RESTRICTED
Appx `A’ to AO 01/2017/MP
(Ref Para 4 of AO 01/2017/MP)
APPLICATION FOR ISSUE OF INDIAN VETERAN CARD
1. Personal/IC No & Rank : Passport
size photo
2. Name in Full (in block capital) :
in Uniforms
3. Permanent Home Address :
4. Date of Birth :
Passport
5. Date of Commission/Enrolment : size photo
in Civvies
6. Date of Retirement :
7. Unit/Arm of Service :
8. Gallantry Awarded (if any) :
9. Aadhar No :
10. Pensioner ID No (15 digits) :
(attach copy of PPO)
11. Details of DD :
Dated : (Signature of the Applicant (Inside the Box)
COUNTERSIGNED
1. It is certified that IC Rank Name
is entitled for IAVC under the provision of AO 01/2017/MP.
2. Certified that IC Rank Name
has not been terminated under provision of AA Section 18 as also the officer has not
been released/retired on ground of security/moral turpitude. Ref Para 6 of AO
01/2017/MP.
Station :
Dated : (Signature of Col Veteran)
RESTRICTED
ACK OF OFFICER IDENTITY CARD FORM
It is hereby ack that IC Rank Name (Full)
has submitted the appln for issue of Indian Army Veteran Card (IAVC) as per
Appx A to AO 01/2017/MP on . This appln ref No is .
The Offr will be intimated on this Mob No on receipt of IAVC.
Station :
Dated :
ACK OF OFFICER IDENTITY CARD FORM
It is hereby ack that IC Rank Name (Full)
has submitted the appln for issue of Indian Army Veteran Card (IAVC) as per
Appx A to AO 01/2017/MP on . This appln ref No is .
The Offr will be intimated on this Mob No on receipt of IAVC.
Station :
Dated :
DOCUS REQD WITH IAVC APPLICATION FORM
Ser Documents Reqd for IAVC No of copies reqd
No
1. Application Forms To be submitted in
Duplicate.
2. Photocopy of PPO 2 Copies
3. Photocopy of ADHAR Card 2 Copies
4. Old Iden Card for verification -
5. The charges of IAVC is Rs 200/- (Rupees Two
Hundred Only) in favour of “Micro System
Products” and the mode of paymentare as
under :-
(a) NEFT in A/c No 607630110000017 Transaction slips reqd
IAFC - BKID0006076 to be att with
MICR - 110013118 application form in
Bank of India, Jwalaheri, Paschim case of NEFT.
Vihar, Delhi . or
(b) Demand Draft (Payable at Delhi) or
(c) Multi City Cheque
6. Photos (To be affixed in application forms) 2 x Uniforms
2 x Civvies
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