Application For Allotment Of Permanent Retirement Account Number (Pran) Form Page 2

Download a blank fillable Application For Allotment Of Permanent Retirement Account Number (Pran) Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Application For Allotment Of Permanent Retirement Account Number (Pran) Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Annexure S1

Page 2

10. Email ID

11. Subscribers Bank Details: (Please refer instruction no. 4)

Savings A/c

Current A/c

Bank A/c Number

Bank Name

Bank Branch

Bank Address

Pin Code

Bank MICR Code

(Wherever applicable)

12. Value Added Services:

i) SMS Alert

Yes

ii) Email Alert:

Yes

I _____________________________________________________________ , the applicant, do hereby declare that

what is stated above is true to the best of my information & belief.

Date :

Signature/Left Thumb

D D

Impression of Subscriber

Section B - Subscribers Employment Details to be filled and attested by DDO

(All Details are Mandatory)

1. Date of Joining

2. Date of Retirement

3. PPAN

(Please refer to instructions No.5.)

4. Group of the Employee (Please Tick)

Group A

Group B

Group C

Group D

5. Office

6. Department

7. Ministry

8. DDO Registration Number

9. PAO/CDDO Registration Number

(Please refer to instructions No.6.)

10. Basic Salary

11. Pay Scale

Certified that the above declaration has been signed / thumb impressed before me by _______________________________________________________

after he / she has read the entries / entries have been read over to him / her by me and got confirmed by him / her. Also certified that the date of birth and employment

details is as per employee records available with the Department.

Rubber Stamp of the DDO

Signature of the Authorised Person

Designation of the Authorised Person : _________________________________

Name of the DDO ______________________

Date :

Department / Ministry _______________________