Norka Pension Application Form PDF Details

The Norka Pension Application form is a significant document for Non-Resident Keralites (NRKs) seeking pension benefits through NORKA-ROOTS, a Government of Kerala undertaking. Before filling out the application, applicants are urged to carefully read the guidelines, using only capital letters for their entries. The form captures essential personal information, such as name as it appears on the passport, date of birth, passport number, country of residence, and communication details both in Kerala and abroad. It also inquires about the applicant's profession, duration of overseas stay, details of a sponsor, educational qualifications, marital status, religion, names and details of family members including parents, and information regarding a nominee for the insurance benefit in the event of the applicant’s death. Furthermore, the application must be attested by an official from the Indian Embassy/Consulate abroad or by designated officials or authorities in Kerala, ensuring the authenticity of the information provided. Applicants are required to declare that all details submitted are true to their knowledge, and any false statements may lead to legal consequences. This comprehensive approach ensures a thorough evaluation process for each pension application, facilitating the provision of benefits to eligible NRKs.

QuestionAnswer
Form NameNorka Pension Application Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namespravasi kshemanidhi, kshemanidhi online payment, kerala pravasi welfare board online payment, pravasi pension online payment

Form Preview Example

{]hmkn Xncn¨dnb ImÀUv

At]£m^mdw (hntZiw)

At]£m^mdw kuP\yamWv

NORKA

A GOVERNMENT OF KERALA UNDERTAKING

(Please read the guidelines before filling up the application. Use only CAPITAL Letters)

(At]£ ]qcn-¸n-¡p-¶-Xn\v ap³]v \n_-Ô-\-IÄ hmbn¡p-I. Cw¥ojv henb A£-c¯n ]qcn¸n-¡p-I)

IfÀ t^mt«m

(]mkvt]mÀ«v sskkv)

District (PnÃ)

 

 

 

Signature of the NRK

 

 

Panchayat/Municipality/Corporation

({]hm-kn-bpsS H¸v)

 

 

(]©mb¯v/ap\n-kn-¸m-enän/tImÀ¸-td-j³)

1. Name (as in passport) t]cv (]mkvt]mÀ«n DÅXpt]mse)

2.

Date of Birth (P\\¯obXn)

Day

 

 

Month

 

 

Znhkw

 

 

amkw

3.

Passport Number (]mkvt]mÀ«v \¼À)

Place of issue (\ÂInb Øew)

Year

hÀjw

Date of issue (\ÂInb XobXn)

Day

Znhkw

Month

amkw

Year

hÀjw

4.Country of Residence

(Ct¸mÄ Xma-kn-¡p¶ cmPyw)

5.Address for communication (I¯-b-bv¡p-¶-Xn-\pÅ hnemkw)

P I

N

Telephone number with STD Code (t^m¬ \¼À tImUv DÄs¸sS):

6.Address abroad (hntZis¯ hnemkw)

E-mail (CþsabnÂ)

Telephone No with ISD code (t^m¬ \¼À tImUv DÄs¸sS)

7. Address in Passport (]mkvt]mÀ«nse hnemkw)

District (PnÃ)

8.Profession (sXmgnÂ)

PIN Code(]n³tImUv):

9.a) Duration of overseas stay (hntZi¯v F{X Imeambn

Xmakn¡p¶p)

10.Details of Sponsor (kvt]m¬kdpsS hnhc§Ä)

hÀjw

amkw

NORKA-ROOTS, 4th Floor, Centre Plaza, Vazhuthacaud, Thiruvananthapuram-695 014, Kerala, India

(+ 91-471-2332416, 2332452 Fax:+91-471-2326263, e_mail: mail@norkaroots.net, URL: www.norkaroots.net, www.norka.gov.in

Page: 2

11.Educational Qualifications

(hnZym`ymk tbmKyXIÄ)

12.Whether family lives abroad or in native place

(IpSpw_w hntZit¯mtWm kztZi¯mtWm)

13. Marital status (sshhmlnImhØ)

Married

14. Religion (aXw)

Abroad

hntZi¯v

Single

In native place

kztZi¯v

Divorced

15.Details of family members including parents (amXm]nXm¡Ä DÄs¸sS IpSpw_mwK§fpsS hniZhnhcw)

Name (t]cv)

Relationship (_Ôw)

Age (hbÊv)

 

 

 

 

 

 

16.Name of Nominee with relationship (AhIminbpsS t]cpw _Ôhpw)

I nominate the following person for claiming the insurance benefit, in the event of my death. ( B\p-Iq-ey-§Ä ssI¸-äp-¶-Xn\v Xmsg ]d- bp-¶- Bsf Rm³ \ma-\nÀt±iw sN¿p-¶p.)

Name (t]cv)

Relationship (_Ôw)

Age (hbkv)

Declaration ({]XnÚ)

I declare that the details given above are true to the best of my knowledge and belief. If anything stated is found false, legal action may be taken against me. (apIfn sImSp¯ncn¡p¶ hnhc§sfÃmw Fsâ Adn-hnÂs¸-«n-S-t¯mfw kXyamsW¶v Rm³ CXn\m km£ys¸Sp¯p¶p.

GsX¦nepw hnhcw sXämsW¶v t_m[ys¸«m F\ns¡Xnsc \nba \S]SnIÄ kzoIcn¡mhp¶XmWv.)

Name and Signature of the Applicant/*Family Member

At]£Is‚/IpSpw_mwKØns‚ t]cpw H∏pw

ATTESTATION FROM INDIAN EMBASSY / CONSULATE ABROAD

 

The applicant has signed in my presence and he/she is living this country since

(month)

(year).

Name and Signature of the

Embassy/Consulate Official with seal

OR

 

 

ATTESTATION FROM DESIGNATED OFFICIALS / AUTHORITY IN KERALA

At]£Is\ F\n°v t\cn´dnbmw. ta¬∏d™ hkvXpXIƒ ]q¿Wambpw icnbmsW∂v CXn\m¬ Rm≥ km£ys∏SpØp∂p.

 

]©mbØv {]knU‚ v/hm¿Uv saº¿/Iu¨kne¿/Fw.-F¬.F/Fw.-]n.-/-

Place (Øew)

tI{µ-/-kw-ÿm\ Kk‰Uv Hm^o-k¿

 

Date (XobXn)

t]cpw H∏pw (ko¬ klnXw)

 

 

 

FOR OFFICE USE ONLY

Code number

:

Date of Registration

:

ID Number

:

Status

:

 

 

 

Chief Executive Officer/Authorised Officer

 

Norka-Roots

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1. For starters, while filling in the pravasi kshemanidhi online payment, start with the page that contains the subsequent fields:

Tips to fill in pravasi welfare fund step 1

2. Once your current task is complete, take the next step – fill out all of these fields - Telephone number with STD Code tm, Address abroad hntZisfl hnemkw, Email Ccidsabn Telephone No with, Address in Passport mkvtmcidnse, District Pn, Profession sXmgn, PIN CodentImUv, a Duration of overseas stay, hcidjw, amkw, and Details of Sponsor kvtmkdpsS hnhc with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

pravasi welfare fund conclusion process shown (step 2)

You can potentially make a mistake while completing the Address in Passport mkvtmcidnse, consequently you'll want to take a second look before you send it in.

3. In this part, review Educational Qualifications, hnZymymk tbmKyXI, Page, Whether family lives abroad or in, IpSpww hntZitflmtWm kztZiflmtWm, Marital status sshhmlnImhcid, Married, Abroad hntZiflv, Single, In native place kztZiflv Divorced, Religion aXw, Details of family members, Name tcv, Relationship cidw, and Age hbv. Each of these will need to be taken care of with greatest precision.

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4. The subsequent section will require your input in the subsequent areas: Name tcv, Relationship cidw, Age hbkv, I declare that the details given, Declaration Xncid, ATTESTATION FROM INDIAN EMBASSY, The applicant has signed in my, Name and Signature of the, Name and Signature of the, ATTESTATION FROM DESIGNATED, AtIs Fnv tcndnbmw tad hkvXpXIƒ, and mbØv knU vhmUv saºIukneFwFFFwn. Make certain to type in all needed details to move forward.

Completing part 4 of pravasi welfare fund

5. This very last stage to submit this document is pivotal. Ensure that you fill in the appropriate fields, including Place cidew Date XobXn, mbØv knU vhmUv saºIukneFwFFFwn, tcpw Hpw ko klnXw, FOR OFFICE USE ONLY, Code number, Date of Registration, ID Number, Status, Chief Executive OfficerAuthorised, and NorkaRoots, before finalizing. Failing to do this can contribute to an unfinished and possibly unacceptable document!

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