VERIFICATION OF DATA SHEET
Date : 07 Dec 2022 [Link] PM
PERSONAL DETAILS
First Name R Middle Name - Last Name SASI
Date of Birth 16/10/1949 Nationality Others Aadhaar Number XXXXXXXX8733
PAN XXXXXX911E Email ID [Link]@[Link] Gender Male
Address Line 1 KATTIL HOUSE
Address Line 2 KANDALLOOR P.O.
Pin Code 690535 Country - State -
District - Mobile Number 8281292559 Marital Status Married
Residing in CGHS covered - Fixed Medical Allowance Yes
area
SPOUSE DETAILS
First Name ED Middle Name - Last Name PRABHA
Spouse Alive Yes
Marital Status Married Date of Birth 01/01/1962 Nationality Others
Aadhaar Number XXXXXXXX9374 PAN - Email ID [Link]@[Link]
Mobile Number 8281292559 Eligible for Family Pension Yes
BANK DETAILS
Account Number 30369615151 IFSC Code of Paying Branch SBIN0005626
IFSC Code of Paying Branch STATE BANK OF INDIA Branch KAYAMKULAM
Declarations Undertaken during PDV
Undertaking of Refund of Excess Payment
I, the undersigned, agree and undertake to refund or make good any amount to which I am not entitled or any amount which may
be credited to my account in excess of the amount to which I am or would be entitled. I further hereby undertake and agree to bind
myself and my heirs, successors, executors and administrators to indemnify the PCDA(Pensions) Allahabad from and against any
loss, suffered or incurred by the PCDA(Pensions) Allahabad in so crediting my pension to my account under the scheme and to
forthwith pay the same to the PCDA(Pensions) Allahabad and also irrevocably authorize the PCDA(Pensions) Allahabad to recover
the amount due by by making recoveries from future pension payments in terms of existing instructions issued by RBI and
PCDA(Pensions) Allahabad regarding recovery of overpayment of pension.
Consent for use of Aadhaar to avail pensionary benefits through SPARSH
I, the holder of Aadhaar number XXXXXXXX8733,hereby give my consent to PCDA(Pensions) Allahabad to use my Aadhaar
Number and Fingerprint/Iris/OTP for annual identification and generation of Digital Life Certificate(DLC).
I also give my consent for sharing my Aadhaar number and my DLC for e-KYC and authentication from UIDAI through
Meity/NIC/NPCI/other ASA.
PCDA(Pensions) Allahabad has informed me on behalf of Meity/NIC/NPCI/other ASA that during authentication,
Meity/NIC/NPCI/other ASA shall submit my information to UIDAI and that my core biometrics (Fingerprint and/or Iris scans will not
be stored/shared).
I have also been informed that the information submitted to PCDA(Pensions) Allahabad shall not be used for any purpose other
than that mentioned above or as per any requirement of law.
Consent for receiving notification on mobile number and email id
I hereby give my consent to receive regular notifications on the mobile number and email id mentioned in my Personal details.
Acceptance Declaration
I hereby confirm that I have verified my details available in the audited pension claim and found those correct, exc
