Standard Notice Of Retirement Form Page 2

Certification by PFA:

PFA Code:

____________________

Authorised Signatory

Official Stamp

:______________________________________

: ____________________

:____________

Name

Designation

Date

DOCUMENTS TO BE ATTACHED:

(i)

Official Notice of employment from employer.

(ii)

Last pay-slip.

(iii)

Any other evidence of total annual remuneration (specify).

(iv)

CTC of Retirement Bond Certificate (for employees in public sector).

(v)

Medical Certificates (where retirement/exit is on medical grounds).

(vi)

Letter of notification of retirement by employer authenticating medical certificate. (Where

retirement/exit is on medical grounds).

(vii)

Letter confirming that temporary exit is in accordance with terms of employment.

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