I have Application Form O.A.P. for Old Age Pension. So here I am providing you as you want.

In this form you have to fill up some required data;
Like;

District: . Block/Municipal/Village/Panchayat/Mohalla/Ward/
House No.
1.Shri/Smti : .

2.Name of Father or Husband :

3.Full Address :

4.Categories : SC/ST/Woman/Landless/Handicapped/General.

5.Age on the date of application :
..
6.Identification Mark of the applicant :

7.I solemnly affirm that :-
(1)I do not have any family income of Rs. 5,000/- per annum or more.
(2)I have/have not applied previously for grant of Old Age Pension.
(3)I am a resident of (District/State) where I have been residing during the three years immediately preceding the date of this application.
(4)I declare that the information furnished in this application is true and correct to the best of my knowledge and belief.
Place : .
Date :
Signature or Thumb Impression of the Applicant


Urban Local Body/Gram Panchayat wise list of application for Old Age Pensioner.
1.Sl. No. :....

2.Date of receipt from Gram Panchayat :....

3.Name of the applicant with father's/husband's name

4.Full Address : Town/Village/Post Office/Taluk.....

5.Recommendation to the Pension Sanctioning Authority :.

6.Date of sending of application form :

7.Orders of the Sanctioning Authority :


Application Form O.A.P. for Old Age Pension