Govt Job pension Affidavit & Widow Pension Affidavit/Family pension affidavit format

 

AFFIDAVIT

I _____________ W/o Late. Sh. _________________________ R/o ___________________________________________________________________ do hereby solemnly affirm declare as under:-

1. That the deponent is permanent resident of above said addressed.
2. That My husband Retired from_________________________________ Department office Govt. ___________________________________________ Department my husband was expired on dated ________________________ and death certificate attached.
3. That My husband retired pension came in treasury Department, ________________________ vide PPO No.Pen No. __________________________________________________.
4. That My husband Late. __________________________ Pension was came in ________________________________________ Branch IFSC Code __________________________ Account No. ____________________________
5. That Now my husband Sh._______________________  had died on dated ________________________ and I want to take my family pension is place my husband .
6. That my account No. __________________________ in __________________________________and IFSC Code- ________________________

                                                                                                                  Deponent       

Verification:-

                  Verified that all the contents of the above said affidavit are true and correct to the best of my knowledge and belief

Deponent

Place: 

Dated: