DIST TREASURY, THIRUVARUR
COMPUTER SHEET PENSIONER DATA BASE
( To be furnished by the pension by the pension disbursing officer and enclosed to the
claim forwarding letter)
1. Pensioner name:
(In capital for issue of cheque)
2. Address for communication:
3. Pension Pay Order No:
[Link] of Retirement:
[Link] of Pension.
6. Detials of post held at the time of retirement:
Post held :
Office served:
7. Gross Amount Claimed in this application: Rs:
8. Hospital
9. Treatment / Surgery:
10. Period of Treatment:
[Link] officer
Thiruvarur