Documents to be attached with Pension Case

For Superannuation/Retiring Case

  • Form PEN I, duly filled and signed/countersigned by the Pention Sanctioning Authority (in duplicate where payment is desired in other Account Circle).
  • Form PEN –15 –Application of retiree for pension.
  • Form PEN 15A Forwarding letter to the office of A.G (A&E).
  • Form PEN 14\PEN 12-Appalication for commutation of pension, if applied for. Form PEN 12 should accompany with Medical Certificate.
  • Certificate of No inquiry/departmental proceeding pending against the retiring Govt. servant.
  • Last Pay Certificate.
  • Consolidated No Dues Certificate.
  • Declaration under rule 9.15.
  • History Sheet.
  • Calculation Sheet.
  • Description Roll, Signatures/Finger Prints.
  • Three copies of joint photographs duly attested by Pension Sanctioning Authority.
  • Service Book.
  • In case of Pre-mature retirement, attested copy of the notice and office order.
  • In case of invalid pension, Medical certificate of Civil Surgeon/Medical Board and copy of retirement orders.
  • In case Military Service, copy of the Discharge Certificate of Defence authorities.
  • No Anticipatory/provisional Pension Payment certificate.
  • Copy of nomination, if any.

For Death During Service Case

  • Form PEN 16(a)- Application for Family Pension.
  • Form PEN, 16(b)-Application for Death Gratuity.
  • Form PEN 17-Sanction of Family Pension.
  • Death Certificate.
  • Affidavit of widow/widower as to legally wedded wife/husband, not remarried, duly attested by first class Magistrate.
  • Last Pay Certificate.
  • Consolidated N.D.C.
  • Declaration under rule 9.15.
  • History Sheet.
  • Calculation Sheet.
  • Description Roll, Signatures/finger prints.
  • Three copies of latest photographs, duly attested by Pension Sanctioning Authority.
  • Service Book.
  • In case of Missing Govt. servant, copy of F.I.R , Police Report and Indemnity Bond.
  • In case of Family Pension payable to parents, Certificate of wholly dependent (including income certificate issued by the Deputy Commissioner concerned).
  • If family pension is payable to minors, certificate of legal guardianship issued by the court where natural guardian (father/mother) does not exist.
  • No departmental/legal proceedings, pending against the deceased Govt. servant.
  • Copy of nomination with reference to death gratuity, if any.