APPLICATION FOR EX-GRATIA GRANT FROM THE AMALGAMATED FUND FOR KILLED IN ACTION 1. Regimental No. Rank: Name: 2. Unit : 3. Authority for casuality of death : 4. Is it a Battle Casualty as per SAO 8/S/85. : 5. Name of wife / Next -of-Kin (with relationship) : 6. Date of birth of wife / Next -of-Kin with age : 7. Permanent Address : 8. Details of dependents: Name Age Sex Relationsh ip Occupa tion Details of School/College being attended (if attending) Whether in receipt of any scholarship Enclosed 1. Nativity Certificate. 2. Certificate from the concerned Record Office, Service Headquarters declaring death as "Battle Casualty" as per Special Army Order 8/S/85. 3. Copy of Service Particulars. 4. Authority for Next-of-Kin such as certificate from the Service Headquarters / Record Office or Legal Heir Certificate from the Tahsildar. 5. Three passport size photographs. SIGNATURE OF WIDOW / NOK /Attested by/ SECRETARY, DISTRICT SOLDIERS' SAILORS' AND AIRMEN'S BOARD
