APPLICATION FOR ISSUE OF IDENTITY CARD FOR WIDOWS / WAR WIDOWS OF EX-SERVICEMEN 1. Name of the applicant: Stamp Size Photograph 2. Date of Birth / Age: 3. Address Tehsil or Police Station Tele 4. Wife of late 5. Service particulars of husband: a) No. b) Rank c) Date of Birth d) Date of Enrolment e) Date of death f) Discharge Book No. & Date g) PPO No. & Date 6. Death details of husband: War / Operation in which died Attributable Non Attributable After Retirement 7. Pension received Ordinary Family Pension Rs. Special Family Pension Rs. Liberalised Special Family Pension Rs. 8. Identification Mark: 9. 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 the Applicant
