APPLICATION FOR ISSUE OF IDENTITY CARD FOR EX-SERVICEMEN 1. Number 2. Rank Stamp Size Photograph 3. Name 4. Regiment / Corps 5. Father's Name 6. Address Tehsil or Police Station Tele 7. Date of Birth 8. Date of Enrolment 9. Date of Discharge 10. Amount of Pension a) Service Pension Rs. b) Disability Pension Rs. c) Percentage of Disability 11. Discharge Book No. & Date 12. P.P.O. No. & Date 13. Identification Mark 14. Left Thumb Impression DECLARATION I hereby declare that the particulars given above are true to the best of my knowledge and belief. Date: Place: Signature of the Applicant
