Annexure I APPLICATION FOR GRANT OF RELIEF OUT OF THE PUNJAB DEFENCE SECURITY & RELIEF FUND (Referred to in clause 24 of the Punjab Defence and Security Relief Fund Rule) ----------------------------------------------------------------------------------------------- 1. Name (in Block letters) : Age Date of Birth of the applicant 2. Residence : Vill & PO Teh & Distt 3. Exact relationship of the applicant with deceased : engaged in the defence of the country or having done conspicuous service in the defence of the country Particulars of dependent children 4. (i) Date of casualty/enrolment : (ii)Nature of casualty/discharge (iii)Percentage of disability (iv) Place of occurrence 5. Guardian (if not father) Name Profession and relation to the applicant 6. Financial position of the Guardian/Applicant (a) Monthly income of the Guardian/Applicant from all sources. (b) Monthly income of the Dependent children (c) Sources of income (d) Whether she/he has received such assistance earlier or not (e) Land revenue paid (f) Income tax if any paid (g) Any other Adhoc or monthly assistance already received, likely to be received from Govt, or other source. 7. Concession claimed admission of fee remission, book aid or scholarship or other financial assistance. 8. Date................... (signature of applicant) 9. An authenticated copy of the report of the last educational institute where necessary 10. Recommendation of the head of the institution where necessary. 11. Recommendation of the Deputy Commissioner 12. Recommendations of the Secretary Punjab Defence and Security Relief Fund Committee. 13. Orders of the Committee
