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State of Bihar - Section
Section 12 in Bihar Journalist Pension Scheme Rules, 2015
12.
State Government shall be the competent authority to bring about any changes in these rules.Annexure - "A"(Application Form for Monetary Assistance under Bihar Journalist Pension Scheme)| To, | |||
| The Joint/ Deputy/ Assistant Director (Press) | |||
| Information & Public Relations Department, | |||
| Bihar, Patna. | |||
| Through: | The District Public Relations Officer | ||
| ................................................., | |||
| 1. | Full Name of the Applicant | - | |
| 2. | Father's Name | - | |
| 3. | Date of Birth | - | |
| 4. | Address | - | |
| (a) | Full Residential Address | - | |
| (b) | Full Address for Communication | - | |
| (c) | Telephone No | Mobile No | |
| 5. | Name of Media | - | |
| 6. | Address of the Media | - | |
| 7. | Place of working | - | |
| 8. | Annual Income from all Sources | - | |
| 9. | Experience of Journalism | - | |
| (Attach the details along with its proof) | |||
| 10. | Dependants of Journalist | - | |
| (a) | Name | - | |
| (b) | Relationship with Applicant | - | |
| (c) | Age | - | |
| (d) | Attach documents related to age | - | |
| 11. | Documents to be attached; | - | |
| Attached Documents | Attached or Not | ||
| (i) | Residential Certificate | - | yes/no |
| (ii) | Details of Bank Account | - | yes/no |
| (iii) | Affidavit of work experience | - | yes/no |
| (iv) | Recommendation of the editor/organizer/ Managerof the concerned agency where the journalist/photographer, workedyes/no | - | |
| (v) | T .D. S for the verification of Salary/Honorarium/ Remuneration | - | yes/no |
| (vii) | Proof of not being an income tax payee (attachaffidavit); | - | yes/no |
| (vii) | Documents related to payment of remuneration byany means given by the organization to the Journalist by agencythrough any means | - | yes/no |
| (viii) | Self Declaration regarding non conviction inany charges or criminal charges. | - | yes/no |
| 12. | Declaration and copy of proof of obtainingpension/financial assistance form other sources, if any: | ||
| 13. | I declare that, details given above are trueand correct to my knowledge. | ||
| Place | |||
| Date | (Signature of applicants) | ||
| Letter No/Memo....................................Date..................... | |||
| Application recommended and forwarded. | |||
| District Public Relation Officer |
| Signature of the Recommending Officer | ||
| Full Name | - | |
| Designation | - | |
| Date | - |