उत्तर प्रदेष पावर कारपोरेषन लि0 पेन्षन प्रपत्र ( भाग-1) पेन्षन/सेवानिवृत्त ग्रेच्युटी/राषिकरण के लिए प्रार्थना पत्र

Uttar Pradesh Power Corporation Limited Pension Form (Part-1) Application for Pension / Retired Gratuity / Ration, 

¼ 1 ½

mRrj izns’k ikoj dkjiksjs’ku fy0

isU’ku izi= ¼ Hkkx&1½

    isU’ku@lsokfuo`Rr xzsP;qVh@jkf’kdj.k ds fy, izkFkZuk i=          

lsok esa]

      izcU/k funs’kd

      e0fo0fo0fu0fy0                  

      4&,] xks[kys ekxZ y[kuÅA                  ¼dk;kZy;k/;{k dk inuke rFkk irk½

     

egksn;]

    esjk fooj.k fuEuor~ gSA  eq>s isU’ku] lsokfuo`Rr xzsP;qVh rFkk isU’ku dk jkf’kdj.k Lohd`r djus dh d`ik djsa %& 

 

                                                          vfHkKku la0

   

                                                          lEizs{kk la0      

1	Ukke
2	firk @ifr dk uke
3	Lksokfuo`fRr ds i’pkr~ dk irk       ¼d½ LFkk;h fuokl LFkku ¼[k½ i= O;ogkj dk irk
4	tUe frfFk
5	lsok izkjEHk djus dh frfFk
6	lsok fuo`fRr dh frfFk
7	vfUre in] tgkW ls lsok fuo`Rr gq,] dk inuke   rFkk dk;kZy; dk uke ,oa irkA
8	e`R;q gksus dh n’kk esa ukfeuh dk uke ,oa irk ftls thou dkyhu vo’ks”k dk Hkqxrku fd;k tk,A
9	isU’ku dk Hkkx ;k isU’ku dh /kujkf’k ftldk jkf’kdj.k visf{kr gSA
10	Hkqxrku fdl [k.M ls vkgfjr     djuk pkgrs gSa A

                                                 

                                                      ¼2½

11& ifjokj dk fooj.k %&

dze la0	ifjokj ds lnL;ksa ds uke	tUefrfFk	lsok fuo~rd  lsod ls laca/k	fookfgr@ vfookfgr	irk
1	2	3	4	5	6
1&
2&
3&
4&
5&

      

                                                                                            Hkonh;

fnukad %

                                                                                   ¼dkjiksjs’ku lsod ds gLrk{kj ½

?kks”k.kk

eSa ,rn~ }kjk ?kks”k.kk djrk gWw fd esjs }kjk izLrqr fd;k x;k mi;qZDr fooj.k lgh gSA eq>s fu;ekuqlkj isU’ku@lsok&vkuqrksf”kd] lsokfuo`fRr xzsP;qVh rFkk isU’ku dk jkf’kdj.k Lohd`r dj fn;k tk;sA  eS Hkyh HkkWfr voxr gWw fd ;fn eq>s vuqeU; /kujkf’k;kW Hkfo”; esa vf/kd ik;h tk;sxh rks eq>s vf/kd izkIr /kujkf’k;kW okil djuh gksaxhA  eSa opu nsrk gWw fd eq>s mijksDrkuqlkj vkxf.kr okLrfod /kujkf’k dh Lohd`fr ds mijkUr mijksDrkuqlkj Lohd`r /kujkf’k ds iqujhf{kr fd;s tkus esa dksbZ vkifRr ugha gksxh vkSj eSa vf/kd izkIr /kujkf’k dks rRdky dkjiksjs’ku dks okil dj nwWxkA

nks lk{kh ftudh  mifLFkfr esa gLrk{kj                                             ¼ dkjiksjs’ku lsod ds gLrk{kj ½

fd;s x;s ¼ ;FkklEHko mlh dk;kZy; ds lnL;

gksus pkfg;s tgkW ls lsokfuo~`r gq, ½

1&                    

     inuke %& ---------------------------------------------------------------------------                                                           

irk %& -----------------------------------------------------------------------------------

          

2&      

     inuke %& ---------------------------------------------------------------------------                                                           

     irk %& -----------------------------------------------------------------------------------

          

    fnukad % ----------------------------------

                                                            dk;kZy;k/;{k ds gLrk{kj rFkk inuke

                                  fnukad