APPLICATION FOR EX-GRATIA GRANT FROM THE GOVERNMENT OF TAMIL NADU FOR KILLED / DISABLED IN ACTION Identity Card No. NR. No. 01. Regtl.No. Rank: Name: 02. Unit : 03. Authority for casualty of death : 04. Name of operation : 05. Whether attributable to Military Service as per SAO/8/S/85 : 06. Name of wife / NOK (with relationship) : 07. Date of birth of wife / NOK with age : 08. Whether received ex-gratia grant sanctioned by other States. If so details. : 09. a. Permanent Address : b. Address at the time of joining service : c. Present address : 10. Language known with standard of proficiency : Enclosed: 01. Nativity Certificate 02 Copy of the Unit Part II order 03. Certificate from the concerned Record Office declaring death / disability as "Battle Casualty" as per Special Army Order 8/S/85. 03. Copy of Medical Board Proceedings with percentage of disability OR Death Certificate in respect of personnel killed. 04. Copy of Discharge Certificate in case of ex-Servicemen OR Service particulars in case of widows. 05. No Objection Certificate from other dependents to sanction Ex-gratia grant to the Next-of-Kin other than wife. 06. Authority for Next-of-Kin such as certificate from Army/Navy/Airforce Headquarters/ Record Office or Legal Heir Certificate from the Tahsildar. SIGNATURE OF WIDOW / DEPENDENTS / DISABLED /Attested by / SECRETARY, DISTRICT SOLDIERS' SAILORS' AND AIRMEN'S BOARD.
