You can submit Punjab national bank life certificate 2021 through online and offline mode. There are various online means through which you can submit your PNB life certificate without visiting branch but most convenient way to submit PNB bank life certificate is offline mode. You can download Punjab national bank life certificate 2021 from below link and you can also check sample form for reference.
Punjab national bank life certificate 2021
Go to bottom of the page to find download link
CERTIFICATES TO BE SUBMITTED BY PENSIONER ( PNB life certificate )
(A) LIFE CERTIFICATE BY AUTHORIZED OFFICER
Certified that I have seen the pensioner __Vineet thakur_ (Name of the Pensioner), the holder of the Pension
Payment Order No. XYX1234 and that he/she is alive on this date. His/her Saving A/c No. is 123456789123
Specimen Signature of Pensioner : ______________________
DETAILS TO BE SUBMITTED BY THE PENSIONER for PNB life certificate
Aadhaar Number (with copy of Aadhaar Card) :1234 5678 9874
Mobile Number : 1234567980
E-mail ID : PNbbank@gmail.com
Date of Birth (Attach copy of proof if details not on PPO) : 26/05/1960
Present Postal Address : Chandigarh
Signature of Authorized Officer______________________
Name Amit kumar
For Punjab National Bank
PNB- 1237 (356) MPP 2016.
(B) CERTIFICATE OF NON-EMPLOYMENT/RE-EMPLOYMENT
I declare that I have not been serving in any capacity either in a Govt. Deptt. / Office / Company, Corporation, Autonomous
Body or Society of Central or State Govt. or Union Territory or a Local Fund during the year ended October, 20__________
I declare that I have been employed/re-employed in the office of _______________ which is a part of/
financed by ____ govt. and was in receipt of following monthly rates of emoluments during the period ended
October 20 _ or / during the months of _ falling within the said year.
a) Pay ________ Special pay ________ Allowance_______________including DA , ADA etc.
Further, that the orders of my re-employment do/do not stipulate for my pension to be held in abeyance during the
ii) I declare that I have not accepted any commercial employment in India.
I declare that I have accepted commercial employment in India after obtaining previous sanction of the Central Govt. and
none of the conditions, if any, attached thereto by Govt. has been violated.
Note : This declaration is required to be given for a period of two years from the date of retirement
iii) I declare that I have accepted employment under a Govt. outside India/an International Organisation of which Govt. of
India is not a member.
I declare that I have accepted employment under a Govt. outside India/an International Organisation of which Govt. of India
is not a member after obtaining the previous sanction of the Central Govt. and none of the conditions attached thereto by
the Govt. has been deviated from.
Signature : __________________________________
Name of the Pensioner : _____________________________
PPO NO. :_______________________________
Certificates at (ii) and (iii) are to be furnished only by retired Group “A” Officers
(C) CERTIFICATE OF RE-MARRIAGE/NON-MARRIAGE ( for family pensioner only )
Self Certification by widow family pensioner (to be furnished) at the time of start of family pension, (only once) :-
I hereby declare that I have not remarried and I undertake to report such any event promptly to the Bank .
Self Certification by widower family pensioner, (to be furnished, every six months in May & November) :-
I hereby declare that I have not got remarried during the last six months
Self Certification by un-married/widowed/divorced daughter (to be furnished, once in a year in November) :-
I hereby declare that I am not married/have not got re-married during the last one year
Place : Chandigarh
Signature of Family Pensioner : __________
Name : Vineet thakur
PPO NO. :________________
IT IS CONFIRMED THAT MR./ MS. __Vineet thakur_____HAS SUBMITTED HIS/ HER LIFE CERTIFICATE FOR THE YEAR ______________.
Date____________ Signature of the Authorized Officer
Download Punjab national bank life certificate form 2021 here
You can also check :
PNB bank official website