PENSION PAYMENT ORDER OF ARMED FORCES PERSONNEL :LOSS CERTIFICATE

To be filled by the Pension Disbursing Agencies and submitted to the Pension sanctioning authority for issue of the Duplicate PPO.

�Certified that Pension Payment Order (PPO) No.____________ of ________________________Office, in respect of _______________________(Personal No./Regimental No. (rank & name) of _________________________ (Unit/Formation/Army of service), Saving Bank Account No. ___________ has been lost/is not available. To avoid double payment in future, a note has been kept in the Payment/Check/INDEX Register on record in my office/Bank. The PPO, if found or received from any authority at a later date, will not be acted upon and will be returned to the Pension Sanctioning Authority for cancellation�.

Dated:                                Signature and Seal of P.D.A.

(SOURCE : http://pcdapension.nic.in/pcdapension/forms/disburseform2.htm )