OFFICE ZILA SAINIK KALYAN EVAM PUNARVAS
MUZAFFARNAGAR
U.P. State Plains for Ex-Servicemen/Widows/Dependents
Major Sanjay Srivastava, Retd.
Zila Sainik Kalyan Evam Punarvas Adhikari, Muzaffarnagar
Office Tel. No. 0131-2437623 Mob. No. 09818195230
Name of Head Office Directorate, Sainik Kalyan Evam Punarvas, U.P.
Kariappa Bhawan, Kaiser Bagh, Lucknow
Head Office Tel. No. 0522-2625354, 2623909 Fax No. - 0502-2625354
1. Pension to World War II (Period of August 1939 to 1945) Ex-Servicemen/ Widows Rs. 2500/- per month.
2. Pension to Kargil War (Op. Vijay) Widows Rs. 5000/- per month and mother father Rs. 2500/- per month.
3. Scholarship
1. General Education Class 9th to M.Sc. Rs. 400/- to 800/- (Class 9th to 10th 48% marks compulsory & 11th to above 50% marks compulsory)
2. Technical Education Rs. 600/- to Rs. 5000/- (50% marks compulsory)
4. Daughter marriage Grants only for Widows
Two daughter marriage Grants only for Widows Rs. 10000/- per daughter (Compulsary age 18 years for daughter and her husband age 21 years)
5. Self Employment of Ex-Servicemen for Subsidy
Loan are given Ex-serficemen/officers from National Bank, Cooperative Bank and other Govt. Institute
1- Project Cost Rs. 10000/- Subsidy 15%.
2- Project Cost 10000/- to 100000/- Subsidy 10% minimum Rs. 1500/-.
6. Demise Grants for Widows
Financial assistance of Demise Grants Rs. 3000/- for widows.
7. Re-Employment of Ex-Servicemen, widows & dependents in Govt./Semi-Govt. Institute.
8. 7% Reservation of Medical College & Engineering Colleges for admission of Ex-Servicemen's Dependents.
9. Financial Assistance Rs. 1000/- through DD-40 form of Ex-servicemen & widows.
In lieu of DD-40 (Rev)
APPLICATION FOR GRANTS FROM WELFARE FUNDS
ADJUTANT GENERAL'S BRANCH
Pat-I Particulars of the applicant/service/ex-servicemen
(a) Name of the applicant.................................................age.......................yrs......................
(b) permanent address (c) Present address
________________________ _______________________
________________________ _______________________
________________________ _______________________
________________________ _______________________
2. Details of the serviceman/ex-serviceman
(a) No.....................Rank.....................Name............................................Unit.................
(b) Relationship with applicant.....................................................Corps..........................
(c) Date of commission/enrolment..................................................................................
(d) Date of retirement/discharge........................................Total service..........................
(e) Cause of discharge.......................................................................................................
(f) Date of casualty including death.................................................................................
(g) Age at the time of casualty including death................................................................
(h) Cause of casualty including death...............................................................................
(i) Is death/disability attributable or aggravated to military service............Yes/No........
(j) Character (assessed on discharge certificate...............................................................
(k) Physical condition of the applicant.............................................................................
3. Details of family/dependents :-
Name Age/Sex Relationship, profession & School and class studying individual income if
applicable
Part-II Present financial state of applicant Monthly income
(a) Rate of monthly pension/or salary (including allowance)
(b) Children allowance :-
(i) For No of Children......................................................
(ii) Rate per month.............................................................
(iii) Total amount................................................................
(a) Children education allowance :-
(i) For No of Children.............................................................
(ii) Rate per month.............................................................
(iii) Aid from any scholarship/state..............................................
Previous Grants
5. Details of Previous grants/assistance received from Centre/Govt./Army sources (including DGR. Kendriya/Rajya Sainik Boards)
Date Sources Fund Amount
(a)
(b)
(c)
(d)
Lump Sum Grants
6. Details of Lump Sum receipts are as under :-
(a) From Army Group Insurance Scheme Date Amount
(b) DSOP ..................................... ...............................
(c) From LIC ..................................... ...............................
(d) Service Gratuity ..................................... ...............................
(e) Family Gratuity ..................................... ...............................
(f) Terminal Gratuity ..................................... ...............................
(g) Death-cum-retirement Gratuity ..................................... ...............................
(h) Ex-gratia (Flying accidents) ..................................... ...............................
(j) Rehabilitation grant [front EC Officers] ..................................... ...............................
(k) Commuted value of pension received ..................................... ...............................
(L) Any other amount received with source ..................................... ..............................
Other Assets
7. My other assets are as under :-
Name of Bank Coy Amount Income (Yearly)
[a] Current/saving account ................................ ............................... .
[b] Fixed deposits ................................ ............................... .
[c] Recurring deposit ................................ ............................... .
[d] shares/Bonds ................................ ............................... .
Part iii; Brief Circumstances of distress:-
CERTIFICATE
Certificate that above facts have been correctly and no information has been concealed to the best of my knowledge.
Date : Signature of Applicant
CAUTION: Any wrong declaration or concealing of facts may adversely affect consideration of the application and may debar you from any further assistance financial help. In your own interest please fill the details correctly.
NOTES
1. Application for the first grant should be submitted in duplicate direct the to command in which serving or to the Zila/Rajya Sainik Board/oc Records/Army HQ, which is applicable.
2. Application for the subsequent grants submitted in duplicate. direct to the command where now verving or to there respective Zila/Rajya Sainik Board/oc Records indicating the Command/Zila/Rajya Sainik Board oc Records which dealt with the first application.
3. Casualty includes death, invalioment retirement, release, discharge resignation, dismissal or cashiering.
4. Case of inualidment/death should indicate battle casualty/peace time casualty with authority, if possible.
5. Write NA or Nil, where applicable.
Part iv: Verification and Recommendations.
1. The above statements have been verified as correct, except as under.
2. Recommendations:-
Date: Secretary Zila/Rajya Sainik Board
Sponsoring officer or the rank of
Lt Col and above & equivalents
|
Part V: Recommendations of the Command (Where applicable) Date : |
|
|
Part VI: For Use of Army Headquarters Date: |
|
Part VII : Grants Sanctioned
Fund :
Dated :
Amount
Sanctioning Authority
3
|
Name of the bank/ Coy |
Amount |
Income (Yearly) |
(e) Saving Certificate . . ..
(f) Unit Trusts . . ..
(g) Any other deposits . . ..
Octails of Income from property :-
Urban/Rural Area Total Value Income
(Yearly)
(a) Lands :-
(I) Agricultural ................... .. ..
(II) Agricultural ................... .. ..
(b) EoHouse :-
(I)
(II)
(c) Commercial :
(I)
(II)
Movable property (Above Rs. 2,000.00 each)
Detaille of property Value Income sf any
(a) . ..
(b) . ..
(c) . ..
(d) . ..
(e) . ..
Total Rs. ..
income from other sources
9. Details of monthly income from other sources as under :-
Sources Income (Monthly)
[a] ................. .
[b] ................. .
[c] ................. .
Total Rs.______________________________________________________________
Family Budget _________________________________________________________
Present monthly budge is as follows :-
[a] House own, hired at the rate of ___________________________________________ per month.
[b] Total education expenses ____________________________________
[c] Food cost ____________________________________
[d] Clothing and other necessities ____________________________________
Total Rs _____________________________________________________
OFFICE- ZILA SAINIK KALYAN EVAM PUNARVAS
MUZAFFARNAGAR
U.P. State Plains for Ex-Servicemen/Widows/Dependents
Major Sanjay Srivastava, Retd., Zila Sainik Kalyan Evam
Punarvas Adhikari, Muzaffarnagar
Office Tel. No. 0131-2437623 Mob. No. 09818195230
Name of Head Office Directorate, Sainik Kalyan Evam
Punarvas, U.P. Kariappa Bhawan, Kaiser Bagh, Lucknow
Head Office Tel. No. 0522-2625354, 2623909
Fax No. - 0502-2625354
1. Pension to World War II (Period of August 1939 to 1945) Ex-Servicemen/ Widows Rs. 2500/- per month.
2. Pension to Kargil War (Op. Vijay) Widows Rs. 5000/- per month and mother father Rs. 2500/- per month.
3. Scholarship
1. General Education Class 9th to M.Sc. Rs. 400/- to 800/- (Class 9th to 10th 48% marks compulsory & 11th to above 50% marks compulsory)
2. Technical Education Rs. 600/- to Rs. 5000/- (50% marks compulsory)
4. Daughter marriage Grants only for Widows
Two daughter marriage Grants only for Widows Rs. 10000/- per daughter (Compulsary age 18 years for daughter and her husband age 21 years)
5. Self Employment of Ex-Servicemen for Subsidy
Loan are given Ex-serficemen/officers from National Bank, Cooperative Bank and other Govt. Institute
1- Project Cost Rs. 10000/- Subsidy 15%.
2- Project Cost 10000/- to 100000/- Subsidy 10% minimum Rs. 1500/-.
6. Demise Grants for Widows
Financial assistance of Demise Grants Rs. 3000/- for widows.
7. Re-Employment of Ex-Servicemen, widows & dependents in Govt./Semi-Govt. Institute.
8. 7% Reservation of Medical College & Engineering Colleges for admission of Ex-Servicemen's Dependents.
9. Financial Assistance Rs. 1000/- through DD-40 form of Ex-servicemen & widows.
10. Identity Card issued for Ex-servicemen & windows.
11. Re-Employment registration for Ex-servicemen & windows.