tuojh] 2016

fgekpy

fgrS”kh‘kwjohj

funs’kd %

lSfud dY;k.k foHkkx

fgekpy izns’k ljdkj

fiu&177001

xzke % jkt lSfud

fgekpy 'kwjohj fgrS”kh iwoZ lSfudksa o fo/kokvksa ls laokn dk ,d

egRoiw.kZ ek/;e gSA gekjh dksf'k'k gS fd fgekpy izns'k ljdkj o dsUnz

ljdkj }kjk iwoZ lSfudksa o muds vkfJrksa ds fy;s tks Hkh dY;k.kdkjh

;kstuk,a pykbZ tk jgh gSa mudh tkudkjh vki yksxksa rd bl if=dk ds

ek/;e ls igqWpk;sA blds vfrfjDr eSa gj ftyk esa lSfud lEesyu djds

vki yksxksa ls laokn LFkkfir djus dk iz;kl dj jgk gwWA ftyk lSsfud

dY;k.k dk;kZy; HkwriwoZ lSfudksa ds vkSj vU; LkaLFkkvksa o dk;kZy;ksa ds

chp ,d egRoiw.kZ dM+h gSaA HkwriwoZ lSfud fdlh Hkh rjg dh leL;k

fuokj.k ds fy;s ftyk lSfud dY;k.k vf/kdkjh ls lEidZ dj ldrs gSA

;fn t:jr gS rks vki eq>ls ;k funs'kky; ls Hkh lEidZ dj ldrsa gSA

eSa vki ls fuosnu djrk gwW fd vki vius vU; lkfFk;ksa

dks Hkh 'kwjohj if=dk dk lnL; cuus ds fy, izsfjr djsaA rkfd foHkkx ls

lEcfU/kr tkudkjh vf/kd ls vf/kd yksxks rd igqWp ldsaA lnL; cuus

ds fy, QkeZ vfUre i`”B ij fn;k x;k gSA eSa vki yksxksa ls ;g Hkh fuosnu

djuk pkgWwxk fd foHkkx dh ;k HkwriwoZ lSfudksa dh csgrjh ds fy, ;fn vki

ds ikl lq>ko gks rks vki vius lq>ko bl funs'kky; dks HkstsA

eq>s vkids lq>koksa dk ges'kk bartkj jgsxkA

fgekpy ‘kwjohj fgrS”kh

=Sekfld if=dk

lUns'k

fgekpy izns’k jkT; lSfud dY;k.k foHkkx dh

Chief Editor & PublishersBrig.

Suresh Kumar Verma(Retd.) Director

vkidk lsod

fczxsfM;j lqjs'k dqekj oekZ] lsokfuo`r

funs'kd] lSfud dY;k.k] fg0 iz0

[1]

foHkkxh; dk;Zdyki@xfrfof/k;ka

iqujkstxkj %& fgekpy izns'k ds fofHkUu foHkkxksa ls HkwriwoZ lSfudksa ds inksa dh ekax ij tuojh 2015 ls 31 fnlEcj 2015 rd fgekpy

izns'k]HkwriwoZ lSfud jkstxkj d{k gehjiqj }kjk fofHkUu Jsf.k;ksa ds 175

inksa ij HkwriwoZ lSfudksa dks euksuhr fd;k x;k gSA

iz/kkuea=h Nk=o`fr ;kstuk %& dsUnzh; lSfud cksMZ }kjk iz/kkuea=h Nk=o`fr ;kstuk ds varxrZ ds HkwriwoZ lSfudks ds cPpksa dks O;olkf;d dkslZ ds

fy, Nk=o`fr iznku dh tkrh gSA o”kZ 2015 esa dsUnzh; lSfud cksMZ }kjk

iz/kkuea=h Nk=o`fr ;kstuk ds vraxrZ dqy :I;s 92]500@& dh jkf'k dh Nk=o`fr 44 ykHkkfFkZ;ksa dks iznku dh xbZA

Ex-Gratia Grant :- ;q} esa 'kghn gq, lSfudksa o viax gq, lSfudksa dks

fgekpy izns'k ljdkj }kjk vuqxzgiwoZd vuqnku iznku dh tkrh gS A

o”kZ 2015 esa fgekpy izns'k ljdkj }kjk 38 ;q} esa 'kghn gq, lSfudksa o viax gq, lSfudksa dks vuqxzgiwoZd vuqnku :I;s 24]02]000@& dh jkf'k iznku dh xbZA

HkwriwoZ lSfud dY;k.k cksMZ dh cSBd %& HkwriwoZ lSfud dY;k.k cksMZ dh cSBd

ekuuh; eq[;ea=h Jh ohjHknz th dh v/;{krk esa fnaukd 18 flrEcj 2015 dks fgekpy izns'k lfpoky; f'keyk esa lEiUu gqbZA lHkh ljdkjh lnL;ksa ds vfrfjDr 88 xSj ljdkjh lnL;ksa esa ls 27 xSj ljdkjh

lnL;ksa us HkwriwoZ lSfud dY;k.k cksMZ dh cSBd esa Hkkx fy;kA cSBd esa lSfud dY;k.k lEcfU/kr fo”k; ij ppkZ ds ckn fu.kZ; fy;k x;kA

[3]

dze la[;k

lSfud foJke dk uke Lohd`r jkf’k

1- Lkqtkuiqj

3]74]000-00

2- /keZ’kkyk

4]79]150-00

3- Ikkyeiqj

6]36]360-00

4- pEck

8]19]660-00

5- dSykax

3]09]474-00

6- gehjiqj

16]37]000-00

7- uqjiqj

19]62]900-00

8- dkaxM+k

8]86]900-00

9- ikaoVk lkfgc

2]19]100-00

10- f’keyk 43]41]200

lSfud dY;k.k foHkkx %& dqekj oekZ]lsokfuo`r us Åuk] pEck] /keZ'kkyk] e.Mh o efr;k.kk esa

HkwriwoZ lSfud lEesyu esa Hkkx fy;k rFkk HkwriwoZ lSfudksa ds fofHkUu

fo”k;ksa ij ppkZ dh rFkk mudh leL;kvksa o 'kadk dk lek/kku fd;kA

lSfud foJke x`g %& fgekpy izns'k esa lapkfyr lSfud foJke x`gksa dh

eqjEer o j[k&j[kko ds fy, fuEu jkf'k Lohd`r gqbZ rFkk 'kh?kz gh dk;Z vkjEHk gks tk;sxkA ftldk O;ksjk bl izdkj ls gS%&

funs'kd lSfud dY;k.k foHkkx] fczxsfM;j lqjs'k

[4]

;q) Lekjd laxzkgky; %&

djksM+ :I;s dh jkf'k jkT; ljdkj fgekpy izns'k }kjk Lohd`r dh xbZA rFkk bl jkf'k dks ;q} Lekjd laxkgky; cukus gsrq mik;qDr dkaxM+k dks Hkst fn;k x;k gSA ;q}Lekjd laxzkgky; cukus gsrq js[kkfp= Lohd`r

gks pqdk gS rFkk 'kh?kz gh dk;Z vkjEHk gks tk;sxkA

iSU'ku dk la'kks/ku %& Ok”kZ 2006 ls igys lsokfuo`r JCOs/Ors iSU'kuj o

Family iSU'kuj ds iSU'ku dk la'kks/ku dh vf/klwpuk Hkkjr ljdkj j{kk

ea=kky; ubZ fnYyh ds i= la[;k 1(04)/2015(II)-D(Pen/Pol) fnaukd

03 flRkEcj 2015 o j{kk ys[kk iz/kku fu;U=d iSU'ku nzkSirh ?kkV

bykgkckn ds ljdqyj uEcj 547 fnaukd 11 flrEcj 2015 ds varxZr

fd;k x;k gSA mijksDr i= lkFk esa laYxu fd;k x;k gSA

,d jSad ,d iSU'ku %& Hkkjr ljdkj j{kk ea=kky; fnYyh ds i= la[;k %

12(1)/2014/j ¼iSU'ku@uhrh½ & Hkkx& fnaukd 07 uoEcj 2015 ds

varxrZ j{kk lsuk dkfeZdksa ds fy, ,d jSad ,d iSU'ku ¼vksvkjvksih½ ds

lanHkZ esa i= tkjh fd;k x;k gSA mijksDr i= lkFk esa laYxu fd;k x;k

gSA

;q} Lekjd laxzkgky; ds fuekZ.k gsrq eqcfyx 3

II

[5]

Circular No. 547 Dated:11.09.2015To,1. The Chief Accountant, RBI, Deptt. Of Govt, Bank Accounts, Central

Office C-7, Second Floor, Bandre- Kurla Complex, P B No. 8143, Bandre East Mumbai-400051

2. All CMDs, Public Sector Banks.3. The Nodal Officers, ICICI/HDFC/AXIS/IDBI Banks4. All Managers, CPPCs5. Military and Air Attache, Indian Embassy, Kathmandu, Nepal6. The PCDA (WC), Chandigarh7. The CDA (PD), Meerut8. The CDA Chennai9. The Director of Treasury, All States10. The Pay and Accounts Officer, Delhi Administration, R K Puram and

Tis Hazari, New Delhi.11. The Pay and Accounts Office, Govt of Maharashtra, Mumbai12. The Post Master Kathua (J&K), Camp Bell Bay.13. The Principal Pay and Accounts Officer Andaman and Nicobar

Administration Port Blair.

Subject:- Revision of pension in r/o pre-2006 JCOs/ORs pensioners/ Family pensioners

Reference:-This office circular No. 397 dated 18.11.2008 and last amendment made vide this office Circular No. 452 dated 21.02.2011, No. 453 dated 22.02.2011 and Circular No. 501 dated 17.01.2013.

*********Copy of MOD letter No. 1(04)/2015/(1)-D(Pen/Pol) dated 3rd September, 2015 on the above subject is forwarded herewith for further necessary action at your end.2. As per provision contained in Para 5 of Ministry’s letter No 17(4)/2008(1)/D(Pen/Pol) dated 11.11.2008 as amended therein, wef 01.01.2006 revised pension and revised ordinary family pension of all pre-2006 Armed Force pensioners/family pensioners determine in terms of fitment formula laid down in Para 4.1 of above said letter dated 11.11.2008, shall in no case be lower than fifty percent and thirty percent respectively, of the minimum of the pay in pay band plus the Grade pay corresponding to the pre-revised scale from which the pensioner had retired / discharged/ invalided out/ died including Military Service Pay and ‘X’ Group Pay, whereapplicable.

dk;kZy; j{kk Yks[kk iz/kku fu;a=d ¼isa'ku½OFFICE OF THE PR. CONTROLLER OF DEFENCE ACCOUNTS (PENSIONS)

nzkSinh ?kkV bykgkckn -211014DRAUPADI GHAT, ALLAHABAD- 211014

[6]

3. After issue of GOI, Ministry of Personnel, PG & Pensioners, Department of Pension & Pensioners’ Welfare letter No. 38/37/08-P & PW (A) dated 30.07.2015, it has been decided that with effect from 01.01.2006 pension/family pension of Pre-2006 JCOs/ORs pensioners/Family pensioners shall be determined as fifty and thirty percent respectively of the minimum of the fitment table for the Rank in the revised Pay Band as indicated under fitment tables annexed with 1/S/2008 as amended and equivalent instructions for Navy and Air Force, plus Grade Pay corresponding to the pre-revised scale from which the pensioner had retired/discharged/invalided out/died including Military Service Pay and X group pay.4. However, in case, the consolidated pension/family pension calculated as per Para 4.1 of this Ministry’s letter No. 17(4)/2008(1)/D(Pen/Pol) dated 11.11.2008 is higher than the pension/family pension calculated in the manner indicated above, the same (higher consolidated pension/family pension) will be continued to be treated as basic pension/family pension. However, where revised pension in terms of GOI, MOD letter No. PC 10(1)/2009-D (Pen/Pol) dated 08.03.2010 and No. 1(13)/2012/D(Pen/Policy) dated 17.01.2013 is higher than the rates indicated in annexure attached with this letter, the same will be continued to be treated as basic pension/family pension from 1.07.2009 and 24.09.2012 respectively.5. Accordingly,revised tables indicating minimum guaranteed pension/ Ordinary Family Pension has been annexed as-Annexure-A for Army pensionersAnnexure-B for Air Force pensionersAnnexure-C for Navy pensionersPension Disbursing Authorities are hereby authorized to step up thepension/family pension of the affected Pre-2006 pensioners where the existing pension being paid to the pensioners in terms of Ministry’s above letter dated 11/11/2008 as amended, is less than the rate of pension indicated in above said annexure.6. All other terms and conditions shall remain unchanged.7. The provisions of this letter shall take effect from 01.01.2006 and arrears, if any, shall be allowed from 01.01.2006 up to the date where revised pension/family pension in terms of GOI, MOD letter No. PC 10(1)/2009-D (Pen/Pol) dated 08.03.2010 and No. 1(13)/2012/D (Pen/Policy) dated 17.01.2013 is lower.8. This circular has been uploaded on this office website

for dissemination across the Defence pensioners and PDAs.

No. Gts/Tech/0167/XXI (G.K.Baranwal)Dated: 11.09.2015 Deputy.Controller(Pensions)

www.pcdapension.nic.in

[7]

HkwriwoZ lSfud jkstxkj lEcfU/kr

vkosnd ds iathdj.k o jkstxkj ds lEca/k esaA

fgekpy izns'k ds lHkh foHkkxksa esa HkwriwoZ lSfudksa ds fy, 15

izfr'kr vkj{k.k dk izko/kku gS A lsokfuo`fr gksus okys lSfud] jkstxkj gsrq viuk

iathdj.k lsokfuo`fr ls ,d lky igys viuh {ks=h; jkstxkj dk;Zy; esa

iathdj.k djok ldrs gSA vxj jkstxkj gsrq iathdj.k fdlh dkj.ko'k bl dky

ds varxZr ugha gks ldk gks rks oks lsokfuo`fr ds ckn Hkh viuk iathdj.k djok

ldrsa gSA {ks=h; jkstxkj dk;kZy; iathdj.k ds ckn lHkh izkFkhZ;ksa ds dkMZ HkwriwoZ

lSfud jkstxkj d{k fgekpy izns'k fLFkr gehjiqj dks Hkstrsa gSA

lsokfuo`fr ds ckn iathdj.k djus dh fof/k

vkosnd viuh ;ksX;rk vuqlkj vius jkstxkj dk;kZy; esa rhu

vyx&vyx O;olk;ksa esa uke iathdj.k djok ldrk gS] blds fy, mls vius

lHkh lEcfU/kr nLrkost iathdj.k ds le; izLrqr djus gksaxsA iathdj.k djus ls

igys HkwriwoZ lSfudksa dks viuh ;ksX;rk ds vk/kkj ij lgh rjhds ls O;olk; dk

p;u djuk pkfg, A

vkosnd dks viuk iaathdj.k dk uohuhdj.k le; vof/k ;kfu

rhu o”kZ esa djok ysuk pkfg,] ftl ds fy, mls viuk dkMZ vius jkstxkj

dk;kZy; esa izLrqr djuk gksxk] vU;Fkk izkFkhZ dk iathdj.k jnn gks tk;sxk A

vxj vkosnd us iathd`r O;olk;ksa esa ls dksbZ O;olk; cnyh

djuk rks Hkh mlds vius jkstxkj dk;kZy; esa gh gksxk A blds bykok vxj

mldk iathdj.k uohuhdj.k u gksus dh otg ls jnn gks x;k gks rks fQj ls

nksokjk@u;k iathdj.k Hkh mlh dk;kZy; esa gksxkA O;olk; cnyh djus ij

ofj”Brk frfFk mlh fnu ls ekU; gksxh blfy;s igyh ckj uke ntZ djokrs le;

gh lksp le> dj ;ksX;rk vuqlkj O;olk; dk p;u djsa rkfd ofj”Brk dk ykHk

Hkfo”; esa u xokuk iMasA

HkwriwoZ lSfud jkstxkj d{k 'kS{kf.kd ,oae rduhdh ;ksX;rk izkFkhZ

mEehnokjksa }kjk p;fur O;olk;ksa ds vk/kkj ij ofj;rk lwph ds vuqlkj ik=

mEehnokjksa dks jkstxkj ds fy;s lEcfU/kr foHkkx esa euksuhr djrk gSA

X-10

[15]

ohjrk ,oe~ lkgl dh felky

Jhefr izksfeyk nsoh lSfud dY;k.k foHkkx] fgekpy izns'k esa 15 o”kZ dh lsok,sa nsus ds mijkar 31 tuojh] 2016 dks lsokfuo`r gqbZaA mUgksaus vizSy] 2001 esa thou dh cM+h gh fodV ifjfLFkfr;ksa esa foHkkx esa inHkkj lEHkkyk FkkA muds ifr uk;c lqcsnkj tx:i flag us 14 tqykbZ] 1998 dks vkWijs'ku j{kd ds nkSjku viuh ekr`Hkwfe ij vius izk.kksa dk loksZPp cfynku fn;kA mudh cgknqjh ds fy, mUgsa ej.kksijkUr dhfrZ pØ ls vyad`r fd;k x;kA

Jhefr izksfeyk nsoh us cMs+ gh lkgl vkSj n`<+ fu'p; dh felky is'k djrs gq, vius ifjokj ds ikyu&iks”k.k dk chM+k mBk;kA ohjrk vkSj lkgl dh ijEijkvksa dk fuoZgu djrs gq, ?kj ls ckgj fudy dj ukSdjh djus dk fu.kZ; fd;kA

foHkkx esa ,d deZB deZpkjh gksus ds lkFk lkFk bUgksaus vius nksuksa cPpksa dk mfpr ikyu iks”k.k djrs gq, f'k{kk fnykbZ rFkk lekt esa ,d lQy ukxfjd cuk;kA buds gkSalys vkSj n`<+ fu'p; dk izek.k blls vf/kd D;k gks ldrk gS fd bUgksaus vius ,d csVs dks ohjrk vkSj lkgl dh ijEijkvksa dk ,d ckj fQj ls ifjp; nsrs gq, Hkkjrh; lsuk esa 'kkfey gksus ds fy, izsfjr fd;kA mudk csVk muds ifr dh gh cVkfy;u 28 iatkc jSthesaV esa lsokjr gSA

lSfud dY;k.k foHkkx bl ohj ukjh ds vnE; lkgl] n`<+ fu'p; vkSj ohjrk ds fy, 'kr&'kr ueu djrs gq, buds lq[kn Hkfo”; dh dkeuk djrk gSA

¼izksfeyk nsoh½ ¼uk;c lwcsnkj tx:i flag½

ej.kksijkUr dhfrZ pØ ls vyad`r

[16]

ekStwnk U;k; iz.kkyh esa efgykvksa ds laj{k.k ds fy, O;oLFkk,a

1- ngst ds dkj.k fdlh efgyk dh e`R;q ds fy, ftEesnkj O;fDr dks 7 o”kZ ls ysdj vkthou dkjkokl dh ltk nh tk ldrh gSA ¼/kkjk 304 [k Hkkjrh; n.M lafgrk½

2- ;fn dksbZ efgyk vkRegR;k djrh gS rks tks dksbZ ,slh vkRegR;k ds fy;s mlls vHkh izsfjr djrk gS mls 10 o”kksZa rd fd ltk nh tk ldrh gSA ¼/kkjk 306 Hkkjrh; n.M lfgrk½

3- tc ;g iz'u gks fd fdlh O;fDr }kjk ngst ds dkj.k fdlh efgyk ekj fn;k x;k gks rks og O;fDr ngst ds dkj.k gqbZ gR;k dk ftEesnkj gksxkA ¼/kkjk 113 o Hkkjrh; 'kk{k; fu;e 1872 ½

4- fdlh izdkj ds ngst dh ekax djus okys O;fDr dks 6 ekg ls 2 o”kZ rd dk dkjkokl gks ldrk gSA ¼ngst izfr”ksn vf/kfu;e 1961 dh /kkjk 4½

5- efgyk dks fdlh Hkh ek/;e ls vf'k”V :Ik iznf'kZr djus okys O;fDr dks naf.Mr fd;k tk ldrk gSA ¼efgykvksa dk vf'k”V O;ins'u izfr”ks/k vf/kfu;r] 1966 dh /kkjk 3½

6- tks dksbZ 18 o”kZ ls de vk;q ds fdlh vizkIro; yM+dksa dks laHkksx ds fy, foo'k ;k foyqC/k djrk gS rks mls 10 o”kZ rd dk dkjkokl gks ldrk gSA ¼/kkjk 366 d Hkkjrh; n.M lafgrk½

7- fookfgr efgyk ftldk ifr mldh ns[k js[k u djrk gS vFkok Ik;kZIr lk/ku ds gksrs gq, Hkh mlds Hkj.k iks”k.k ls bUdkj djrk gks rks efgyk [kqn ds Hkj.k iks”k.k ds fy, vius ifr ls Hkj.k iks”k.k Hkrk ikus dh gdnkj gksxhA ¼/kkjk 125 Hkkjrh; n.M lafgrk½

8- fookfgr efgyk rykd ds ekeys ds fuiVku u gksus rd vius ifr ls okndkfyu Hkrk rFkk rykd ds fu.kZ; gks tkus ds ckn fuokZg O;; dh gdnkj gksxhA ¼/kkjk 24 fgUnq fookg vf/kfu;e] 1955½

[17]

9- ;fn fdlh efgyk dk ifr ;k ifr dk fj'krsnkj ml efgyk ds lkFk dzwjrk dk O;ogkj djrs gSaA rks mUgsa 3 o”kZ rd dk dkjkokl gks ldrk gS A ¼/kkjk 498 ds Hkkjrh; n.M lafgrk½

10- tks dksbZ bl vk'; ls fd ;k ;g tkursa gq, fd laHkkO;rk gS fd rn}kjk og fdlh L=h dh yTtk Hkax djsa fdlh L=h ij geyk djrk gS ;g vijkf/kd cy dk iz;ksx djrk gS rks mls 2 o”kZ rd dk dkjkokl gks ldrk gSA ¼/kkjk 354 ds Hkkjrh; n.M lafgrk½

11- tks dksbZ cykRlaxe djrk gS rks mls 10 o”kZ rd dk dkjkokl gks ldrk gSA fdUrq ;fn cykRlaxed`r L=h mldh viuh iRuh gS vkSj 12 o”kZ dh de vk;q dh gks rks mls 2 o”kZ rd dk dkjkokl gks ldrk gSA ¼/kkjk 376 ds Hkkjrh; n.M lafgrk½

12- tks dksbZ Hkh iq:”k yksd lsod gksrs gq, vius in dk ykHk vius fu;aU=.kk/khu fdlh efgyk yksd lsod tks vius lkFk eSFkqu ds fy, Qqlykrk vFkok ogykrk gS vkSj og eSFkqu cykRdkj dh Js.kh esa ugha vkrk gSA rks mls 5 o”kZ rd dk dkjkokl gks ldrk gSA ¼/kkjk 498 Hkkjrh; n.M lafgrk½

13- fdlh tsy izfrizsf”kr x`g ;k fdlh Hkh fof/k ds vUrxrZ LFkkfir vU; vfHkj{kk LFkyksa ;k efgykvksa ;k cPpksa ds laLFkkuksa ds v/kh{kd vFkok izcU/kd vius in dk ykHk mBkdj ml tsy izfrisf”kr x`g vfHkj{kk LFky ;k laLFkku dh fdlh vUr% oklh efgyk dks vius lkFk eSFkqu ds fy, Qqlykrk vFkok ogykrk gS vkSj og eSFkqu cykRdkj dh Js.kh esa ugha vkrk gSA rks mls 5 o”kZ rd dk dkjkokl gks ldrk gSA ¼/kkjk 376 x Hkkjrh; n.M lafgrk½

14- dksbZ Hkh tks fdlh vLirky ds izcU/k esa gks ;k deZpkjh gks vius in dk ykHk mBkdj ml vLirky esa fdlh efgyk ds lkFk eSFkqu djrk gS tks cykRdkj dh Js.kh esa u vkrk gks rks ml 5 o”kZ rd dk dkjkokl gks ldrk gSA ¼/kkjk 376 ?k Hkkjrh; n.M lafgrk½

[18]

funs'kky; lSfud dY;k.k foHkkx fgekpy izns'k fLFkr gehjiqj &177001

va'knku QkeZ % 'kwjohj fgrS"kh if=dk ysus gsrq A

1. Army No. _____________________________

2. Rank _____________________________

3. Name _____________________________

4. Mobile No. _____________________________

5. Permanent Home _____________________________

Address

¼tgka i= if=dk ysuk pkgrs gSa½ _______________________

_______________________

_______________________

Pin Code No. _______________________

6. Subscription Amount _______________________

(Yearly - Rs. 40/- (in words _______________

for life - Rs. 500/- _______________________)

7. Mode of payment : Cash/Bank Draft in favour of The Editor, Shurvir Hiteshi Patrika HP at Hamirpur.

_______________________

Place : (Signature of the Applicant)

Dated

[19]

With best wishes from :-

[20]