Application form download for Indira Gandhi Old Age Pension Scheme

qRRrae-r
ft:gw'
qTqqIqT qlNl-fl
sFirfue- ;q"iqftqrr
gR,
1.
2.
gc"q odvt-sf;l 3IMi,
wilT-q trqrqo
oil-d-q-6
r
o-r
-i*
FTc|qFF'
ltrer
sTrgw/$rq nrrc vlfqffil GrPrfl{I,
Tqr fr{lrr /w\ qrfu-or/nqr qRqg
A| \rl c'l | . . ... ... .
ftEq:-
t. gR-iTrffi q$u
Tflq-€rTtsrq tqqT.
2 vkiT ,Tr* RTSq frsfil tem qlq-rT
s. gkiT iltft qT{lq ft:fl.Ki qen q)-qqT
ql-ilq-f ol qtqli enrs @rlt-fi
ql*(o
[]
n
[]
t l
zhTGTrtil-q
Ord eliro
3il-f{fr tnr fifr\rf, enrdorirq;
1.3iltKrF 6-t qFi
z. ft-ot/qft qil qFr
s. wfr q-rf
n
+. eilA-q-fiet qq ftf$
r-T-l
s. 3il-ildiqd lnq-q3Trg
[_l
o. cilt-drfi d p
\-€-{fr qqa
fr-+rfl re]lq 'DTY$ q-dT
z, elrtro d q-dq-Ffffi1 {affi q?lwl qrn
e. oTi;.fi *1 derpro q).rmi (uf{ ot$ d, .n")
pc /Scherne
7-8-l2ilGNO/WiDPS-I 6-C4-I 3,l8
erEl$ qrrtrdrI croqwqo
g enileo d qR-qlqd vrqqd {reqif -qi arr=ror{}
lt.
qFI
slTq
{lalsT
q{{il-q
qTfus.
3il-q{ft
1
I
3
4
5
6
10.qirT3rril{tr a\ $ * rht{ qqFI q'rc d r-S t ...............
11. cFrrrGnlqf, o) qlcq ytI{FI GTetqfftt{ft Ten-fiq ri{eil t
...........................
q-{uI-q}EUrtg ot$
qrw E}{fr t ? qR ET-a\frtd.t eiq frrr1w d ......
TrRi,erqrq/ u< q61-{rdl
rz. qf,qrq { SRo-r or
-qrTrrq/qffff cilq
rg. 3il-f{dF oI q-ki lgfilT
silE-{fi/srdltrfw
sT qrri
ilo/*-re
3rTf$-flgffl tgrf,t qrqiff
-qil. qFI q q(l.l
lPggols
etrileo d rEanerq/eir[dT
ffi
16-04- 1319
pc lscheme7-8-I 2AGNO/W/DPS-
:: gTqoJIV:[ ::
q gqTer/4tl*q-fi
Frn{fi
q-$ rnri
rr$ ril.ildnrfrtt srq S ergwr ir$ t I qR o'w ftrcft qn-rffi Gr$rer
.rs tfr itqn qE .nqt-i si) {rRr ten .} w d mw of t, qe.Us-Sgr|{FrgRr
qt1fr qft \il. rro-fr t t
r+. riaq
flddq
o-t {*qqol
1.
z.
3.
4.
5.
Bil-nq-od rrnraq
I 64zt-13/10
pc /Scheme7-8-12/IGNO/W/DPS-
/ /vrutqn / /
e.rqfilq qltr< qqsaT"Fr{ ft-rgTqrrq qfuFl/
frmr..........
m-qt-fr
n{-q qRq_E
.........q.s.
frflzn
erTrFrd
frrqrwnr C,fu' gqrtrr*r7ffi
fuar/qA
ffi
TFrlqrpq.
rrilfi-aZtrorsr<s-s
qqcrq qqrerdTTrrqftrrr17q.rrqqrfuot/q,rq vRuq
fuirr
.rfte{oT
Eyrqq)smrd era-cqsr ch"f
tt are-fr-qi {qT * t
qftq"r sr{id frtq .nm"it't enfqo o1 qqn r+qf,lcrrfiEd ftr$ qri qrt
GT-JqlrHT
of qrfi B :1. gfu{T'rsft RTSqgqrr{efl1ftlErqilfr'srtrtqr-r d-sfl g fuiRn qra-m-d
qrq-qrs}qt Ttr Et-i d 6frq tffi df.{-ir fuT qfi qfi .rgeiw o1 qr-rft
Bt
2. gfutTql* qrq}q T€rq-retT/ftt]-.rTlfr:srqd
tqrq qtqqT q fufRn qr'-tn d
qrrq-di d {ffi =r 6ti d .nr-q.ienfq-{ qa frrqc fuq qd et 3rTsfsrq,t
qrftt I
rnra (qrq Tq uwm-r) :1.
2.
q-qlq{fl-q,/argErq
cFrrrqqqtqo/qq{ ft-qq7
qr r qTftr?D-r
/ ;l'Tt vRvq iillT GTB+-o
GrBqtffi
pc /Scheme7-8-12/IGNO/W/DPS|6-04 t3I|1