Appendix 'F' APPLICATION FOR ISSUE OF IDENTITY CARD FOR WIDOWS/ WAR WIDOWS OF EX-SERVICEMEN Name of applicant ___________________________________________ Photo Date of birth/Age ___________________________________________ Address ___________________________________________________ Tehsil or Police Station ______________________ Tel___________________________ Wife of Late _____________________________________________________________ : Service Particulars of husband No. __________________________ Rank_____________________________ Date of Birth __________________________ Date of Enrolment _________________ Date of Death __________________________ Discharge Book No ________________ PPO No & date_________________________ Death Details of husband : War/Operation in which died _______________________________________________ Attributable _____________________________________________________________ Non-Attributable _________________________________________________________ After Retirement _________________________________________________________ Pension received Ordinary Rs _________________Special Rs ____________________ Liberalized special family pension Rs. _______________________ Identification Mark _______________________________________________________ Left Thumb Impression ____________________________________________________ DECLARATION I hereby declare that the particulars given above are true to the best of my knowledge and belief Date: __________________________ Place __________________________ (Signature of applicant)
