Schedule LIII-Form No. 383 (New) O. C. S. (COMMUTATION OF PENSION) FORM 7 (See rule 7) FORM OF APPLICATION FOR RESTORATION OF COMMUTED PORTION OF PENSION To (Disbursing Authority) Subject-Restoration of commuted portion of pension after 12 years Sir, Kindly restore my commuted portion of pension in terms of rule 7 (2) of the Orissa Civil Services (Commutation of Pension) Rules, 1992. Requisite particulars are given below: 1. Name (in Block letters) : 2. Date of retirement : 3. P.P.O. No. : 4. Amount of pension commuted : 5. Amount of pension commuted : Date...... Postal Address: Signature of Pensioner Particulars verified Signature Rubber Stamp of Pension Disbursing Authority
