APPLICATION FORM FOR GOVERNMENT INCENTIVE TO PARENTS WHO SEND THEIR ONLY SON / SONS / DAUGHTER FOR SERVICE IN ARMED FORCES. 1 Name of applicant 2 Home address 3 Name of only son / sons / daughter 4 If Father or Mother had died, date of death (Enclose death certificate) 5 Military address where only son / sons / daughter is serving 6 Service Particulars 1. Regtl. No. 2 Rank 3 Unit 4. Date of Recruitment 5. Address at the time of enrolment I certify that the particulars given above are true. If any of the particulars is proved to be wrong, I undertake to refund the incentive granted to be for sending my only son / daughter to Armed Forces. Enclosures : 1. Attested Xerox copy of Discharge Certificate. OR Certificate of the Commanding Officer of the Unit as applicable. 2. Tahsildar Certificate 3. Declaration. Place: Signature of the Applicant Date: In front of me Signature of a Gazetted Officer. Office Seal: Name: Designation: :2: CERTIFICATE OF THE TAHSILDAR TO GET WAR SERVICE INCENTIVE TO THE PARENTS WHO SEND THEIR ONLY SON /SONS TO ARMED FORCES Under G.O.Ms.No.805 Public (Military) Department, dated 13.8.1981) CERTIFICATE Thiru / Tmt is residing at Door No. Street Villlage/Town/City of Taluk District DETAILS OF SON / SONS / DAUGHTERS S.No. Name of the dependant Relationship Occupation :3: DECLARATION I Thiru / Tmt Son of residing at Door No Street Village / Town / City of Taluk of District hereby declare that the following are the details of children S.No. Name of the dependant Relationship Occupation I declare that the information furnished are correct. Place : Signature of the Applicant Date: Witnesses 1. 2. FORM OF CERTIFICATE TO BE ISSUED BY THE OFFICER COMMANDING OF THE UNIT CONCERNED UNDER HIS OFFICIAL SEAL / STAMP FOR AWARD OF WAR SERVICE INCENTIVE TO THE PARENTS OF SERVING PERSONNEL. 1 Name 2 Regimental Number 3 Rank 4 Unit in which serving 5 Date of enrolment 6 Parents name and address COMMANDING OFFICER Station : Date:
