(5) उत्तर प्रदेष पावर कारपोरेषन लि0 पेन्षन प्रपत्र ( भाग-3)(पेन्षन/पारिवारिक पेन्षन स्वीकृति हेतु प्रपत्र) प्रार्थी का विवरण

¼5½

mRrj izns’k ikoj dkjiksjs’ku fy0

isU’ku izi= ¼ Hkkx&3½

¼isU’ku@ikfjokfjd isU’ku Lohd`fr gsrq izi=½

izkFkhZ dk fooj.k

1	dkjiksjs’ku lsod dk uke % in uke rFkk dk;kZy; dk uke %
2	dkjiksjs’ku lsod dh e`R;q dh n’kk esa ikfjokfjd isU’ku@e`R;q xzsP;qVh gsrq ykHkkFkhZ dk uke rFkk lsod ls lEcU/k

   3-  uewus ds gLrk{kj %

       ¼d½  dkjiksjs’ku lsod ds ¼ mlds thfor jgus ij djok;s tk;sxsa ½ 

                                                                             1& 

                                                                2&     

                                                                3&

¼[k½  dkjiksjs’ku lsod dh iRuh ;k vU;                      1&

             ykHkkFkhZ ds ¼mlds thfor jgus vFkok e`R;q                2&

             gksus nksuksa n’kkvksa esa djok;s tk;sxsa ½                     3&

    4-   ;fn dkjiksjs’ku lsod ;k mldh iRuh @ ifr vFkok                  

        vU; izkFkhZ vaxzsth] fgUnh vFkok mnwZ esa gLrk{kj

        djus esa vleFkZ gS rks nk;sa vFkok ck;s vaxwBs ,oa

        vaxqfy;ksa ds fu’kku

¼d½ dkjiksjs’ku lsod ds                                           ykxw ugha

¼[k½ iRuh @ ifr ;k vU; izkFkhZ ds                                  ykxw ugha

    5-   oS;fDrd igpku

        ¼d½  dkjiksjs’ku lsod ds igpku fpUg @ÅWpkbZ%&          

                ¼[k½  ikfjokfjd isU’ku ds igpku fpUg ,oa ÅWpkbZ%&         

    

QksVksxzkQ

    6-   dkjiksjs’ku lsod dh iRuh @ ifr ds lkFk ikliksVZ

        vkdkj esa la;qDr QksVksA dkjiksjs’ku lsod dh e`R;q dh n’kk

        esa izkFkhZ dk ikliksVZ vkdkj esa viuk QksVks ¼QksVks dh                         

        rhu izfr;kW nh tk;saxh ftuesa ls nks vyx&vyx izi=ksa

        ij fpidkbZ tk;saxh rFkk ,d izfr ,d NksVs fyQkQs esa

        isU’ku izi= ds lkFk vyx ls yxk nh tk;sxh A

                                                                             

lR;kfir

       dk;kZy;k/;{k ds gLrk{kj rFkk uke                                       ---------------------------------------------------------------------

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

¼6½

mRrj izns’k ikoj dkjiksjs’ku fy0

isU’ku izi= ¼ Hkkx&4½

lsok dk bfrgkl] vodk’k ,oa fooj.k

        dkjiksjs’ku lsod dk uke o in %&                                                       tUe frfFk&

dzekad	Dkk;kZy; dk uke tgkW dk;Z fd;k	in dk uke	dc ls dc rd ¼dsoy fnukad ½ fn;s tk,A	vodk’k vlk/kkj.k vodk’k] fuyEcu izksUufr] inoufr] izfrfu;qfDr] O;o/kku dh vof/k ¼dkj.k lfgr ½ o LoHkko bafxr fd;k tk;sA	dc ls dc rd	;fn dksbZ vof/k isU’ku;qDr ugha gS rks dkj.k lfgr mldk fooj.k fn;k tk;sA
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                                                                          dk;kZy;k/;{k ds gLrk{kj ,oa irk %

                                                                               ------------------------------------------------ 

                                                                               ------------------------------------------------ 

                                                       fnukd % ---------------------------------------------------------------

(5) Uttar Pradesh Power Corporation Limited Pension Form (Part-3) (Form for Pension / Family Pension Approval) Details of the applicant,