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Affidavit of Certificate for Non Re-Marriage


I hereby declare that I have not been re-married and I undertake to report such an event promptly to the Pension Disbursing Authority / Bank. Place:  _________                                                                       Signature: _________ Date:   _________                                                                    Name of the Pensioner: _________ I certify to the best of my knowledge and belief that the above declaration is correct. Place: _________                                                              Signature  of a responsible Date: _________                                                               Officer or a well – known Person Name: _________ Designation: _______
 
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