Appendix ‘F’
APPLICATION FOR ISSUE OF IDENTITY CARD FOR WIDOWS/WAR WIDOWS OF EX-SERVICEMEN
Name of applicant ___________________________________________ Photo
Date of birth/Age ___________________________________________
Address ___________________________________________________
__________________________________________________________
__________________________________________________________
Tehsil or Police Station ______________________ Tel___________________________
Wife of Late _____________________________________________________________
:
Service Particulars of husband No. __________________________
Rank_____________________________ Date of Birth __________________________
Date of Enrolment _________________ Date of Death __________________________
Discharge Book No ________________ PPO No & date_________________________
Death Details of husband :
War/Operation in which died _______________________________________________
Attributable _____________________________________________________________
Non-Attributable _________________________________________________________
After Retirement _________________________________________________________
Pension received Ordinary Rs _________________Special Rs ____________________
Liberalized special family pension Rs. _______________________
Identification Mark _______________________________________________________
Left Thumb Impression ____________________________________________________

DECLARATION
I hereby declare that the particulars given above are true to the best of my knowledge and belief
Date: __________________________
Place __________________________
(Signature of applicant)