This is a reference format, not legal advice. If your bank accepts the Jeevan Pramaan digital life certificate (biometric), that's usually faster and needs no printing. Use this format for banks/offices that still want a signed paper declaration.
When You Need This
Pensioners typically need to submit a life certificate once a year (commonly in November) to keep their pension disbursement running, and government pensioners specifically may also need to declare they haven't taken up further government employment that would affect their pension.
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Pick whether you need the life certificate, the non-employment declaration, or both together - the wording adjusts to match.
Click anywhere in the document above to fine-tune the wording before printing.
← Edit DetailsHow to Use This Format
- Check with your pension disbursing bank whether they accept a printed declaration, or only the Jeevan Pramaan digital certificate.
- Sign it in person, ideally in front of your bank's officer or a Notary Public if required.
- Submit it before your bank's annual deadline (commonly November) to avoid a pause in disbursement.
Frequently Asked Questions
If your pension disbursing bank/office accepts the Jeevan Pramaan digital life certificate (biometric, via the Jeevan Pramaan app or a common service centre), that's usually faster and doesn't need notarization. This printed format is for banks/offices that still want a signed paper declaration, or for pensioners who can't access the digital system.
Certain pensions (especially for retired government employees) are affected if the pensioner takes up further employment with the Government or a government-owned body. A non-employment declaration confirms you haven't taken such employment since retirement or your last declaration, so your pension can continue uninterrupted.
Most pension disbursing banks/offices need this once a year, typically in November, though the exact window can vary by scheme and by pensioner's age (some very senior pensioners get relaxed timelines). Check with your specific pension disbursing bank.
Most banks allow a doorstep life-certificate visit for pensioners who can't travel, or accept a certificate from a local authority/medical officer confirming the pensioner is alive and unable to travel. Check your bank's doorstep banking or alternate-verification options before ruling this out.
Your pension disbursement is typically paused until a valid life certificate is submitted - once submitted, the paused amount is usually released, but this varies by scheme. Submit it as soon as possible to avoid a gap in payments.