18 CORR PPO NOs (ATTACH COPY OF ALL CORR PPOs IF AVAILABLE) 1) 08/14/B/CORR/61398/2010

2) 08/14/B/CORR/77308/2012

19 DISABILITY PPO NO ( IF GRANTED N/A

SEPARATELY) ATTACH COPY IF AVAILABLE

20 LATEST CORR PPO NO OF DESABILITY IF ANY ( ATTACH COPY IF N/A

AVAILABLE )

21 WAR INJURY ELEMENT % (IF ANY) N/A

22 DISABILITY ELEMENT % (IF ANY) N/A

23 SERVICE ELEMENT AS ON 31.DEC.15

24 DISABILITY ELEMENT AS ON 31.DEC.15 N/A

25 LFP/SFP/OFP GRANTED (IN CASE OF FAMILY PENSIONER) N/A

26 WAR INJURY ELEMENT AS ON 31.DEC.15 (IF ANY) N/A

27 FAMILY PENSION SHARE % ( IN CASE OF DIVISION OF FAMILY N/A

PENSION % SHARE )
28 WHETHER PENSION NOTIFIED AS PER COURT ORDER (YES/NO) N/A
IF YES MENTION PPO NO ISSUED AFTER SATISFACTION OF
COURT ORDER

29 NAME OF SPOUSE/FAMILY PENSIONER RENU KUMARI MISHRA

a) DATE OF BIRTH a) 09/10/1965

b) PAN NO (Spouse) b) CNWPK3868B

c) AADHAR NO c) 411554176776

d) MOB NO d) 9939173575

e) e-MAIL ID e) kkmcbi@gmail.com

Date: 01/11/2017 Signature of Pensioner