OFFICE – ZILA SAINIK KALYAN EVAM PUNARVAS

MUZAFFARNAGAR

U.P. State Plains for Ex-Servicemen/Widows/Dependents

Major Sanjay Srivastava, Retd. 

Zila Sainik Kalyan Evam Punarvas Adhikari, Muzaffarnagar

Office Tel. No. 0131-2437623   Mob. No. 09818195230

Name of Head Office – Directorate, Sainik Kalyan Evam Punarvas, U.P.

Kariappa Bhawan, Kaiser Bagh, Lucknow

Head Office Tel. No. – 0522-2625354, 2623909  Fax No. - 0502-2625354

 

1.          Pension to World War II (Period of August 1939 to 1945) Ex-Servicemen/ Widows Rs. 2500/- per month.

2.          Pension to Kargil War (Op. Vijay) Widows Rs. 5000/- per month and mother father Rs. 2500/- per month.

3.          Scholarship

1.       General Education – Class 9th to M.Sc. Rs. 400/- to 800/- (Class 9th to 10th 48% marks compulsory & 11th to above 50% marks compulsory)

          2.          Technical Education – Rs. 600/- to Rs. 5000/- (50% marks compulsory)

4.          Daughter marriage Grants only for Widows

          Two daughter marriage Grants only for Widows Rs. 10000/- per daughter (Compulsary age 18 years for daughter and her husband age 21 years)

5.       Self Employment of Ex-Servicemen for Subsidy

          Loan are given Ex-serficemen/officers from National Bank, Cooperative Bank and other Govt. Institute

1-                Project Cost Rs. 10000/- Subsidy 15%.

2-                Project Cost 10000/- to 100000/- Subsidy 10% minimum Rs. 1500/-.

6.          Demise Grants for Widows

          Financial assistance of Demise Grants Rs. 3000/- for widows.

7.       Re-Employment of Ex-Servicemen, widows & dependents in Govt./Semi-Govt. Institute.

8.       7% Reservation of Medical College & Engineering Colleges for admission of Ex-Servicemen's Dependents.

9.          Financial Assistance – Rs. 1000/- through DD-40 form of Ex-servicemen & widows.


 

In lieu of DD-40 (Rev)

APPLICATION FOR GRANTS FROM WELFARE FUNDS

ADJUTANT GENERAL'S BRANCH

 

Pat-I Particulars of the applicant/service/ex-servicemen

(a)       Name of the applicant.................................................age.......................yrs......................

(b)            permanent address                                              (c)            Present address

            ________________________                           _______________________

            ________________________                           _______________________

            ________________________                           _______________________

            ________________________                           _______________________

2.            Details of the serviceman/ex-serviceman

            (a)          No.....................Rank.....................Name............................................Unit.................

            (b)         Relationship with applicant.....................................................Corps..........................

            (c)         Date of commission/enrolment..................................................................................

            (d)         Date of retirement/discharge........................................Total service..........................

            (e)         Cause of discharge.......................................................................................................

            (f)         Date of casualty including death.................................................................................

            (g)         Age at the time of casualty including death................................................................

            (h)         Cause of casualty including death...............................................................................

            (i)     Is death/disability attributable or aggravated to military service............Yes/No........

            (j)         Character (assessed on discharge certificate...............................................................

            (k)         Physical condition of the applicant.............................................................................

3.         Details of family/dependents :-

            Name                       Age/Sex         Relationship, profession & School and class                                              studying individual income if

                                                         applicable

 

 

 

 

Part-II Present financial state of applicant Monthly income

(a)         Rate of monthly pension/or salary (including allowance)

(b)        Children allowance :-

(i)                For No of Children......................................................

(ii)             Rate per month.............................................................

(iii)               Total amount................................................................


 

(a)          Children education allowance :-

(i)                  For  No of Children.............................................................

(ii)             Rate per month.............................................................

(iii)               Aid from any scholarship/state..............................................

Previous Grants

5.         Details of Previous grants/assistance received from Centre/Govt./Army sources (including DGR. Kendriya/Rajya Sainik Boards)

            Date                                                     Sources Fund                                      Amount

            (a)

            (b)

            (c)

            (d)

Lump Sum Grants

6.         Details of Lump Sum receipts are as under :-

            (a)         From Army Group Insurance Scheme                     Date                 Amount

            (b)         DSOP                                   .....................................          ...............................

            (c)         From LIC                           .....................................          ...............................

            (d)         Service Gratuity                                 .....................................          ...............................

            (e)         Family Gratuity                                 .....................................          ...............................

            (f)         Terminal Gratuity                              .....................................          ...............................

            (g)         Death-cum-retirement Gratuity                     .....................................          ...............................

            (h)         Ex-gratia (Flying accidents)                 .....................................          ...............................

            (j)         Rehabilitation grant [front EC Officers]         .....................................          ...............................

            (k)         Commuted value of pension  received                .....................................          ...............................

            (L)         Any other amount received with source         .....................................          ..............................

Other Assets

7.         My other assets are as  under :-

                                          Name of Bank Coy            Amount            Income (Yearly) 

[a] Current/saving account         ................................    ...............................           ………………….

[b] Fixed deposits                 ................................    ...............................           ………………….

[c] Recurring deposit          ................................    ...............................           ………………….

[d] shares/Bonds           ................................    ...............................           ………………….

Part iii; Brief Circumstances of distress:-

CERTIFICATE

            Certificate that above facts have been correctly and no information has been concealed to the best of my knowledge.

 Date :                                                                                                                                  Signature of Applicant

CAUTION: Any wrong declaration or concealing of facts may adversely affect consideration of the application and may debar you from any further assistance financial help. In your own interest please fill the details correctly.

NOTES

1.             Application for the first grant should be submitted in duplicate direct the to command in which serving or to the Zila/Rajya Sainik Board/oc Records/Army HQ, which is applicable.

2.            Application for the subsequent grants submitted in duplicate. direct to the command where now verving or  to there respective Zila/Rajya Sainik Board/oc Records indicating the Command/Zila/Rajya Sainik Board oc Records which dealt with the first application.

3.            Casualty includes death, invalioment retirement, release, discharge resignation, dismissal or cashiering.

4.         Case of inualidment/death should  indicate battle casualty/peace time casualty with authority, if possible.

5.         Write NA or Nil, where applicable.

Part iv:            Verification and Recommendations.

1.         The above statements have been verified as correct, except as under.  

2.            Recommendations:-

Date:                                                                                                    Secretary Zila/Rajya Sainik Board    

Sponsoring officer or the rank of

                                                                                                            Lt Col and above & equivalents

Part V: Recommendations of the Command (Where applicable)

Date :

 

Part VI: For Use of Army Headquarters

Date:

 

Part VII : Grants Sanctioned

Fund   :

Dated :

                                                                                                Amount

Sanctioning Authority

3

 

Name of the

bank/ Coy

Amount

Income

(Yearly)

(e)        Saving Certificate ………………………….                    ……………….                        ………………..

(f)        Unit Trusts         ………………………….                    ……………….                        ………………..

(g)        Any other deposits………………………….                   ……………….                        ………………..

Octails of Income from property :-

                                                            Urban/Rural Area                    Total Value               Income

                                                                                                                                                (Yearly)

(a)        Lands :-

            (I)            Agricultural                   …………...................             …………………..            …………..

            (II)            Agricultural                   …………...................             …………………..            …………..

(b)             EoHouse :-                                                      

            (I)       

            (II)      

(c)            Commercial :

            (I)

            (II)

Movable property (Above Rs. 2,000.00 each)

Detaille of property                                                            Value                                                   Income sf any

(a)            …………………………….                …………………………                    ………………………..

(b)            …………………………….                …………………………                    ………………………..

(c)            …………………………….                …………………………                    ………………………..

(d)            …………………………….                …………………………                    ………………………..

(e)            …………………………….                …………………………                    ………………………..

                        Total Rs. ……………………………………………………………………………………..

income from other sources

9.         Details of monthly income from other sources as under :-

                                                                        Sources                                    Income                         (Monthly)

[a]                                                        …………….................            ………………….                    …………

[b]                                                        …………….................            ………………….                    …………

[c]                                                        …………….................            ………………….                    …………

                                    Total Rs.______________________________________________________________

Family  Budget                                      _________________________________________________________

Present monthly budge is as follows :-

[a]        House own, hired at the rate of ___________________________________________   per month.

[b]        Total education expenses                       ____________________________________

[c]        Food cost                                          ____________________________________

[d]        Clothing and other necessities            ____________________________________

                                                Total Rs _____________________________________________________

 

OFFICE- ZILA SAINIK KALYAN EVAM PUNARVAS

MUZAFFARNAGAR

U.P. State Plains for Ex-Servicemen/Widows/Dependents

Major Sanjay Srivastava, Retd., Zila Sainik Kalyan Evam

Punarvas Adhikari, Muzaffarnagar

Office Tel. No. 0131-2437623   Mob. No. 09818195230

Name of Head Office – Directorate, Sainik Kalyan Evam

 Punarvas, U.P. Kariappa Bhawan, Kaiser Bagh, Lucknow

Head Office Tel. No. – 0522-2625354, 2623909 

Fax No. - 0502-2625354

 

1.          Pension to World War II (Period of August 1939 to 1945) Ex-Servicemen/ Widows Rs. 2500/- per month.

2.          Pension to Kargil War (Op. Vijay) Widows Rs. 5000/- per month and mother father Rs. 2500/- per month.

3.          Scholarship

1.       General Education – Class 9th to M.Sc. Rs. 400/- to 800/- (Class 9th to 10th 48% marks compulsory & 11th to above 50% marks compulsory)

          2.          Technical Education – Rs. 600/- to Rs. 5000/- (50% marks compulsory)

4.          Daughter marriage Grants only for Widows

          Two daughter marriage Grants only for Widows Rs. 10000/- per daughter (Compulsary age 18 years for daughter and her husband age 21 years)

5.       Self Employment of Ex-Servicemen for Subsidy

          Loan are given Ex-serficemen/officers from National Bank, Cooperative Bank and other Govt. Institute

1-                Project Cost Rs. 10000/- Subsidy 15%.

2-                Project Cost 10000/- to 100000/- Subsidy 10% minimum Rs. 1500/-.

6.          Demise Grants for Widows

          Financial assistance of Demise Grants Rs. 3000/- for widows.

7.       Re-Employment of Ex-Servicemen, widows & dependents in Govt./Semi-Govt. Institute.

8.       7% Reservation of Medical College & Engineering Colleges for admission of Ex-Servicemen's Dependents.

9.          Financial Assistance – Rs. 1000/- through DD-40 form of Ex-servicemen & widows.

10.          Identity Card issued for Ex-servicemen & windows.

11.     Re-Employment registration for Ex-servicemen & windows.