Form-D (Digital)
[Rule 15(1) & 15(3),Schedule-X]
Application for Commutation of pension without Medical Examination whrn Government servant /Pensioner desires
that the payment of the commuted value should be authorized through the pension order or after issuance of
Pensioner Payment Order within onr year from the date of retirement.
PWD/20260103/DDO/8975
1. Name MOHAMMAD AYOOB MIR
a) Aadhaar No. xxxxx
b) PAN xxxxxx472N
c) E-mail Id mirumair6586@[Link]
Alternate Email id
d) Mobile No. xxxxx2166
Alternate Mobile no
[Link] of Birth 01/04/1966
3. Date of Retirement 31/03/2026
[Link] of the post held at the time of retirement Road Supervisor
[Link] of office last serviced R and B Mechanical
Division North kashmir
Baramulla
[Link] of pension sanctioned and whether it is provisional or final
[Link] of pension superannuation
[Link] (in whole rupees) or percentage of pension 40%
desired to be commuted
9.(a)Name of Bank through which payment of pension is desired Jammu and Kashmir Bank
Ltd
(b)Bank Branch 0075
(c)IFSC code JAKA0CNDOSA
(d)Saving Bank Account number 0075040100003348
10. Name of the Treasury mapped with the concerned Bank Branch CHANDOOSA
[Link] number (if sanctioned)
Date: 07/01/2026
Signature of Government
servant/Pensioner
Compete postal address(with PIN code):- M-15 RAJPORA THANDAKASI RAJPORA
THANDAKARI Teh:-BARAMULLA BARAMULLA 193101
Forwarded to the Accountant General (A&E) J&K Jammu &Srinagar for authorizing payment of
commuted value of pension as may be due and admissible under rules.
Place: Srinagar
Dated: 07/01/2026
Signature of the Head of Office/PSA