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Nomination for Tamil Nadu Government Pensioners Family Security Fund Scheme
1. Name and address of Nominee: 2. Relationship with Pensioners : . Dated this __________ day of _______________________________________
Signature of Pensioner P.P.O. No. Witness to Signature 1. 2.
Name and Branch of the Bank through which Pension is drwn(pilot Scheme
Name and Branch of the Bank through which Pension is drawn (Public Sector Bank Scheme)
Pensioners address :
Signature
of the Countersigning Authority |
