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Apsrtc staff retirement benefit scheme
1. APSRTC STAFF RETIREMENT BENEFIT SCHEME,HYDERABAD
LIFE CERTIFICATE
STAFFNO MEMBERSHIP NO
1.I
…………………………………………………………………………….E……………………………
…………………….. a member of APSRTC Staff Retirement Benefit Scheme, am still living
and receiving the benefits of the scheme. Kindly continue the same.
Place: Signature of the member
Date: S/O:
Staff No:
Designation:
2 .Certified that the member stated above appeared before me on this
…………………………..day of …….................Hence he/she is still alive as on this day.
Place:
Date: SIGNATURE OF THE OFFICER
WITH OFFICE SEAL AND DATE