Punjab national bank life certificate 2023

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
Designation Manager
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.

b) Honorarium

Further, that the orders of my re-employment do/do not stipulate for my pension to be held in abeyance during the
re-employment period.

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 : __________________________________
Date______________________
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 : __________
Date: 13/11/2021

Name : Vineet thakur
PPO NO. :________________
ACKNOWLEDGEMENT
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 2023 here

You can also check :

PNB bank mobile banking app.

PNB bank ATM pin generation

PNB bank official website