FORM “E” ANNEXURE-XXVI
CERTIFICATE OF RE-MARRIAGE / MARRIAGE

I hereby declare that I have not got re-married and I undertake to report such any event promptly to the Pension Disbursing Authority/Bank.
(Applicable only for widow recipient of family pension and to be furnished only once)
(or)
I hereby declare that I am not married/I have not got married during the past six months) (To be submitted by widowers and unmarried daughters once every six months in May and November)
Place : Signature_________________________________
Date : Name of the Pensioner_______________ __________________
P.P.O No. ___________________________________
I certify to the best of my knowledge and belief that the above declaration is correct.
Signature of a responsible Officer or a well-known person
Place : Name _______________________________
Date: Designation ________________________________