OLD AGE / WIDOW PENSION AFFIDAVIT
Executed at Batala on 2 April 2026.
I, Gurdial Kaur, widow of Late Sh. Baldev Singh, aged about 67 years (date of birth 1 April 2026), resident of House No. 214, Bagga Mohalla, Batala, Punjab 143505, holding 4444 5555 6666, ordinarily resident within the State of Punjab (the "Deponent" or "I"), do hereby solemnly affirm and declare as follows:
- 1. SCHEME APPLIED FOR
1.1 I am applying for Old Age Pension, and I make this affidavit in support of that application for filing before Sewa Kendra, Batala, District Gurdaspur.
- 2. RESIDENCE AND ELIGIBILITY
2.1 I have been ordinarily resident within the State of Punjab for 30 years, and I continue to be ordinarily resident there as on the date of this affidavit.
2.2 My total annual family income, from all sources, is ₹48,000 (Rupees Forty Eight Thousand only).
2.3 I do not receive any other pension or financial assistance from the Central or State Government
- 3. BANK ACCOUNT FOR DIRECT BENEFIT TRANSFER
3.1 The pension, if sanctioned, may be credited to the following account, which stands in my own name: Gurdial Kaur, A/c 30123456789, State Bank of India, Batala Branch, IFSC SBIN0001234
- 4. DECLARATION
4.1 Every statement made above is true to my own knowledge and belief, and I have concealed nothing material to my eligibility for Old Age Pension.
4.2 I am aware that this is a means-tested welfare benefit, that its continuance depends on the facts stated above remaining true, that I must report in writing to Sewa Kendra, Batala, District Gurdaspur any change in my income, any remarriage where this is a widow's pension, any other pension I come to receive, or any change of residence, that a benefit drawn on a false statement is recoverable, and that making a false declaration in a sworn affidavit is an offence.
VERIFICATION
Verified at Batala on 2 April 2026 that the contents of paragraphs 1 to 4 above are true and correct to my own knowledge, that no part of it is false, and that nothing material has been concealed.
DEPONENT
Signature: ______________________________
Gurdial Kaur
Left thumb impression (if unable to sign): ____________
ATTESTATION
Solemnly affirmed and signed before me on 2 April 2026 at Batala, the Deponent having been identified to my satisfaction by 4444 5555 6666.
Notary Public / Oath Commissioner
Registration No. and seal: ____________________