Circular No. ~ ~1(,:b

(A Govt. of India Undertaking)

Head Office

(Staff Pension Cell)

Date: 21·Lo,2015

Reg: Obtention of Life Certificates from Staff Pensioners/Staff family
pensioners in November every year.
Ref: 1) HO Cir No.225/3/38 dated 24.10.2009.
2) HO Cir No.348/03/62 dated 23.11.2013.


The pension disbursing authorities (Branch Managers) are advised to
obtain life certificate/non-marriage/remarriage certificate from all Staff
Pensioners/Family Pensioners as per the applicability in the month of
-Novernber every year. Branches are advised to keep a record of the life
certificates and ensure that they are made available for verification to the
Inspectors of Branches. Proforma of the certificate to be obtained is
available in Bank's portal (Applications & Forms-HR Others-Life Certificate)
and a proforma of life certificate is placed under Retirees' Corner of our
As you are aware that the entry of life certificates has been made online
so as to have a better control on pension disbursement . Access to the
entry of Life Certificates will be provided from 01/11/2015 in the
Integrated Portal. Branch Managers are requested to log on to power-apps
menu which is available in the Integrated Portal-Department-HRMS. The
detailed Job-Card is also available in the same menu.
The steps for entry of Life Certificate in power-apps

is furnished

1) Enter the staff code number of the pensioner/family pensioner and
match the details provided by the pensioner in the life certificate with
those displayed on the screen. and the following mandatory
fields be filled.
a. Submitted life certificate

- click/Tick

b. Date of life certificate

- select the date

c. Request for TDS

- select from the drop box

For family pensioner in addition to the above:
d. Married/re-married

- click/Tick

e. Date of marriage/remarriage

- select


Not married/re-married



case 'd' & 'e' doesn't apply)

branch managers have to ensure obtention and entry of the staff life certificates in power• apps for continuous pension payment. It is reiterated that as pension disbursing authorities. Pensioner expired .et. I~ (V B BH¥GAVATHI) GENERAL MANAGER (HR) .2) In case the pensioner/family pensioner is expired (To stop pension) a. ···· ·· · ·· ·· ·· ··········· ····· ···· ·· 4) In case the Life Certificates are received by other officers and only the entry part is made by the Branch Manager then the field for another officer is to be selected and the d. Please note that the data once entered cannot be modified.source of information 3) The details of the branch manager making the entry is displayed by default. 6) Branch Manager can generate the status report of all the pensioners drawing pension through their b.of the officer is to be entered in the prescribed field. Remarks . 5) Lastly. hence due care must be taken at the entry point. Date of death . a click to confirm the above details and submit the data. ails .select the date c.

. Signature of the Pensioner Signature of Andhra Bank Officer only Name: . ANDHRA BANK (EMPLOYEES1) PENSION FUND TRUST LIFE CERTIFICATE Certified that I have seen the Staff Pensioner Sri/Smt Staff Code No holder of Pension A/c No of Andhra Bank on this date . . Branch and that he/she is alive . for continuation of payment of pension..Branch Manager is requested to obtain life certificate from the staff pensioner/family pensioner during November every year and enter the same in the Power-Apps without fall. Please do not forward the LC's to us but maintain a record at the Branch.

Date ====~=================================~==~~========= NON RE-MARRIAGE/NON-MARRIAGE CERTIFICATE (TO BE OBTAINED FROM STAFF FAMILY PENSIONER ONLY} I hereby declare that I am married/re-married on .co. Signature of Pensioner Andhra Bank. Cell. Hence.. . Head Office. Designation: Specimen Signature No. Designation Specimen Signature No. I undertake to pay/file the Income Tax return in person on my Phone: 040-23252152. I declare that I am not married/re-married and 1 undertake to report such an event promptly to the pension disbursing authority/Bank. I request you NOT to deduct tax at source. HR Dept. Staff Pension Signature of Andhra Bank Officer only Name: Code No.Contact No . Signature of Pensioner Address . 040-23231189 .. Hyderabad-500 004 e-mail: Jlension@m1dhrabank. =~~~~================================~==~=========== REQUEST FOR NON-DEDUCTION OF TDS I wish to inform you that I will make my own arrangements regarding payment of Income Tax. Saifabad.