Bharat Sanchar Nigam Limited

Office of the General Manager Telecom, Ferozepur-152001

OPTION FORM FOR COMMUTATION OF PENSION

I _________________________________Designation_____________ (Retd.),
retired on ________________________PPO No.CCA/PB/PEN/PPO-_________ was
working in the office of _____________________________________ have gone
through the contents of the recommendation of the “Sixth Pay Commission
circulated vide letter No.38/37/08-P&PW(A) dated 02.09.2008” Or under NEPP Or
Under Pay Revision w.e.f. 01.01.2007.

1.  Opt to commute my Revised Pension.

2.  Do not opt to commute my Revised Pension.
* Tick the choose above Option

Signature of the Retired Employee

Date: _________________________ Name: ________________________,
Place: ________________________ Design: _________________(Retd.),
HRMS/Staff No: ________________
Contact No.: ____________________

UNDERTAKING
I hereby undertake that any excess payment that may be found to have been made as
a result of incorrect fixation of pay or any excess payment detected in the light of
discrepancies noted subsequently will be refunded by me to the BSNL/DOT either by
adjustment against future payments due to me or otherwise

Date: _________________________ Signature of the Employee

Place: ________________________ Name: ____________________,
 Bharat Sanchar Nigam Limited
Office of the General Manager Telecom, Ferozepur-152001
OPTION FORM FOR PAY FIXATION UNDER NEPP

1)  I _______________________________Designation_____________ hereby
elect the revised scale with effect from 1st January, 2007.
2)  I _______________________________Designation_____________ hereby
elect to continue on the existing date of my Next Increment on ____________
The date of my subsequent increment raising my pay To Rs.__________
I, vacant or cease to draw pay in the existing pay scale.

* Tick the choose above Option

Signature of the Employee

Date: _________________________
Place: ________________________
Name: ________________________,
Design: _________________(Retd.),
HRMS/Staff No: ________________
Office: _________________________
_______________________________
Contact No.: ____________________

UNDERTAKING
I hereby undertake that any excess payment that may be found to have been
made as a result of incorrect fixation of pay or any excess payment detected in the
light of discrepancies noted subsequently will be refunded by me to the BSNL either
by adjustment against future payments due to me or otherwise.

Date: _________________________ Signature of the Employee

Place: ________________________ Name: ____________________,
 Bharat Sanchar Nigam Limited
Office of the General Manager Telecom, Ferozepur-152001

OPTION FORM FOR COMMUTATION OF PENSION

(Under Pay Revision w.e.f. 01.01.2007)

I _________________________________Designation_____________ (Retd.),
retired on ________________________PPO No.CCA/PB/PEN/PPO-_________ was
working in the office of _____________________________________ have gone
through the contents of the recommendation in new pay revision w.e.f. 01.07.2007.

1.  Opt to commute my Revised Pension.

2.  Do not opt to commute my Revised Pension.

* Tick the choose above Option

Signature of the Retired Employee

Date: _________________________ Name: ________________________,
Place: ________________________ Design: _________________(Retd.),
HRMS/Staff No: ________________
Office: _________________________
_______________________________
Contact No.: ____________________
UNDERTAKING
I hereby undertake that any excess payment that may be found to have been
made as a result of incorrect fixation of pay or any excess payment detected in the
light of discrepancies noted subsequently will be refunded by me to the BSNL/DOT
either by adjustment against future payments due to me or otherwise.

Date: _________________________ Signature of the Employee

Place: ________________________ Name: ____________________,
PPO No.___________________.