Application For Grants From Army Central Welfare Fund Adjutant General Branch
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7D.D.40 Form
APPLICATION FOR GRANTS FROM ARMY CENTRAL WELFARE FUND
ADJUTANT GENERAL BRANCH
PART- I : PARTICULARS OF
APPLICANT
1.
Particulars of Applicant/Serviceman/Ex-serviceman
(a)
Name of the Applicant: ___________________________________
Age __________ Years.
(b)
Permanent Address: ____________________________________
____________________________________
____________________________________
____________________________________
(c)
Present Address :
___________________________________
____________________________________
____________________________________
____________________________________
(d)
Physical condition of the Applicant: _________________________
_______________________________________________________
(e)
Occupation: _____________________________________________
2.
Details of the Serviceman/Ex-serviceman :-
(a)
No______________Rank ___________Name __________________
_________________Unit/Corps______________________________
(b)
Relationship with the Applicant: _____________________________
(c)
Date of Commission/Enrolment: _____________________________
(d)
Date of Retirement/Discharge
: _____________________________
Total Service ______________________________________________
(e)
Date of casualty including death: _____________________________
(f)
Age at the time of casualty
: _____________________________
Including death
(g)
Cause of casualty including death: ____________________________
_________________________________________________________
(h)
Is Death/Disability attributable or aggravated to
Service: _________________________________________________
(j)
Character (As assessed on Discharge Certificate)
____________________________Yes/No _____________
…2/-
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