OPTION TO PLACE UNDER CCS (Pension) Rules, 1972 [for those Faculty members & Group “A” officers whose selection for appointment was

finalized before 01.01.2004 but who joined BHU on or after 01.01.2004]

Last Date to exercise option is 28th December 2020

I, _______________________________________________, (Emp. No._________)

Designation __________________, Department _____________________________,

Institute/Faculty_____________________________, Banaras Hindu University do

hereby opt for being covered under CCS (Pension) Rules, 1972, in place of NPS.

I further declare that I fulfill all the conditions as laid down in Office Memorandum

No. 57/04/2019-P&PW(B), dated 17th February 2020 issued by the Govt. of India,

Department of Pension & PW, as approved by the University Grants Commission vide

their letter No. F.1-2/2004(CU), dated 29, September 2020.

The details of my appointment are as under:

Appointment letter No. _____________________________

Date of issue of appointment letter ___________________ [copy enclosed]

Date of joining BHU ________________________________

Signature of the faculty member:_____________________

Name of the faculty member:________________________

Date of submission_______________________

Forwarded

Director/Dean/Head

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