PENSION LETTER | PENSION FORM | PENSION FORMAT | PENSION AFFIDAVIT | PENSION FORM DOWNLOAD | WIDOW PENSION FORM | PENSION LETTER | PENSION LETTER SAMPLE| PENSION FORM A
I, __________ , aged __years, W/o _____, residing at ____________ do solemnly affirm and declare as follows:-
- That I am the Wife of late__________ , who died on _____ .
- That Mrs. _________ , the 1st wife of Mr. _________ was died on ______ at _______.
- That I am the 2nd wife of the above said late __________ . My marriage with Mr. __________ was solemnized at my residence on _________ by the Khatheeb of Puthur Mahallu juma Masjid and the marriage is legally valid .
- I have not re- married to any body after the death of Mr. __________. So I am the only rightful claimant for the family pension relating to the deceased.
- I am not in receipt of any service / family pension.
- I was the dependant of the above said Mr. ________ and I am not having any income as my own .
- I agree to refund any excess payment of pension and allowances if noticed in audit during subsequent of the claim.
- I understand that in the event of the facts stated above are being found to be false or stated not in good faith, I will be liable for penal action besides the liability to make good the amount irregularly received by me .
The facts stated above are true and correct to the best of my knowledge and belief
Dated this the __th day of _______
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