English
|
हिंदी
Existing Subscriber
Login Here
APY Registration
APY Pending Registration
APY Registration
Fields mentioned * are mandatory for Registration.
Personal Details
Title:
*
Name
*
Date of Birth (DD/MM/YYYY)
*
Gender
*
Aadhaar Number
*
Mobile Number
*
Email ID
*
Other Details
Father's Name
Marital Status
*
Spouse Name
*
Spouse Name
Spouse Aadhaar Number
*
Spouse Aadhaar Number
Income Tax Payer
*
I hereby agree that I am not a beneficiary of other statutory social security schemes.
*
Pension Details
Pension Amount
*
Periodicity of Contribution
*
I hereby authorize the bank to debit my above bank account till the age of 60 for making payment under APY as applicable based on my age and the Pension amount selected by me. If the transaction is delayed or not effected at all for insufficient balance, I would not hold the bank responsible. I also undertake to deposit the additional amount together with overdue interest thereon.
Nominee Details
Nominee's Name
*
Nominee Major/Minor
*
Nominee Date of Birth
*
Nominee Date of Birth
Nominee's Relationship
*
Guardian name
*
Guardian name
Nominee Aadhaar No:
Declaration By subscriber
Declaration & authorization by all subscribers
I meet the prescriber eligibility criteria for assistance under APY and I have read and understood the terms and conditions of the scheme. I hereby agree to the same and declare that the information furnished by me is true and correct, to the best of my knowledge and belief.
I undertake to immediately inform the bank of any change in the above information furnished by me. Further, I do no hold any pre-existing account under APY.
I understand that I shall be fully liable for submission of any false or incorrect information or documents. I have read/been explained and have understood the APY guidelines.
I further agree to be bound by the terms and conditions of provision of services under the scheme as approved by PFRDA/Govt. of India.
Please confirm the declaration by clicking on the above check box to proceed.
Reset
Submit
