FORM 2
Details of Family
[See rule 10(3)]
Important
1. The original Form submitted by the Government servant / Subscriber is to be
retained. All additions or alterations are to be communicated by the Government
servant/retired Government servant / Subscriber along with the supporting documents
and the changes shall be recorded in this Form under the signature of Head of Office in
Col 7. No new Form will substitute the original Form. However, the retiring Subscriber
should submit the details of family afresh at the time of retirement.
2. The details of spouse, all children and parents (whether eligible for family pension
or not) and disabled siblings (brothers and sisters) may be given.
3. The Head of Office shall indicate the date of receipt of communication regarding
addition or alteration in the family in the ‘Remarks’ column. The fact regarding disability
or change of marital status of a family member should also be indicated in the ‘Remarks’
column.
4. Wife and husband shall include judicially separated wife and husband.
5. The retired Government servant shall attach the details of change in family
structure after retirement in the proforma prescribed under Dept. of P.& P.W., O.M No.
1 (23)-P.&P. W/91-E, dated the 4th November, 1992.
6. Copies of birth certificates to be attached. Copies of any other relevant certificates,
if available, should be attached.
Name of the Designation Nationalit
Government y
servant/
Subscriber
Details of family members:
S.N. Name Date of birth Aadhaar Relationshi Marital Remarks Dated signature
(Please (DD/MM/YYYY) no.* p with Govt. status of Head of
see notes (optional) servant/ Office
below retired
before Government
filling) servant /
Subscriber
(1) (2) (3) (4) (5) (6) (7)
1.
2.
3.
4.
5.
6.
7.
8.
I hereby undertake to keep the above particulars up to date by notifying to the Head of
Office any addition or alteration.
E-mail:(Optional) ________________________
Mobile:(Optional) ________________________
Place: ________________________
Date: ________________________
(Signature)
*Providing Aadhaar No. is optional. However, if it is provided, consent to link it to Bank
Account and also for authentication of identity from UIDAI for pension related purpose
only, is presumed.