNIC No. 37301-2354871-9 presently
posted at (office) BHU Dara Pur place of posting DOH Office Jhelum shall stand
applicable) 31.01.2016 A/N.
Basic Pay:
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. /-

Punjab / DAO is hereby accorded in favour of MR. MUHAMMAD MEHFOOZ S/o
LEHRASAB KHAN as admissible under the rules.

Jhelum.
CC to: -
2- Mr. SYED MAZHAR HUSSAIN SHAH S/o SYED SABIR HUSSAIN SHAH You are
hereby informed that your commutation (if opted) and first (retiring government
servant) monthly pension shall be transfer-credited by DAO, Jhelum in the same bank
account in which your last payment of salary was credited. However, if you,
subsequently want to receive your pension in any other bank account, you may
inform the DAO, Jhelum in writing, after due attestation by a gazette officer.

retiring No. Status
/deceased
governme
nt servant
/
deceased
pensioner
Surriya
1. Wife 1939 widow
Begum
Muhammad 04-09-
2. son Married
Arif 1967
06-02-
3. Riffat Parveen Daughter Married
1974
Muhammad 01-02-
4. Son Married
Tahir 1977

Name: ____________________________
___________________________________
Address: ___________________________
___________________________________
Contact # __________________________
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension

Mr. MUHMMAD ANWER S/o MUHAMMAD HASSAN Residing at R/o Dhoke Badal
Post Office Ramdial Tehsil Dina District Jhelum having Contact No. 0341-
6005545 Designation Sanitary Patrol drawing pay Rs. 12775/- (reckonable for
pension), as under, in BS-02 Personal No. _____________ CNIC No. 37301-
1226209-1 presently posted at (office) Rural Health Centre Dina place of posting
RHC Dina shall stand retired from Government service on retiring pension (score out
whichever is not applicable) 10-03-2016 F/N.
Basic Pay: 12775/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

Punjab / DAO is hereby accorded in favour of MR. MUHMMAD ANWER S/o
MUHAMMAD HASSAN as admissible under the rules.

RHC Dina
CC to: -
4- Mr. MUHMMAD ANWER S/o MUHAMMAD HASSAN You are hereby informed that

Mr. MUHAMMAD SHAHZAD S/o MUHAMMAD YAQOOB Residing at R/o Post
Office Jandala Tehsil Sohawa District Jhelum having Contact No. 0300-
9537677 Designation Chowkidar drawing pay Rs. 12775/- (reckonable for
pension), as under, in BS-02 Personal No. _____________ CNIC No. 37303-
5111605-9 presently posted at (office) Rural Health Centre Dina place of posting
RHC Dina shall stand retired from Government service on retiring pension (score out
Basic Pay: 12775/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

Punjab / DAO is hereby accorded in favour of MR. MUHAMMAD SHAHZAD S/o
MUHAMMAD YAQOOB as admissible under the rules.

RHC Dina
CC to: -
2- Mr. MUHAMMAD SHAHZAD S/o MUHAMMAD YAQOOB You are hereby informed
that your commutation (if opted) and first (retiring government servant) monthly
pension shall be transfer-credited by DAO, Jhelum in the same bank account in which
your last payment of salary was credited. However, if you, subsequently want to
receive your pension in any other bank account, you may inform the DAO, Jhelum in
given by retiring government servant in case of superannuation / invalid

pension / compulsory retirement / retiring pension / family pension).
Sr. Name Relation CNIC #/B. Form Age/Date Marital Photo
# with the Registration of Birth Status
retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
Kousar 37304-0577889- 01.01.197
1. Wife Married
Parveen 0 5
Amad Naveed 37304-0351834- 27.03.199
2. Son Un-Married
Mohsin 7 4
Rukhsar 37304-0351841- 24.10.199
3. Son Un-Married
Abbas 7 8
Bisma 37304-0580042- 02.05.200
4. Daughter Un-Married
Hameed 6 4
37304-0580044- 23.04.200
5. Sana Daughter Un-Married
6 5
37304-0580042- 30.06.200
6. Hina Hameed Daughter Un-Married
2 7

Name: ABDUL HAMEED S/O
SARDAR KHAN
Address: R/o Post Office Rohtas,
Near Sohail Gate Dina District
Jhelum.
Contact # 0334-8653975
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension

Mr. ABDUL HAMEED S/o SARDAR KHAN Residing at R/o Post Office Rohtas
Near Sohail Gate Tehsil Dina District Jhelum having Contact No. 0334-
8653975 Designation Water Carrier drawing pay Rs. 13035/- (reckonable for
pension), as under, in BS-03 Personal No. 30176270 CNIC No. 37301-9606489-
3 presently posted at (office) Rural Health Centre Dina place of posting RHC
Dina shall stand retired from Government service on retiring pension (score out
Basic Pay: 13035/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

pension is 27 years 03 months 20 days. His deputation period is days _--_ months
_--_ years _--_. (Enclose an attested copy of last month pay slip, service book and
paid challan of pension contributions). Also enclose original service book in case of
non-gazetted government servant and posting profile of gazetted government
servant.
Punjab / DAO is hereby accorded in favour of MR. ABDUL HAMEED S/o SARDAR
KHAN as admissible under the rules.

RHC Dina
CC to: -
2- Mr. ABDUL HAMEED S/o SARDAR KHAN You are hereby informed that your

Sr. # Name Relation with CNIC # Age/Date of Marital Photo
the retiring Birth Status
/deceased
government
servant /
deceased
pensioner
1. Farhat Yasmin Wife 37301-5262124-6 1962 Married
2. Mamona Tariq Daughter 37301-2196905-4 30-03-1986 Married
3. Ambreen Tariq Daughter 37301-8461000-6 12-09-1985 Un-Married
4. Areeba Tariq Daughter 37301-9677388-8 08-03-1991 Married
5. Ansa Tariq Daughter 37301-6094740-8 05-09-1998 Un-Married

Name: Tariq Kamal
Address: H.No.D 196 Bagh Mohallah
Jhelum City.
Contact # 03335825244
-------------------------------------------------------------------------------------------------------------------------------
I hereby undertake to refund the amounts established against me during or after my service or the same may be deducted
at source from my pension / commutation (applicable in case of superannuation / invalid / compulsory retirement / retiring
pension)
Government Servant
-------------------------------------------------------------------------------------------------------------------------------
I hereby opt full pension without commutation or commutation @------ (subject to a maximum of 35%) of my gross
pension. (applicable in case of superannuation / invalid / compulsory retirement / retiring pension)
Government Servant
-------------------------------------------------------------------------------------------------------------------------------
I hereby undertake to refund any outstanding amount /liability established against the deceased government servant /
pensioner during his service or thereafter and if so, the same may be deducted at source/ adjusted against my family
pension / gratuity. (applicable in case of Family Pension)

Family pension
Am a bonafide entitled family member to receive pension of late Mr./Mrs.___________________________ S/O D/O
____________________ who expired on ________________ while in-service /after retirement and who was in receipt of
ix. Death Certificate is attached.
x. PPO /FPPO (in case of pensioners death certificate is attached)
Family pension
FAMILY PENSION FORM
pensioner}

(1) Mst. AMINA BEGUM W/o GHULAM HUSSAIN residing at R/o Post Office Kholera Tehsil
P.D Khan District Jhelum Designation at the time of retirement Chowkidar drawing
pension/family pension @ Rs. /- per month vide PPO/FPPO No. _________/JMCNIC No.
37302-1178010-9 drawing pension from bank/bank branch _______________________ expired
on 11-01-2016 [death certificate is attached] Net Pension Rs. ________/- per
month
(2) Increases ______________________
________________________________
________________________________
________________________________
________________________________
(4) His Date of Birth was 01-01-1964 Date of retirement from Government service/date of
sanction of family pension was 31.12.2014
(5) No Demand/Recovery was due against him or recover/demand amounting to Rs. ________ is
recoverable against him which needs to be recovered from family pension.
(7) Descriptive Roll, undertaking to make good Government losses in enclosed at Annex-A.
(8) As per record, it is verified that Mst. AMINA BEGUM CNIC No. 37302-1138731-6 and
Contact No. ____________________ is bonafide entitled for family pension of Mr. GHULAM
HSSAIN S/o MUHAMMAD BAKSH
(9) Family pension to be determined by the Accountant General, Punjab / DAO, in favour of Mst.
AMINA BEGUM CNIC No. 37302-1138731-6 and Contact No. ____________________
*** Bank Account No in which family pension is to be credited (A/c # 4114422792
NBP P.D KHAN (034)
*(Attested copy of CNIC of both the deceased pensioner and the claimant of family pension
attached)
Signature [BY NAME] with stamp

** Pension Cost Center Code No. ________
Note:- The sanction accorded, as above, is subject to change on account of any additional
information / facts reported subsequently.
CC:
1. Accountant General, Punjab Lahore / DAO JHELUM , with request to endorse a copy of the
Family PPO to this department/office.
2. Mst. AMINA BEGUM you are hereby informed that your monthly family pension shall be
transfer-credited by Accountant General, Punjab / DAO Jhelum in the bank Account No
[A/c # 4114422792 NBP P.D KHAN (034)] However, if you, subsequently want to
receive your family pension in any other bank account, you may inform the Accountant
General, Punjab / DAO in writing, after due attestation by a gazatted officer.

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
Muhammad 37303-1181527- 17-04-
1. Husband Married
Aslam 1 1961
37303-1354264- 12-06-
2. Azeem Aslam Son Un-Married
5 1989
Nadeem 37303-2163898- 26-08-
3. Son Un-Married
Aslam 7 1996
37303-7548300- 31-12-
4. Saira Aslam Daughter Un-Married
0 1992

Name: TALMEEZ AKHTER W/o
MUHAMMAD ASLAM
Address: R/o Near High School
Domeli P.O Domeli Tehsil
Sohawa District Jhelum.
Contact # 0332-9799579
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension

Notification / order No: NO.7338-42/B&A dated 12-04-2016.
Mr. MUHAMMAD AZHAR IQBAL S/o ABDUL RASHEED Residing at R/o Nai Abadi
Moh: Shiekhian Sar-e-Alamghir District Gujrat having Contact No. 0306-
5558758 Designation Junior Technician (Pharmacy)/Dispenser drawing pay Rs.
20885/- (reckonable for pension), as under, in BS-09 Personal No.30184600
CNIC No. 34024-8304421-9 presently posted at (office) RHC Dina place of
posting RHC Dina shall stand retired from Government service on retiring pension
(score out whichever is not applicable) 15.04.2016 A/N.
Basic Pay: 20885/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

servant.
Punjab / DAO is hereby accorded in favour of MR. MUHAMMAD AZHAR IQBAL S/o
ABDUL RASHEED as admissible under the rules.

RHC Dina
CC to: -
2- Mr MUHAMMAD AZHAR IQBAL S/o ABDUL RASHEED You are hereby informed

Notification / order No: NO.SO (G-II) 1-286/2016 dated 25-05-2016.
TARIQ KAMAL S/o SHEIKH MUSTAFA KAMAL Residing at R/o House No. D-196
Moh: Bagh Jhelum having Contact No. 0333-5825244 Designation
Technologist (E&ECMT)/Medical Technician drawing pay Rs. 62,990/-
(reckonable for pension), as under, in BS-18 Personal No. 30179867 CNIC No.
37301-2325834-5 presently posted at (office) BHU Mota Gharbi place of posting
BHU Mota Gharbi shall stand retired from Government service on retiring pension
(score out whichever is not applicable) 04-05-2016 A/N.
Basic Pay: 62,990/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 62,990/-

(3)His date of Birth is 05.05.1956 dated of 1st entry into government service is
07.04.1979 and EOL availed is 00 month 00 days. Total length of qualifying service
for pension is 37 years 00 months 27 days. His deputation period is days _--_
months _--_ years _--_. (Enclose an attested copy of last month pay slip, service book
and paid challan of pension contributions). Also enclose original service book in case
of non-gazetted government servant and posting profile of gazetted government
servant.
Punjab / DAO is hereby accorded in favour of MR. TARIQ KAMAL S/o SHEIKH
MUSTAFA KAMAL as admissible under the rules.

Jhelum.
CC to: -
2- Mr TARIQ KAMAL S/o SHEIKH MUSTAFA KAMAL You are hereby informed that
Form D-I
FAMILY PENSION FORM


Notification / order No: 2786-89/E&A Dated: 10-02-2016
(1) Mr. SHAKEEL AHMED S/o MUHAMMAD AKHTER Residing at Shahmad Pur Post
Office Gharmahal Tehsil Dina District Jhelum having Contact No. 0335-5044215
Designation JUNIOR TECHNICIAN (PHARMACY)/DISPENSER drawing pay Rs.
16430/- (reckonable for pension), as under, in BS-09 Personal No. 30178383 CNIC
No. 37301-2198873-5 presently posted at (office) BHU ADRANA place of posting
BHU ADRANA expired on 22.01.2016 while in service. [Death certificate is attached]
Basic Pay: 16430/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 16430/- ,

_____________________________________________________________________________________

__________
CC to: -
office.
_____________________________________________________________________. However, if
officer.
FAMILY PENSION FORM
pensioner}

(1) Mst. FOUZIA SULTANA W/o MUHAMMAD ANWER residing at R/o Post Office Haranpur
Tehisl P.D Khan District Jhelum Designation at the time of retirement Naib Qasid
drawing pension/family pension @ Rs.7,603/- per month vide PPO/FPPO No. 30182989-
01/JMCNIC No. 37302-0631676-1 drawing pension from bank/bank branch NBP P.D Khan
expired on 09-01-2016 [death certificate is attached] Net Pension Rs.7,603/-
per month
(2) Increases ______________________
________________________________
________________________________
________________________________
________________________________
sanction of family pension was 20.07.2012 Enclose original PPO/FPPO of
deceased pensioner.
(8) As per record, it is verified that Mr. Muhammad Uzair (Guardian, Muhammad Ishaq)
CNIC No. 37302-8209874-7 and Contact No. 0300-5481799 is bonafide entitled for family
pension of Mr. FOUZIA SULTANA W/o MUHAMMAD ANWER
(9) Family pension to be determined by the Accountant General, Punjab / DAO, in favour of Mr.
Muhammad Uzair (Guardian, Muhammad Ishaq) CNIC No. 37302-8209874-7 and
Contact No. 0300-5481799
11257900646801 HBL Thathi Gujran (1125)}
attached)

CC:
1. Accountant General, Punjab Lahore / DAO JHELUM , with request to endorse a copy of the
2. Mr. Muhammad Uzair (Guardian, Muhammad Ishaq) you are hereby informed that
your monthly family pension shall be transfer-credited by Accountant General, Punjab /
DAO Jhelum in the bank Account No [A/c # 11257900646801 HBL Thathi Gujran
(1125)] However, if you, subsequently want to receive your family pension in any other
bank account, you may inform the Accountant General, Punjab / DAO in writing, after due
attestation by a gazatted officer.
Form D-I
FAMILY PENSION FORM


(1) Mst. SUMAIR BEGIUM W/o NASIR ALI Residing at Pindi Bahk Post office Guker
Pindi Tehsil P.D Khan District Jhelum having Contact No. 0345-6381361
Designation JUNIOR TECHNICIAN /MIDWIFE drawing pay Rs. 11,480/- (reckonable
for pension), as under, in BS-09 Personal No. 30468739 CNIC No. 37302-
8614037-4 presently posted at (office) BHU Sauwal place of posting BHU Sauwal
expired on 01-05.2016 while in service. [Death certificate is attached]
Basic Pay: 9,995/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 9,995/- ,

(3) Her date of Birth is 22-10-1984 dated of 1st entry into government service is 14-10-
2009 and EOL availed is __--_. Total length of qualifying service for pension is 06 years
06 months 16 days. His deputation period is days _--_ months _--_ years _--_. (Enclose an
attested copy of last month pay slip, service book and paid challan of pension
contributions). Also enclose original service book in case of non-gazetted government
servant and posting profile of gazetted government servant.
(8) As per record, it is verified that Mr. NASIR ALI S/O ALLAH DITTA CNIC No. 37302-
9751378-9 and contact No. 0345-6381361 is bonafide family member entitled to
family pension of MST. SUMAIRA BEGIUM.
(9) Bank Account No in which family pension / gratuity is to be credited BANK A/C #
4118149376 NBP P.D KHAN.
determined by the Accountant General, Punjab / DAO is hereby accorded in favour of MR.
NASIR ALI S/O ALLAH DITTA CNIC No. 37302-9751378-9as admissible under the
rules.

__________
CC to: -
1- The District Accounts Officer, Jhelum with the request to endorse a copy of the PPO to
this department/ office. The original service book after recording necessary entries
2- NASIR ALI S/O ALLAH DITTA CNIC No. 37302-9751378-9You are hereby informed
that your gratuity and monthly family pension shall be transfer-credited by DAO, Jhelum
in the same bank account No. BANK A/C # 4118149376 NBP P.D KHAN. However, if
you, subsequently want to receive your family pension in any other bank account, you
may inform the DAO, Jhelum in writing, after due attestation by a gazette officer.
Form D-I
FAMILY PENSION FORM


(11) Mst. SUMAIR BEGIUM W/o NASIR ALI Residing at Pindi Bahk Post office Guker
Pindi Tehsil P.D Khan District Jhelum having Contact No. 0345-6381361
Designation JUNIOR TECHNICIAN /MIDWIFE drawing pay Rs. 11,480/- (reckonable
8614037-4 presently posted at (office) BHU Sauwal place of posting BHU Sauwal
expired on 01-05.2016 while in service. [Death certificate is attached]
Basic Pay: 9,995/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

(13) Her date of Birth is 22-10-1984 dated of 1st entry into government service is 14-10-
2009 and EOL availed is __--_. Total length of qualifying service for pension is 06 years
06 months 16 days. His deputation period is days _--_ months _--_ years _--_. (Enclose an
attested copy of last month pay slip, service book and paid challan of pension
contributions). Also enclose original service book in case of non-gazetted government
servant and posting profile of gazetted government servant.
(18) As per record, it is verified that Mr. NASIR ALI S/O ALLAH DITTA CNIC No. 37302-
9751378-9 and contact No. 0345-6381361 is bonafide family member entitled to
family pension of MST. SUMAIRA BEGIUM.
(19) Bank Account No in which family pension / gratuity is to be credited BANK A/C #
4118149376 NBP P.D KHAN.
determined by the Accountant General, Punjab / DAO is hereby accorded in favour of MR.
NASIR ALI S/O ALLAH DITTA CNIC No. 37302-9751378-9as admissible under the
rules.

__________
CC to: -
3- The District Accounts Officer, Jhelum with the request to endorse a copy of the PPO to
this department/ office. The original service book after recording necessary entries
4- NASIR ALI S/O ALLAH DITTA CNIC No. 37302-9751378-9You are hereby informed
that your gratuity and monthly family pension shall be transfer-credited by DAO, Jhelum
in the same bank account No. BANK A/C # 4118149376 NBP P.D KHAN. However, if
you, subsequently want to receive your family pension in any other bank account, you
may inform the DAO, Jhelum in writing, after due attestation by a gazette officer.
FAMILY PENSION FORM
pensioner}

(1) Mr. SHAHBIER ALI S/o MEHRAM SHAH residing at R/o Post Office Gadari Khurd Tehsil
Sohawa District Jhelum Designation at the time of retirement Sweeper drawing
pension/family pension @ Rs.____________/- per month vide PPO/FPPO No. 30184144-
01/JMCNIC No. 37303-9623114-1 drawing pension from bank/bank branch _________________
expired on 30-04-2016 [death certificate is attached] Net Pension
Rs.___________/- per month
(2) Increases ______________________
________________________________
________________________________
________________________________
________________________________
(4) His Date of Birth was 11.01.1957 Date of retirement from Government service/date of
sanction of family pension was 05-09-2012. Enclose original PPO/FPPO of
deceased pensioner.
(8) As per record, it is verified that Mst. SUYRIA BATOOL CNIC No. 37303-3795917-6 and
Contact No. 0346-5832889 is bonafide entitled for family pension of SHAHBIER ALI S/o
MEHRAM SHAH
SUYRAI BATOOL CNIC No. 37303-3795917-6 and Contact No. 0346-5832889
0010038122010017 ABL Dina (0074)}
attached)

CC:
1. Accountant General, Punjab Lahore / DAO JHELUM, with request to endorse a copy of the
2. Mst. SUYRIA BATOOL CNIC No. 37303-3795917-6 you are hereby informed that your
monthly family pension shall be transfer-credited by Accountant General, Punjab / DAO
Jhelum in the bank Account No {A/c # 0010038122010017 ABL Dina (0074)}
However, if you, subsequently want to receive your family pension in any other bank
account, you may inform the Accountant General, Punjab / DAO in writing, after due

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
Robina
37301-2194103- 22-06-
1. Shaheen Wife Married
8 1968
Akhter
Sehrish 37301-9086881- 14-11-
2. Daughter Married
Masood 2 1991
Andleeb 37301-5581554- 30-09-
3. Son Un-Married
Hassan 5 1994
37301-5582504- 04-10-
4. Mohsin Ali Son Un-Married
5 1996
Mehwish 37301-4965515- 05-03-
Masood 4 2000
Benish 37301-0621154- 26-06-
Masood 2 2002

Name: MASOOD ALI S/o ASGHER
ALI
Address: R/o Post Officer Mehra
Tehsil Dina District Jhelum.
Contact # 0345-5678072
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension
Family pension

Notification / order No: No 6526-30/c Dated 09-07-2016.
(1)On having applied for retiring pension vide application No. Nil dated Nil Mr.
MASOOD ALI S/o ASGHER ALI Residing at R/o Post Office Mehra Tehsil Dina
District Jhelum having Contact No. 0345-5678072 Designation Naib Qasid
drawing pay Rs. 16,815+325/- (reckonable for pension), as under, in BS-03
Personal No. 30179046 CNIC No. 37301-122545765 presently posted at (office)
RHC Dina place of posting RHC Dina shall stand retired from Government service
on retiring pension (score out whichever is not applicable) 04-07-2016 F/N.
Basic Pay: 16,815+325/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 16,815+325/-

(3)His date of Birth is 1964 dated of 1st entry into government service is 01-12-1985
and EOL availed is 00 month 00 days. Total length of qualifying service for pension is
Punjab / DAO is hereby accorded in favour of MR. MASOOD ALI S/o ASGHER ALI as

RHC Dina
CC to: -
2- Mr MASOOD ALI S/o ASGHER ALI You are hereby informed that your commutation
(if opted) and first (retiring government servant) monthly pension shall be transfer-


retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
37302-9984669- 18-07-
1. Zarina Akhter Wife Married
0 1971
05-01-
2. Safina Bibi Daughter Married
1992
Muahmmad 27-03-
3. Son Married
Asif 1994
Muhammad 10-10-
4. Son Un-Married
Qasim 1996
Muhammad 09-10-
5. Son Un-Married
Atif 1998
07-12-
6. Mehwish Bi Daughter Un-Married
2000
Muhammad 10-02-
7. Son Un-Married
Nauman 2004

Name: Sabir Khan S/o Fateh
Haider
Address: R/o VPO Nagial Tehsil
P.D Khan District Jhelum.
Contact # 0301-5041131
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension

Notification / order No: No. 4887-92/C Dated 10-05-2016.
Mst. TALMEEZ AKHTER W/o MUHAMMAD ASLAM Residing at R/o Near High
School Domeli P.O Domeli Tehsil Sohwa District Jhelum having Contact
No. 0332-9799579 Designation DAI drawing pay Rs. 13,630/- (reckonable for
0 presently posted at (office) GRD Lehri place of posting GRD Lehri shall stand
Basic Pay: 13,630/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

servant.
Punjab / DAO is hereby accorded in favour of Mst. TALMEEZ AKHTER W/o
MUHAMMAD ASLAM as admissible under the rules.

Jhelum.
CC to: -
2- Mst. TALMEEZ AKHTER W/o MUHAMMAD ASLAM You are hereby informed that

Notification / order No: No. 5971-76/C Dated 16-07-2015.

Mst. ZARINA BEGIUM D/o GHULAM HUSSAIN Residing at R/o Moh: Karmayal
Lilla Barwana Tehsil P.D Khan District Jhelum having Contact No.
_____________ Designation DAI drawing pay Rs. 17,140+325/- (reckonable for
pension), as under, in BS-03 Personal No. 30176609 CNIC No. 37302-
80644039-6 presently posted at (office) BHU Kotla Syedan place of posting BHU
Kotla Syedan shall stand retired from Government service on retiring pension
(score out whichever is not applicable) 01-08-2016 F/N.
Basic Pay: 17,140+325/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 17,140+325/-

servant.
Punjab / DAO is hereby accorded in favour of Mst. ZARINA BEGIUM D/o GHULAM
HUSSAIN as admissible under the rules.

Jhelum.
CC to: -
2- Mst. ZARINA BEGIUM D/o GHULAM HUSSAIN You are hereby informed that your

Notification / order No: No. 8076-80/C dated 28-07-2016

MR. SABIR KHAN S/o FATEH HAIDER Residing at R/o VPO Nagail Tehsil P.D
Khan District Jhelum having Contact No. 0301-5041131 Designation Sweeper
Personal No. 30184243 CNIC No. 37302-7354128-7 presently posted at (office)
BHU Wagh place of posting BHU Wagh shall stand retired from Government
service on retiring pension (score out whichever is not applicable) 01-08-2016 F/N.
Basic Pay: 14,665+275/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 14,665+275/-

servant.
Punjab / DAO is hereby accorded in favour of Mr. SABIR KHAN S/o FATEH HAIDER

Jhelum.
CC to: -
2- Mr. SABIR KHAN S/o FATEH HAIDER You are hereby informed that your

Notification / order No: No. 8076-80/C dated 28-07-2016

MR. SABIR KHAN S/o FATEH HAIDER Residing at R/o VPO Nagail Tehsil P.D
Khan District Jhelum having Contact No. 0301-5041131 Designation Sweeper
BHU Wagh place of posting BHU Wagh shall stand retired from Government
Basic Pay: 14,665+275/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 14,665+275/-

servant.
Punjab / DAO is hereby accorded in favour of Mr. SABIR KHAN S/o FATEH HAIDER

Jhelum.
CC to: -
4- Mr. SABIR KHAN S/o FATEH HAIDER You are hereby informed that your

Notification / order No: No. 15149-53/E&A dated 13-07-2016.

(1)On having applied for retiring pension vide application No. dated MR. HAJI
AHMED S/o MUHAMMAD YAR Residing at R/o VPO Sorba Tehsil P.D Khan
District Jhelum having Contact No. 0334-5078355 Designation Junior
Technician (Pharmacy)/Dispenser drawing pay Rs. 19,010+610/- (reckonable
4435224-1 presently posted at (office) GRD Soraba place of posting Saroba shall
stand retired from Government service on retiring pension (score out whichever is
not applicable) 13-07-2016
Basic Pay: 19,010+610/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 19,010+610/-

servant.
Punjab / DAO is hereby accorded in favour of Mr. HAJI AHMED S/o MUHAMMAD
YAR as admissible under the rules.

Jhelum.
CC to: -
2- Mr. HAJI AHMED S/o MUHAMMAD YAR You are hereby informed that your

Descriptive roll (list of family member of Abdul Khaliq Late
retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
Arshad
1. Died
Begium
2. Shiraz Ahmed Son Died
3. Rasheeda Bibi Divorced
Fareeda 37303-1143891- 21-02-

Khanam 8 1980
37303-8648036- 05-09-
5. Nadia Sultana Daughter Un-Married
0 1986
Faraz Ahmed 37303-0537877- 23-02-
6. Son Married
Anjum 3 1992
Azaz Ahmed 37303-8981214- 17-04-
7. Son Married.
Anjum 3 1993

Name: RASHEEDA BIBI D/o
MUHAMMAD KHALIQ
Address: R/o VPO Banth Tehsil
Sohawa District Jhelum.
Contact # 0307-4453779
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension
FAMILY PENSION FORM
pensioner}

(1) Mr. MUHMMAD KHALIQ S/o NAZAR HUSSAIN residing at R/o Post Office Banth Tehsil
Sohawa District Jhelum Designation at the time of retirement Naib Qasid drawing
Rs.___________/- per month
(2) Increases ______________________
________________________________
________________________________
________________________________
________________________________
sanction of family pension was 01.06.2016. Enclose original PPO/FPPO of
deceased pensioner.
(8) As per record, it is verified that Mst. RASEEDA BIBI CNIC No. 37303-1144130-8 and
Contact No. 0307-4453779 is bonafide entitled for family pension of Mr. MUHMMAD
KHALIQ S/o NAZAR HUSSAIN
RASEEDA BIBI CNIC No. 37303-1144130-8 and Contact No. 0307-4453779
*** Bank Account No in which family pension is to be credited {A/c # CD-8185-3
BOP Dina (0163)}
attached)

CC:
2. Mst. RASEEDA BIBI CNIC No. 37303-1144130-8 you are hereby informed that your
Jhelum in the bank Account No {A/c # CD-8185-3 BOP Dina (0163)} However, if you,
subsequently want to receive your family pension in any other bank account, you may
inform the Accountant General, Punjab / DAO in writing, after due attestation by a
gazatted officer.
FAMILY PENSION FORM
pensioner}

(10) Mr. MUHMMAD KHALIQ S/o NAZAR HUSSAIN residing at R/o Post Office Banth
Tehsil Sohawa District Jhelum Designation at the time of retirement Naib Qasid drawing
Rs.___________/- per month
(11) Increases ______________________
________________________________
________________________________
________________________________
________________________________
sanction of family pension was 01.06.2016. Enclose original PPO/FPPO of
deceased pensioner.
(14) No Demand/Recovery was due against him or recover/demand amounting to Rs. ________
is recoverable against him which needs to be recovered from family pension.
(17) As per record, it is verified that Mst. RASEEDA BIBI CNIC No. 37303-1144130-8 and
Contact No. 0307-4453779 is bonafide entitled for family pension of Mr. MUHMMAD
KHALIQ S/o NAZAR HUSSAIN
(18) Family pension to be determined by the Accountant General, Punjab / DAO, in favour of
Mst. RASEEDA BIBI CNIC No. 37303-1144130-8 and Contact No. 0307-4453779
*** Bank Account No in which family pension is to be credited {A/c # CD-8185-3
BOP Dina (0163)}
attached)

CC:
4. Mst. RASEEDA BIBI CNIC No. 37303-1144130-8 you are hereby informed that your
Jhelum in the bank Account No {A/c # CD-8185-3 BOP Dina (0163)} However, if you,
subsequently want to receive your family pension in any other bank account, you may
inform the Accountant General, Punjab / DAO in writing, after due attestation by a
gazatted officer.

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
1.
2.
3.

Name: KHALIDA PARVEEN D/o
ABDUL RAHMAN
Address: R/o Dhoke Muqrab Near
SP House Street No. 1 Jhelum.
Contact # 0332-9975355
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
Tazeem 37301-0427933- 12.12.196
1. Wife Married
Akhter 6 4
37301-4472647- 17.06.198
2. Amir Shahzad Son Married
7 5
Nabeela 37301-3899229- 12.08.198
3. Daughter Married
Kousar 6 7

Name: FAROOQ HUSSAIN S/o
AMEER MUHAMMAD
Address: R/o Rayala Beram P.O
Kot Basera Tehsil & District
Jhelum.
Contact # 0300-5425058
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension

Notification / order No: NO.SO (G-II) 1-348/2016 Dated 01-08-2016.
Mst. KHALID PARVEEN D/o ABDUL RAHMAN Residing at R/o Near SP House
Jhelum having Contact No. 0332-9975355 Designation Senior Technologist
(E&ECMT)/Medical Assistant drawing pay Rs. 61,040/- (reckonable for pension),
as under, in BS-18 Personal No. 30177960 CNIC No. 37301-1830861-0
presently posted at (office) BHU Ban Shaheed place of posting BHU Banshaheed
shall stand retired from Government service on retiring pension (score out whichever
is not applicable) 11-03-2016 A/N.
Basic Pay: 61,041/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

(3)Her date of Birth is 12.03.1956 dated of 1st entry into government service is
servant.
Punjab / DAO is hereby accorded in favour of Mst. KHALID PARVEEN D/o ABDUL
RAHMAN as admissible under the rules.

Jhelum.
CC to: -
2- Mst. KHALID PARVEEN D/o ABDUL RAHMAN You are hereby informed that your

Notification / order No: No. 9287-90/C dated 09-08-2016.

(1)On having applied for retiring pension vide application No. dated MR. FAROOQ
HUSSAIN S/o AMEER MUHAMMAD Residing at R/o Rarayala Beram P.O Kot
Basera Tehsil & District Jhelum having Contact No. 0300-5425058 Designation
Sanitary Patrol drawing pay Rs. 19010+370/- (reckonable for pension), as under,
in BS-04 Personal No. 30177869 CNIC No. 37301-1209229-9 presently posted
at (office) DOH Office Jhelum place of posting DOH Office Jhelum shall stand
applicable) 09-08-2016 A/N.
Basic Pay: 19,010+370/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 19,010+370/-

servant.
Punjab / DAO is hereby accorded in favour of Mr. FAROOQ HUSSAIN S/o AMEER
MUHAMMAD as admissible under the rules.

Jhelum.
CC to: -
2- Mr. FAROOQ HUSSAIN S/o AMEER MUHAMMAD You are hereby informed that

Notification / order No: NO.SO (G-II) 1-385/2016 Dated 22nd August, 2016.
(1)On having applied for retiring pension vide application No. 9368-69 dated 12-08-
2016. Mr. ZAFAR JAVED S/o BIR WALI Residing at R/o New City House No. 488-
L, Sector F, Block, E, Mirpur having Contact No. 0301-5827551 Designation
Senior Technologist (E&ECMT)/Medical Assistant drawing pay Rs.
70,290+2,400/- (reckonable for pension), as under, in BS-18 Personal No.
30184252 CNIC No. 81302-1687751-9 presently posted at (office) BHU
Panchour place of posting BHU Panchour shall stand retired from Government
Basic Pay: 70,290+2,400/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 70,290+2,400/-

(3)His date of Birth is 25.03.1960 dated of 1st entry into government service is
servant.
Punjab / DAO is hereby accorded in favour of MR. ZAFAR JAVED S/o BIR WALI as

Jhelum.
CC to: -
2- Mr ZAFAR JAVED S/o BIR WALI You are hereby informed that your commutation (if
opted) and first (retiring government servant) monthly pension shall be transfer-


retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
81302-1640504- 20-07-
1. Khalida Bhatti Wife Married
4 1962
81302-0302922- 28-02-
2. Madiha Zafer Daughter Un-Married
6 1987
Mounis 81302-2362593- 27-03-
3. Son Un-Married
Ahmad Zaffar 5 1989
Wasil Ahmad 81302-4133744- 14-02-
4. Son Un-Married
Zafar 3 1992
Waleed 81302-0593342- 09-06-
5. Son Un-Married
Ahmed Zafar 7 1996
81302-9547429- 19-03-
6. Lubna Zafar Daughter Un-Married
4 2001

Name: ZAFAR JAVED S/o BIR
WALI
Address: R/o New City House No.
488-L, Sector F, Block, E, Mirpur
Contact # 0301-5827541
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
Shamim 37301-1449677- 01-01-
1. Wife Married
Begium 6 1983
37301-5214172- 31-05-
2. Robina Aslam Daughter Un-Married
4 2000
Muhammad
37301-6987894- 13-10-
3. Shahbaz Son Un-Married
7 2002
Aslam
Tehmina 37301-0141006- 18-07-
Aslam 2 2006
Muhammad 37301-0935520- 29-07-
5. Son Un-Married
Sehraz 3 2010

Name: MUHAMMAD ASLAM S/o
GHULAM AKBER
Address: R/o House No. 165
Street Mohallah Chistian
District Jhelum.
Contact # 0336-5816536
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension
Family pension

Notification / order No: NO.9548-52/C dated 22-08-2016.
2016. Mr. ZAFAR IQBAL S/o MUHAMMAD BOOTA Residing at R/o Sangoi P.O
Tehsil & District Jhelum having Contact No. 0346-0593533 Designation Ward
Cleaner drawing pay Rs. 16,040+825+275/- (reckonable for pension), as under, in
BS-02 Personal No. 30183599 CNIC No. 37301-2984821-3 presently posted at
(office) BHU Jango Raryala place of posting BHU Jango Raryala shall stand
Basic Pay: 16,040+825+275/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 16,040+825+275/-

servant.
Punjab / DAO is hereby accorded in favour of MR. ZAFAR IQBAL S/o MUHAMMAD
BOOTA as admissible under the rules.

Jhelum.
CC to: -
2- Mr ZAFAR IQBAL S/o MUHAMMAD BOOTA You are hereby informed that your

Notification / order No: No.9543-47/C dated 22-08-2016.
2016. Mr. MUHAMMAD ASLAM BHATTI S/o GHULAM AKBER Residing at R/o
House No. 165 Street Mohallah Chistian District Jhelum having Contact No.
0336-5816536 Designation Sanitary Worker drawing pay Rs. 16,490+325/-
37301-3501634-3 presently posted at (office) E&EDC Centre Jhelum place of
posting E&EDC Centre Jhelum shall stand retired from Government service on
retiring pension (score out whichever is not applicable) 31-08-2016 A/N.
Basic Pay: 16,490+325/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 16,490+325/-

servant.
Punjab / DAO is hereby accorded in favour of MR. MUHAMMAD ASLAM BHATTI S/o
GHULAM AKBER as admissible under the rules.

E&EDC Centre, Jhelum
CC to: -
2- Mr MUHAMMAD ASLAM BHATTI S/o GHULAM AKBER You are hereby informed


Notification / order No: No.19497-04/E&A dated 06-10-2016.
2016. Mst. KHALIDA PERVEEN W/o ABDUL LATIF Residing at R/o Dhoke
Abdullah Near Hajji Shifa Khana City Jhelum having Contact No. 0314-
5402299 Designation Technician (MCH)/LADY HEALTH VISITOR drawing pay Rs.
29,540+800/- (reckonable for pension), as under, in BS-12 Personal No.
30178113 CNIC No. 37301-2180234-4 presently posted at (office) BHU Bhattia
place of posting BHU Bhattia shall stand retired from Government service on
Basic Pay: 29,540+800/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Total Pay Rs. 29,540+800/-

(3)Her date of Birth is 01-10-1956 dated of 1st entry into government service is 17-08-
servant.
Punjab / DAO is hereby accorded in favour of Mst. KHALIDA PERVEEN W/o ABDUL
LATIF as admissible under the rules.

Jhelum
CC to: -
2- Mst. KHALIDA PERVEEN W/o ABDUL LATIF You are hereby informed that your
Form D-I
FAMILY PENSION FORM


Notification / order No: ____________________________
(1) Mr. DR. MATLOOB ALAM S/o MAHBOOB ALAM Residing at House No. 247 Near
Railway Hospital Tehsil Bakhar District Bakhar having Contact No. 0333-5373880
Designation Surgeon drawing pay Rs. 14,770/- (reckonable for pension), as under, in
BS-18 Personal No. 30184287 CNIC No. 61101-5868771-7 presently posted at
(office) THQ P.D KHAN place of posting THQ Hospital P.D Khan expired on 19-03-
2013 while in service. [Death certificate is attached]
Basic Pay: 14,770/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

_____________________________________________________________________________________

__________
CC to: -
office.
_____________________________________________________________________. However, if
officer.

Notification / order No: No. SO(SC)M-6/09 dated 07-10-2013.

(1)On having applied for retiring pension vide application No. dated MR. DR.
MATLOOB ALAM S/o MAHBOOB ALAM Residing at House No. 247 Near Railway
Hospital Tehsil Bakhar District Bakhar having Contact No. 0333-5373880
Designation Surgeon drawing pay Rs. 14,770/- (reckonable for pension), as under,
in BS-18 Personal No. 30184287 CNIC No. 61101-5868771-7 presently posted at
(office) THQ Hospital P.D Khan place of posting THQ P.D Khan shall stand retired
from Government service on retiring pension (score out whichever is not applicable)
30.04.2011
Basic Pay: 14,770/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00
Senior Post Allowance: 00___

pension is 19years 08 months 12 days. His deputation period is days _--_ months _--
Punjab / DAO is hereby accorded in favour of Mr. DR. MATLOOB ALAM S/o
MAHBOOB ALAM as admissible under the rules.

__________
CC to: -
2- Mr.DR. MATLOOB ALAM S/o MAHBOOB ALAM You are hereby informed that your
PENSION FORM TO USED IN CASE OF COMPULSORY/INVALIDATION

RETIREMENT
[to be issued by the Appointing Authority/Pension Sanctioning Authority in
case of grant of in-valid pension/pension on compulsory retirement of a
Government servant]
Subject: - SPECIMEN OF NOTIFICATION / ORDERS OF RETIREMENT IN CASE OF

INVALIDATION/COMPULSORY RETIREMENT.
Notification/order No: No. SO(SC)M-6/09 dated 07-10-2013.

(1)Mr. DR. MATLOOB ALAM S/o MAHBOOB ALAM Residing at House No. 247 Near
Railway Hospital Tehsil Bakhar District Bakhar having Contact No. 0333-
5373880 Designation Surgeon drawing pay Rs. 14,770/- (reckonable for pension),
presently posted at (office) THQ Hospital P.D Khan place of posting THQ P.D
Khan shall stand retired from Government service on 30.04.2011 on account order
of compulsory retirement as a result of inquiry proceedings (as the case may be).
Basic Pay Rs. 14,770/-

Special pay _______________
Personal Pay_______________
Qualification Pay__________
Technical Pay______________
Senior Post Allowance __________
Total Pay Rs. __________________
(2)Orderly allowance (if any) Rs. _____________

pension is 19 years 08 months 12 days. His deputation period is day
_______months_________ years________. (Enclose an attested copy of last month pay
slip, service book and paid challan of pension contribution). Also enclose original
service book in case of non-gazetted government servant and posting
profile of gazetted government
(4)No inquiry is pending against him.
(5)No demand/recovery is due against him or an amount of Rs. ______ is recoverable
form him.
(7)Descriptive Roll, undertaking to make good Government losses and option for
commutation is enclosed as Annex-A
(8)Administrative and financial sanction for grant of pension without commutation ***
or pension with commutation @ ( %)******, to be determined by the Accountant
General, Punajb/DAO is hereby accorded in favour of DR. MATLOOB ALAM S/o
MAHBOOB ALAM as admission under the rules.
Signature [By NAME] with

stamp
Note 1:- The sanction accorded, as above, is subject to change on account of any
additional information/facts reported subsequently.
Note2:- Pay reckonable for pension includes basic pay, special pay, personal pay,
qualification pay, technical pay and senior post allowance or any other emolument
reckonable for pension.
CC:
1. The District Accounts Officer Jhelum with the request to endorse a copy of the
PPO to this department/office. The original service book after recording necessary
entries regarding issuance of PPO may also be returned to this department/office.
2. DR. MATLOOB ALAM S/o MAHBOOB ALAM You are hereby informed that your
commutation (if opted) and first monthly pension shall be transfer-credited by the
District Accounts Officer Jhelum in the same bank account in which your last
payment of salary was credited. However, if you, subsequently want to receive
your pension in any other bank account, you may inform the DAO in writing, after
due attestation by a gazetted officer.
FAMILY PENSION FORM
pensioner}

(1) Mr. DR. MATLOOB ALAM S/o MAHBOOB ALAM Residing at House No. 247 Near Railway
Hospital Tehsil Bakhar District Bakhar Designation at the time of retirement Surgeon
drawing pension/family pension @ Rs.____________/- per month vide PPO/FPPO No.
_____________/JMCNIC No. 61101-5868771-7drawing pension from bank/bank branch
_________________ expired on 19-03-2013 [death certificate is attached] Net
Pension Rs.___________/- per month
(2) Increases ______________________
________________________________
________________________________
________________________________
________________________________
sanction of family pension was _____________. Enclose original PPO/FPPO of
deceased pensioner.
(8) As per record, it is verified that Mst. LUBANA AMBREEN CNIC No. 61101-3084802-6 and
Contact No. 0333-5373880 is bonafide entitled for family pension of Mr. MATLOOB ALAM
S/o MAHBOOB ALAM
LUBANA AMBREEN CNIC No. 61101-3084802-6 and Contact No. 0333-5373880
__________________________}
attached)

CC:
2. Mst. LUBANA AMBREEN CNIC No. 61101-3084802-6 you are hereby informed that
your monthly family pension shall be transfer-credited by Accountant General, Punjab /
DAO Jhelum in the bank Account No {A/c #____________________________________________}
However, if you, subsequently want to receive your family pension in any other bank

(1)On having applied for retiring pension vide application No. _______ dated ________. Mr.
ZULFIQAR S/O HAQ NAWAZ Residing at R/o Jango Raryala Post Office Kot
Basira Tehsil & District Jhelum having Contact No. 0332-8573684 Designation
DRIVER drawing pay Rs. 24,100/- (reckonable for pension), as under, in BS-08
Personal No. CNIC No. 37301-7294711-1 presently posted at (office)
RHC Domeli place of posting RHC Domeli shall stand retired from Government
service on retiring pension (score out whichever is not applicable) 03-12-2016 A/N.
Basic Pay: 24,100/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

servant.
Punjab / DAO is hereby accorded in favour of MR. MEHDI ZULFIQAR S/O HAQ
NAWAZ as admissible under the rules.

RHC Domeli
CC to: -
2- Mr MEHDI ZULFIQAR S/O HAQ NAWAZ You are hereby informed that your

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
Sughra 37301-2280262-
1. Wife 1961 Married
Begium 2
Muhammad 37301-1949946- 21-07-
2. Son Married
Zafar Iqbal 9 1984
37301-5026542- 23-10-
3. Fozia Noreen Daughter Married
4 1988
373018-608540- 03-11-
4. Abdul Rahman Son Un-Married
7 1992

Name: PARVEZ AHMED S/o
GHULAM RASOOL.
Address: R/o Rohtas Road,
Mohallah Rasheed Abad,
Jhelum.
Contact # 0321-5434698
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
Naseem 37301-6853603-
Akhter 6
Mehwish 37301-2738629- 26-12-
2. Daughter Married
Mehdi 0 1986
37301-4052035- 30-01-
3. Ifkar Mehdi Son Un-Married
9 1988
37301-7896049- 22-10-
4. Sami Ullah Son Married
9 1989
Aneesa 37301-4197156- 11-12-
5. Daughter Married
Zainiab 0 1993
37301-3961105- 05-06-
6. Ayeshia Daughter Un-Married
4 1997

Name: MEHDI ZULFIQAR S/o HAQ
NAWAZ
Address: R/o Jango Raryala Post
Office Kot Basira Tehsil &
District Jhelum.
Contact # 0332-8573684
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension
v. Death Certificate is attached.
vi. PPO /FPPO (in case of pensioners death certificate is attached)

Family pension

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
Mehmoona 37301-8322865- 26-04-
1. Wife Married
Kousar 6 1967
37301-7575080- 01-10-
2. Somia Zafar Daughter Un-Married
4 1994

Name: SYED ZAFAR HUSSAIN S/o
SYED IJAZ HUSSAIN
Address: R/o Liaqat Town Dina
Tehsil Dina District Jhelum.
Contact # 0300-5416819
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension
hand.
Left Hand Thumb ______________________________________________
Left Hand 1 finger _________ _____________________________________
Left Hand 2 finger ______________________________________________
Left Hand 3 finger ______________________________________________
Left Hand 4 finger ______________________________________________
Specimen signature of JAMEEL AKHTER Wd/o ASHIQ HUSSAIN
Signature _____________________________________________
1. _____________________________________________
2. _____________________________________________
3. _____________________________________________
4. _____________________________________________
Attested
District Health Officer (PS)

District Health Authority
Jhelum
REVISED

Notification / order No: NO.13960-63/ B&A Dated 02-11-2011.
GHULAM AKBAR R/o ALLAH DITTA Residing at R/o Shomali Mohallah Jhelum
having Contact No. 0313-5601617 Designation Chief Technician (Pharmacy)
drawing pay Rs. 17,200/- (reckonable for pension), as under, in BS-16 Personal
No.30184138 CNIC No. 37301-2328926-7 presently posted at (office) GRD
Ratain place of posting GRD Ratian shall stand retired from Government service on
Basic Pay: 17,200/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

Punjab / DAO is hereby accorded in favour of MR. GHULAM AKBAR R/o ALLAH
DITTA as admissible under the rules.

Jhelum
CC to: -
2- Mr GHULAM AKBAR R/o ALLAH DITTA You are hereby informed that your

Notification / order No: NO.25048-51/B&A dated 19-12-2016.
SYED ZAFAR HUSSAIN S/o SYED EJAZ HUSSAIN Residing at R/o Liaqat Town
Dina Tehsil Dina District Jhelum having Contact No. 0300-5416819
Designation Technician (Pharmacy)/Dispenser drawing pay Rs. 24,740/-
37301-5915411-3 presently posted at (office) RHC Dina place of posting RHC
Basic Pay: 24,740/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

servant.
Punjab / DAO is hereby accorded in favour of MR. SYED ZAFAR HUSSAIN S/o SYED
EJAZ HUSSAIN as admissible under the rules.

RHC Dina
CC to: -
2- Mr SYED ZAFAR HUSSAIN S/o SYED EJAZ HUSSAIN You are hereby informed that

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
Malik Javed 37301-2295695- 13-05-
1. Son Married
Iqbal 9 1981
Malik Shahid 37301-2281567- 01-09-
2. Son Married
Iqbal 1 1982
Saima 37301-3159877- 16-02-
3. Daughter Married
Nasreen 8 1984
Shomaila 37301-4499452- 13-01-
Nasreen 0 1987
37301-9027942- 23-01-
5. Naila Nasreen Daughter Un-Married
0 1989

Name: NASREEN FATIMA WD/O
MALIK MUHAMMAD YOUSAF
Address: R/o Nokder Post Office
Ladher Tehsil Dina District
Jhelum.
Contact # 0321-9566502
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension
Family pension

Notification / order No: NO.304-306 /B&A dated 09-01-2017.
(1)On having applied for retiring pension vide application No. _______ dated ________.
Mst. NASREEN FATIMA Wd/O MALIK MUHAMMAD YOUSAF Residing at R/o
Nokder Post Office Ladher Tehsil Dina District Jhelum having Contact No.
0321-9566505 Designation Dai drawing pay Rs. 15,680/- (reckonable for
2 presently posted at (office) MCH Kala Gujran place of posting MCH Kala Gujran
shall stand retired from Government service on retiring pension (score out whichever
is not applicable) 01-01-2017 F/N.
Basic Pay: 15,680/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

(3)Her date of Birth is 1957 dated of 1st entry into government service is 12-12-1993
Punjab / DAO is hereby accorded in favour of Mst. NASREEN FATIMA Wd/O MALIK
MUHAMMAD YOUSAF as admissible under the rules.
District Health Officer

(Preventive Services)
Jhelum
CC to: -
2- Mst NASREEN FATIMA Wd/O MALIK MUHAMMAD YOUSAF You are hereby
informed that your commutation (if opted) and first (retiring government servant)
monthly pension shall be transfer-credited by DAO, Jhelum in the same bank account
in which your last payment of salary was credited. However, if you, subsequently
want to receive your pension in any other bank account, you may inform the DAO,
FAMILY PENSION FORM

Notification / order No: No. 18053-58/C dated 27-12-2016.
(1) Mr. GHULAM AHMED S/o NAIK ALAM Residing at Dhoke Badal Tehsil Dina District
Jhelum having Contact No. 0334-8638939 Designation Chowkidar drawing pay
Rs.17,465/- (reckonable for pension), as under, in BS-03 Personal No. 30184201
CNIC No. 37301-22988856-5 presently posted at (office) BHU Kalwantpur place of
posting BHU Kalwantpur expired on 11-12-2016 while in service. [Death certificate is
attached]
Basic Pay: 17,465/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

(3) Her date of Birth is 1963 dated of 1st entry into government service is 18-01-1983 and
EOL availed is __--_. Total length of qualifying service for pension is 33 years 10 months
23 days. His deputation period is days _--_ months _--_ years _--_. (Enclose an attested
copy of last month pay slip, service book and paid challan of pension contributions). Also
enclose original service book in case of non-gazetted government servant and posting
profile of gazetted government servant.
(8) As per record, it is verified that Mr. TAQUIR AHMED CNIC No. 37301-8719709-9 and
contact No. 0334-8638939 is bonafide family member entitled to family pension of
GHULAM AHMED S/o NAIK ALAM
(9) Bank Account No in which family pension / gratuity is to be credited A/c # 235037532
UBL Gujral 1009
determined by the Accountant General, Punjab / DAO is hereby accorded in favour of Mr.
TAQUIR AHMED CNIC No. 37301-8719709-9 as admissible under the rules.

Jhelum
CC to: -
office.
2- Mr. TAQUIR AHMED CNIC No. 37301-8719709-9 You are hereby informed that
your gratuity and monthly family pension shall be transfer-credited by DAO,
Jhelum in the same bank account No. A/c # 235037532 UBL Gujral 1009
However, if you, subsequently want to receive your family pension in any other
bank account, you may inform the DAO, Jhelum in writing, after due attestation by
a gazette officer.

Notification / order No: No.2088-95 /B&A dated 02-02-2016.
(1)On having applied for retiring pension vide application No. Nil dated 16-10-2015 Mr.
MUHAMMAD DAWOOD BAIG S/o ABDUL SALAM Residing at R/o VPO Khurd
Tehsil & District Jhelum having Contact No. 0300-9513445 Designation
Dispenser drawing pay Rs. 23,000/- (reckonable for pension), as under, in BS-06
RD Jugta place of posting RD Jugta shall stand retired from Government service on
retiring pension (score out whichever is not applicable) 01-02-2017 F/N.
Basic Pay: 23,000/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

Punjab / DAO is hereby accorded in favour of Mr. MUHAMMAD DAWOOD BAIG S/o
ABDUL SALAM as admissible under the rules.
Chief Executive Officer

Jhelum
CC to: -
2- Mr MUHAMMAD DAWOOD BAIG S/o ABDUL SALAM You are hereby informed that

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
Shahnaz 37301-3656515- 17-02-
1. Wife Married
Akhter 6 1959
37301-7445612- 26-12-
2. Abdul Hadi Son Married
7 1987
37301-2278173- 05-01-
3. Saad Ul Hasan Son Un-Married
9 1989
37301-8694362- 18-08-
4. Rafia Daughter Married
0 1990
37301-4143374- 05-07-
5. Imran Dawood Son Un-Married
7 1993
Ayesha 37301-8685812- 17-07-
Dawood 0 1995

Name: MUHAMMAD DAWOOD
BAIG S/o ABDUL SALAM
Address: R/o Bilal Town House
No. D-363 Jhelum.
Contact # 0300-9513445
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
1. Sabira Sultana Wife Died
2. Naveed Kazim Son Married

Manzoor
3. Son Married
Hussain
4. Abdul Ghafoor Son Married

Name: MUHAMMAD AZAM S/o
MUHAMMAD RAMZAN
Address: R/o Deheri Dermaini
Near Boys Primary School JPS
Tehsil P.D Khan District Jhelum.
Contact # 0346-1575370
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension

Notification / order No: NO.65-69 /C dated 02-02-2017
Mst. MUHAMMAD AZAM S/O MUHAMMAD RAMZAN Residing at R/o Dehri
Dhermiani Near Boys Primary School Jalapur Sharif Tehsil P.D Khan District
Jhelum having Contact No. 0346-1575370 Designation Chowkidar drawing pay
Rs. 16,490/- (reckonable for pension), as under, in BS-03 Personal No. 30182255
CNIC No. 3730211925137 presently posted at (office) BHU Pindi Said Pur place
of posting BHU Pindi Said Pur shall stand retired from Government service on
retiring pension (score out whichever is not applicable)
19-01-2017 A/N.
Basic Pay: 16,490/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

(3)Her date of Birth is 20-01-1957 dated of 1st entry into government service is 29-05-
servant.
Punjab / DAO is hereby accorded in favour of Mr. MUHAMMAD AZAM S/O
MUHAMMAD RAMZAN as admissible under the rules.

Jhelum
CC to: -
2- Mr MUHAMMAD AZAM S/O MUHAMMAD RAMZAN You are hereby informed that

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
37301-2152310-
1. Azra Bi Wife 1973 Married
6
37301-1886316- 20-09-
2. Sohail Abid Son Un-Married
5 1994
37301-4490291- 17-04-
3. Mubashir Abid Son Un-Married
7 1997
37301-8407270- 13-08-
4. Saba Abid Daughter Un-Married
8 2000
Muhammad 37301-6682149- 22-08-
5. Son Un-Married
Bilal Abid 3 2002
Liaba 37301-5452588- 18-08-
Maqsood 0 2006
Muhammad 37301-6681294- 20-07-
7. Son Un-Married
Haseeb Abid 3 2013

Name: ABID HUSSAIN S/o
MUHAMMAD SHARIF
Address: R/o VPO Naka Kalan
Tehsil & District Jhelum.
Contact # 0302-8995856
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension


retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
1.
Ume Kalsoom Wife Married
2.
Syed Shan Ali Son Un-Married

Name: BASHARAT HUSSAIN
SHAH S/o NADIR SHAH
Address: R/o VPO Shah Safeer
Tehsil Sohawa District Jhelum
Contact # 0333-5970474
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension

Notification / order No: No. 4851-56/B&A dated 08-03-2016.
ABID HUSSAIN S/o MUHAMMAD SHARIF Residing at R/o VPO Naka Kalan
Tehsil & District Jhelum having Contact No. 0302-8995856 Designation Junior
Technician (HCO)/Vaccinator drawing pay Rs. 22,060/- (reckonable for pension),
presently posted at (office) DHO Office Jhelum place of posting DHO Office
Jhelum shall stand retired from Government service on retiring pension (score out
whichever is not applicable)
28-02-2017 A/N.
Basic Pay: 22,060/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

(3)Her date of Birth is 01-12-1971dated of 1st entry into government service is 01-12-
servant.
Punjab / DAO is hereby accorded in favour of Mr. ABID HUSSAIN S/o MUHAMMAD
SHARIF as admissible under the rules.

Jhelum
CC to: -
2- Mr ABID HUSSAIN S/o MUHAMMAD SHARIF You are hereby informed that your
FAMILY PENSION FORM
pensioner}

(1) MST. ZAIB BIBI W/o MANZOOR AHMED residing at R/o VPO Jala Pur Sharif Tehsil P.D
Khan District Jhelum Designation at the time of retirement Naib Qasid drawing
pension/family pension @ Rs.____________/- per month vide PPO/FPPO No. 7169/JMCNIC No.
37302-1115449-8 drawing pension from bank/bank branch _________________ expired on 19-
10-2016 [death certificate is attached] Net Pension Rs.___________/- per month
(2) Increases ______________________

________________________________
________________________________
________________________________
________________________________
(4) Her Date of Birth was 1948 Date of retirement from Government service/date of sanction of
family pension was 02-06-2006. Enclose original PPO/FPPO of deceased
pensioner.
(8) As per record, it is verified that Mst. AZRA PARVEENCNIC No. 37302-8255276-6 and
Contact No. 0331-5893936 is bonafide entitled for family pension of ZAIB BIBI W/o
MANZOOR AHMED Family pension to be determined by the Accountant General, Punjab /
DAO, in favour of Mst. . AZRA PARVEENCNIC No. 37302-8255276-6
(9) *** Bank Account No in which family pension is to be credited {A/c # 4138593090
NBP P.D KHAN (1753)}
attached)

CC:
2. Mst. AZRA PARVEENCNIC No. 37302-8255276-6 and Contact No. 0331-5893936
you are hereby informed that your monthly family pension shall be transfer-credited by
Accountant General, Punjab / DAO Jhelum in the bank Account No {A/c # 4138593090
NBP P.D KHAN (1753)} However, if you, subsequently want to receive your family
pension in any other bank account, you may inform the Accountant General, Punjab / DAO
in writing, after due attestation by a gazatted officer.

Mst JAMEEL AKHTER Wd/o ASHIQ HUSSAIN Residing at R/o Hayyal Post Office
Domeli Tehsil Sohawa District Jhelum having Contact No. ___________________
Designation Female Ward Serwant drawing pay Rs. 16,165/- (reckonable for
6 presently posted at (office) RHC Domeli place of posting RHC Domeli shall stand
Basic Pay: 16,165/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

servant.
Punjab / DAO is hereby accorded in favour of Mst. JAMEEL AKHTER Wd/o ASHIQ
HUSSAIN as admissible under the rules.

RHC Domeli
CC to: -
4- Mst JAMEEL AKHTER Wd/o ASHIQ HUSSAIN You are hereby informed that your

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
1. Ashiq Hussain Husband Died
37301-2199662- 08-11-
2. Robina Kousar Daughter Married
6 1976
Muhammad 37303-1127467- 07-02-
3. Son Married
Sabir 3 1978

Name: JAMEEL AKHTER Wd/o
Ashiq Hussain
Address: R/o Hayal Post Office
Domeli Tehsil Sohawa District
Jhelum.
Contact # _____________________
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension
vii. Death Certificate is attached.
viii. PPO /FPPO (in case of pensioners death certificate is attached)

Family pension
FAMILY PENSION FORM
pensioner}

(1) MST. NUSRAT SHAHEEN Wd/o FAROOQ BAIG residing at R/o VPO Chotala Tehsil &
District Jhelum Designation at the time of retirement Driver drawing pension/family
pension @ Rs.____________/- per month vide PPO/FPPO No. 30183789-01CNIC No. 37301-
12253289-6 drawing pension from bank/bank branch _________________ expired on
_______________ [death certificate is attached] Net Pension Rs.___________/- per
month
(2) Increases ______________________
________________________________
________________________________
________________________________
________________________________
(4) Her Date of Birth was 06-05-1988 Date of retirement from Government service/date of
sanction of family pension was 01-06-2010. Enclose original PPO/FPPO of
deceased pensioner.
(8) As per record, it is verified that Mst. HAJIRA BIBI (Minor) & MUHAMMAD YASEEN
(Guardian)CNIC No. 37301-5582150-9 and Contact No. 0336-7851122 is bonafide
entitled for family pension of MST. NUSRAT SHAHEEN Wd/o FAROOQ BAIG Family pension
to be determined by the Accountant General, Punjab / DAO, in favour of Mst. HAJIRA BIBI
(Minor) & MUHAMMAD YASEEN (Guardian)CNIC No. 37301-5582150-9
(9) *** Bank Account No in which family pension is to be credited {A/c # 234559381-
UBL Khurd}
attached)

CC:
2. Mst. HAJIRA BIBI (Minor) & MUHAMMAD YASEEN (Guardian)CNIC No. 37301-
5582150-9 and Contact No. 0336-7851122 you are hereby informed that your
Jhelum in the bank Account No {A/c # 234559381-UBL Khurd}
3. However, if you, subsequently want to receive your family pension in any other bank
FAMILY PENSION FORM
pensioner}

(1) Mr. GHULAM HUSSAIN s/o MUHAMMAD BASKSH residing at R/o VPO Kora Tehsil P.D
Khan District Jhelum Designation at the time of retirement Chowkidar drawing
pension/family pension @ Rs.____________/- per month vide PPO/FPPO No. 12320/30182142
File No. 304-G/2014-2015 CNIC No. 37302-1178010-9 drawing pension from bank/bank
branch 18805-2,NBP P.D Khan expired on 11-02-2016 [death certificate is attached]
Net Pension Rs.___________/- per month
(2) Increases ______________________
________________________________
________________________________
________________________________
________________________________
sanction of family pension was 31-12-2014 Enclose original PPO/FPPO of
deceased pensioner.
(8) As per record, it is verified that Mst. AMNA BIBI CNIC No. 37302-1138731-6 and Contact
No. 0312-5544770 is bonafide entitled for family pension of Mr. GHULAM HUSSAIN s/o
MUHAMMAD BASKSH Family pension to be determined by the Accountant General, Punjab /
DAO, in favour of Mst. AMNA BIBI CNIC No. 37302-1138731-6 and Contact No. 0312-
5544770
(9) *** Bank Account No in which family pension is to be credited {A/c # 4114422792
NBP P.D Khan (0432)}
attached)

CC:
2. Mst. AMNA BIBI CNIC No. 37302-1138731-6. you are hereby informed that your
Jhelum in the bank Account No {A/c # 4114422792 NBP P.D Khan (0432)}
3. However, if you, subsequently want to receive your family pension in any other bank

Notification / order No: NO.1179-83/C dated 02-02-2017
MUHAMMAD RAFIQUE S/o BAGH ALI Residing at R/o Hambo Heel Post Office
Baragawa Tehsil Sohawa District Jhelum. having Contact No.
___________________ Designation Sanitary Worker drawing pay Rs. 15,515/-
37303-2749238-5 presently posted at (office) RHC Domeli place of posting RHC
Domeli shall stand retired from Government service on retiring pension (score out
whichever is not applicable) 15-02-2017 A/N.
Basic Pay: 15,515/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

(3)His date of Birth is 1964 dated of 1st entry into government service is 24-04-1990
Punjab / DAO is hereby accorded in favour of Mr. MUHAMMAD RAFIQUE S/o BAGH
ALI as admissible under the rules.

RHC Domeli
CC to: -
2- Mr. MUHAMMAD RAFIQUE S/o BAGH ALI You are hereby informed that your

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
Zahida 37303-1128841- 01-01-
1. Wife Married
Parveen 8 1967
Tauseef 37303-8919568- 27-07-
2. Son Married
Rafique 9 1989
Summaira 37303-3915923- 10-10-
Rafique 8 1993
15-06-
4. Ishrat Bibi Daughter Married
1990
Muhammad 10-01-
5. Son Married
Tamriz 1994
Muhammad 16-05-
6. Son Un-Married
Shoaib 1997

Name: MUHAMMAD RAFIQUE S/o
BAGH ALI
Address: R/o Hambo Heel Post
Office Baragawa Tehsil Sohawa
District Jhelum.
Contact # _____________________
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
37301-2270543- 30-11-
1. Asma Wife Married
8 1977
37301-4385206- 28-01-
2. Eman Daughter Un-Married
4 1998
37301-0655724- 12-08-
3. Ali Hassan Son Un-Married
3 1999
Muhammad 37301-6922384- 15-03-
4. Son Un-Married
Farz 5 2002
Muhammad 37301-9191176- 05-01-
5. Son Un-Married
Muneeb 1 2007
Muhammad 37301-3788322- 05-07-
6. Son Un-Married
Anique 7 2008

Name: GHULAM MUHAMMAD S/o
SHAMS UL DIN
Address: R/o Opposite Al-Arif
School Moh: Mahmood Abad
Jhelum.
Contact # 0323-5755762
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension
Family pension

Notification / order No: NO.___________/B&A dated __________
GHULAM MUHAMMAD S/o SHAMS UD DIN Residing at R/o Opposite AL-Arif
School Moh: Mahmood Abad Jhelum. having Contact No. 0323-5755762
Designation Technician (Pharmacy)/Dispenser drawing pay Rs. 24,740/-
37301-2336388-7 presently posted at (office) RHC Dina place of posting RHC
Basic Pay: 24,740/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

servant.
Punjab / DAO is hereby accorded in favour of Mr. GHULAM MUHAMMAD S/o
SHAMS UD DIN as admissible under the rules.

RHC Dina
CC to: -
2- Mr. GHULAM MUHAMMAD S/o SHAMS UD DIN You are hereby informed that your

Notification / order No: NO._1038-43/C dated 12-02-2015.
BASHARAT HUSSAIN S/o NADIR SHAH Residing at R/o VPO Shah Safeer Tehsil
Sohawa District Jhelum. having Contact No. 0333-5970474 Designation Naib
Qasid drawing pay Rs. 15,765/- (reckonable for pension), as under, in BS-02
BHU Surgdhan place of posting BHU Surdhan shall stand retired from
Government service on retiring pension (score out whichever is not applicable) 28-
02-2017 A/N.
Basic Pay: 15,765/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

servant.
Punjab / DAO is hereby accorded in favour of Mr. BASHARAT HUSSAIN S/o NADIR
SHAH as admissible under the rules.

Jhelum
CC to: -
2- Mr. BASHARAT HUSSAIN S/o NADIR SHAH You are hereby informed that your

Notification / order No: No. 4851-56/B&A Dated 08-03-2016.
ABID HUSSAIN S/o MUHAMMAD SHARIF Residing at R/o VPO Shah Safeer
Tehsil Sohawa District Jhelum. having Contact No. 0333-5970474 Designation
Naib Qasid drawing pay Rs. 15,765/- (reckonable for pension), as under, in BS-02
BHU Surgdhan place of posting BHU Surdhan shall stand retired from
02-2017 A/N.
Basic Pay: 15,765/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

servant.
Punjab / DAO is hereby accorded in favour of Mr. BASHARAT HUSSAIN S/o NADIR
SHAH as admissible under the rules.

Jhelum
CC to: -
2- Mr. BASHARAT HUSSAIN S/o NADIR SHAH You are hereby informed that your

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
Muhammad 37301-5431644- 10-03-
1. Husband Married
Zaman 3 1950
Rizwana 37301-4518279- 10-06-
Kousar 4 1982

Name: RAZIA SULTANA W/o
MUHAMMAD ZAMAN
Address: R/o Iqbal Library Road
Jhelum.
Contact # ________________
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension

retiring No.
/deceased
governme
nt servant
/
deceased
pensioner
Nusrat 37301-2225645-
Begium 6
37301-2225212- 10-04-
2. Shazia Ishfaq Daughter Un-Married
4 1981
Imran 37301-4558700- 10-06-
3. Son Married
Shahzad 9 1981
37301-4268384- 24-01-
4. Fouzia Ishfaq Daughter Married
2 1987
37303-0624280- 10-11-
5. Sadaf Ishfaq Daughter Married
2 1992
37301-0302894- 10-09-
6. Irslan Ishfaq Son Un-Married
9 1993
37301-0208749- 23-02-
7. Rizwan Ishfaq Son Un-Married
9 1995

Name: Muhammad Ishfaq Ahmed
S/o Dost Muhammad
Address: R/o Mohallah Abbaspura
Jhelum.
Contact # 0345-5650568
---------------------------------------------------------------------------------------------------------------------------
----
pension)
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----
Government Servant
---------------------------------------------------------------------------------------------------------------------------
----

Family pension

Family pension

Notification / order No: No. 1494-97/B&A Dated 13-02-2017.
Mr. MUHAMMAD ISHFAQ AHMED S/o DOST MUHAMMAD Residing at R/o
Mohallah Abbaspura Jhelum. having Contact No. 0345-5650568 Designation
Driver drawing pay Rs. 19,930/- (reckonable for pension), as under, in BS-07
DHO Office Jhelum place of posting DHO Office Jhelum shall stand retired from
09-2017 A/N.
Basic Pay: 19,930/-
Special Pay: 00
Personal Pay: 00
Technical Pay: 00

servant.
Punjab / DAO is hereby accorded in favour of Mr. MUHAMMAD ISHFAQ AHMED S/o
DOST MUHAMMAD as admissible under the rules.

Jhelum
CC to: -
2- Mr. MUHAMMAD ISHFAQ AHMED S/o DOST MUHAMMAD You are hereby
informed that your commutation (if opted) and first (retiring government servant)
monthly pension shall be transfer-credited by DAO, Jhelum in the same bank account
in which your last payment of salary was credited. However, if you, subsequently
want to receive your pension in any other bank account, you may inform the DAO,
hand.
Left Hand Thumb ______________________________________________
Left Hand 1 finger _________ _____________________________________
Left Hand 2 finger ______________________________________________
Left Hand 3 finger ______________________________________________
Left Hand 4 finger ______________________________________________
Specimen signature of MUHAMMAD ISHFAQ AHMED, DRIVER
Signature _____________________________________________
1. _____________________________________________
2. _____________________________________________
3. _____________________________________________
4. _____________________________________________
Attested

Jhelum

New Pension Case

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CERTIFICATE / INFORMATION TO BE GIVEN BY THE PENSIONER Annexure-A

Descriptive roll (list of family member)

Signature of retiring Govt. Servant /

Signature of the person claiming

Left Hand Thumb ______________________________________________

Left Hand 1 finger ______________________________________________

Left Hand 2 finger ______________________________________________

Left Hand 3 finger ______________________________________________

Left Hand 4 finger ______________________________________________

Impression taken in my presence

Specimen signature of Mr.

FAMILY PENSION FORM

Subject: - SPECIMEN OF NOTIFICATION / ORDERS FOR SANCTION OF FAMILY PENSION

Notification / order No: _________ Dated: _________________

(1) Mr / Mst. _____________________________________ Residing at __________________________

(1) Orderly Allowance (if any) Rs. __--__/.

Signature (by name) with stamp

Subject: - SPECIMEN OF NOTIFICATION / ORDERS FOR SANCTION OF FAMILY PENSION

Notification / order No: _________ Dated: _________________

(4) Orderly Allowance (if any) Rs. __--__/.

Signature (by name) with stamp

FAMILY PENSION FORM

Subject: - SPECIMEN OF NOTIFICATION / ORDERS FOR SANCTION OF FAMILY PENSION

Notification / order No: _________ Dated: _________________

(8) Orderly Allowance (if any) Rs. __--__/.

Signature (by name) with stamp

Descriptive roll (list of family member)

Signature of retiring Govt. Servant /

Signature of the person claiming

Signature of the Person claiming

Subject: - SPECIMEN OF NOTIFICATION / ORDERS OF RETIREMENT ON RETIRING

Notification / order No: _________ Dated: _________________

(18) Orderly Allowance (if any) Rs. __--__/.

Signature (by name) with stamp

Subject: - SPECIMEN OF NOTIFICATION / ORDERS OF RETIREMENT ON RETIRING

Notification / order No: _________ Dated: _________________

(2) Orderly Allowance (if any) Rs. __--__/.

Signature (by name) with stamp

Subject: - SPECIMEN OF NOTIFICATION / ORDERS OF RETIREMENT ON RETIRING

Notification / order No: _________ Dated: _________________

(26) Orderly Allowance (if any) Rs. __--__/.

Signature (by name) with stamp

Subject: - SPECIMEN OF NOTIFICATION / ORDERS OF RETIREMENT ON

Notification / order No: _________ Dated: _________________

(2) Orderly Allowance (if any) Rs. __--__/.

Signature (by name) with stamp

Subject: - SPECIMEN OF NOTIFICATION / ORDERS OF RETIREMENT ON

Notification / order No: _________ Dated: _________________

(2) Orderly Allowance (if any) Rs. __--__/.

Signature (by name) with stamp

Subject: - SPECIMEN OF NOTIFICATION / ORDERS OF RETIREMENT ON

Notification / order No: _________ Dated: _________________

(2) Orderly Allowance (if any) Rs. __--__/.

Signature (by name) with stamp

Subject: - SPECIMEN OF NOTIFICATION / ORDERS OF RETIREMENT ON RETIRING

Notification / order No: _________ Dated: _________________

(2) Orderly Allowance (if any) Rs. __--__/.

Signature (by name) with stamp

Subject: - SPECIMEN OF NOTIFICATION / ORDERS OF RETIREMENT ON RETIRING

Notification / order No: _________ Dated: _________________

Signature (by name) with stamp

Subject: - SPECIMEN OF NOTIFICATION / ORDERS OF RETIREMENT ON RETIRING

Notification / order No: _________ Dated: _________________

Notification / order No: _ Dated: _________

(1) Mr / Mst. ___________ Residing at

(1) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(4) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(8) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(18) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(2) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(26) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(2) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(2) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(2) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(2) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

Notification / order No: _ Dated: _________

(2) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(2) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(14) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(2) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(10) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(2) Orderly Allowance (if any) Rs. --/.

Left Hand 1 finger _ _____________________________

Notification / order No: _ Dated: _________

(18) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(2) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(2) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(2) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(2) Orderly Allowance (if any) Rs. --/.

Notification / order No: _ Dated: _________

(2) Orderly Allowance (if any) Rs. --/.