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AJHPA4398P STATE BANK OF INDIA DHARMAVARAM SBIN0000250 31006690225 self 4.Employee Residential Address 21-474 YADAVA STREET DHARMAVARAM ANANTAPUR
01
No.
Relationship
Name
Disability
Daughter
ASADI KRISHNASREE
Female
27-07-1995
No
Mother
A RAMASUBBAMMA
Female
01-01-1946
9531874013 67
No
--
Son
ASADI HARSHAVARDHA N
Male
03-08-1994
9020590191 85
No
--
Wife
B NAGARATHNAMM A
Female
01-04-1975
8317175496 53
No
--
Allowances
S.No Allowance Amount/Per Values Type centage No Details are Found Periodicity
Deductions
S.No Deduc Sancti Sancti Sancti tion on on oned Descri Date Ref. Amou ption Dd/m No nt m/yyy y Loan No First Month Adjust ment Amou nt Total Intere Intere Instal Recov Deduc Policy Sum Amou Date Recov no of st st ment ery tion Numb Assur nt of of ery Instal Instal Rate Amou Start Amou er ed Montl Last Start ments ments nt MM/Y nt y Install Month YYY Premi ment / Year um
DECLARATION*
The above information is true to the best of my knowledge. I agree to share details of self and family with Government of Andhra Pradesh. I am aware that declaration of wrong details will entail disciplinary action against me
__________________ Employee's Signature Date: __________________ DDO's Signature Date:
02