pcdapension.nic.inpcdapension.nic.in/pcdapension/6cpc/Circular-529.pdf · CAGE - II : Details...
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Transcript of pcdapension.nic.inpcdapension.nic.in/pcdapension/6cpc/Circular-529.pdf · CAGE - II : Details...
CAGE - II : Details Information for Broad Banding Revision
CAGE - III : PDA Details (To be filled)
Percentage of Disability Drawn as on or after 01-01-1996
Invalided out from service whose Disability Pension / Disability element PPO has been notified
Original (Service/Disability)Pension PPO No. (”S ro D”)
Regt. Number
Rank Last
From To % of Disability
Assessed percentage (%)
Amount of DE ( ) Revised Disability( )
Group Clause of Discharge
R.O. Code
DE - PPO No. if any
A.
C.
1. 2. 4.
16. 17.
20.
18.
21.
19.
7.
9.
10.
11.
(a)
9A.
(b)
(d)
( )c
(e)
8.
5. 6.
3.
D.
B. D E
F. Latest Corr. Dis. Pen. PPO No. (”D Corr” or “DE Corr or “DRA”)
G. Whether the individual’s disability has been rounded off w.e.f. 01-07-2009 (Y/N)
12. PDA Code 13. DPDO Code 14. PDA State Code 15. Bank/Sub Treasury Code
E. Pensioner’s Name
Date of
BSR Code Link Bank
Bank Branch
In case of death of individual Date of Death
Bank Account No.
PDA Station
BSR Code Paying Branch
Existing Service Element Existing Disability Element
Date of Invalided out/Deemed invalided out
Date from which Disability/ War Injury has been assessed for life
Enrollment
Link Bank Address
drawn as on 01-01-1996 drawn as on 01-01-1996
Invalidment
BASIC PARTICULARS
LPC-CUM-Data Sheet for Grant of Disability Pension (PBOR-ARMY)
BROAD BANDING PCDA(P) ALLAHABAD PHP-001/2014
Prior to 1-1-1996LPC-CUM-Data Sheet for Revision of Disability Awards Who were medically Invalided out / Deemed to be
Aud/Sr.Audtr Aud/Sr.AudtrAAO
PAO
AAOAO/Sr.AO AO/Sr.AO
Record Office
No.
Date
R.O. Pr.CDA (P)
CHECKED/APPROVEDAFFIX LPC SEAL HERE
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