Pages

29 February 2012

APPLICATION FOR FINANCIAL ASSISTANCE FROM CIRCLE BENEVOLENTFUND FOR GDS OFFICIALS IN CASE OF MEDICAL TREATMENT


APPLICATION FOR FINANCIAL ASSISTANCE FROM CIRCLE BENEVOLENTFUND FOR GDS OFFICIALS IN CASE OF MEDICAL TREATMENT

1.Name of the official                                 :
2.Designation                                             :
3.Office in which working                            :
4.TRCA                                                        :
5.Length of Service                                    :
6.Date of enrollment as member              :
7.Name of the unit                                       :
8.Nature of illness                                       :
9.Date from which suffering                      :
10.Nature and period of leave taken        :
11. Date on which official rejoining duty   :
12.Particulars of dependent of the official:
13.Any more information                            :

Place  :          
Date    :                                                                                              
Signature of the applicant

Certificate of the concerned Head Postmaster

             This is to certify that Shri/Smt _______________________________________ is the member of Tamilnadu Postal Circle Benevolent Fund for GDS and he have regularly contributed to the fund to till date without any break.
                                                                                      

                                                                                                Signature of the Postmaster

Certificate of recommendation of the controlling authority

1. Whether the above information has been verified    :

2. Recommendations                                                         :


Place  :          
Date    :                                                                       Signature of the controlling authority

No comments:

Post a Comment