Non-Re-Marriage / Non-Marriage Certificate

(Govt.Lr.No.45061/Pension/2001-1,dated 29.6.2001)

I hereby declare that I have not re-married and that I have not been re-married during the past years.

OR

 I hereby declare that I have not married and I undertake to report such an event promptly to the Treasury /Bank.

                (Applicable only for widow/widower recipient of family pension)

             I certify to the best of my knowledge and belief that the above declaration is correct.

 Place:                                                            Signature of Officer *

 Date:

                                                                       Name :

                                                                       Designation:

* (Note: The Certificate  may be obtained from Revenue Inspector, Deputy Tahsildar, Tahsildar, Gazetted Officers of State and Central Government, Bank Managers of the Banks where the pension is drawn Pilot Scheme)

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