This document provides the official application form for retired employees of the Indian Council of Medical Research (ICMR) to obtain a Pensioner Identity Card. Applicants are required to fill in personal details including their name, employee code, contact information, and retirement-related data such as PPO number and last pay drawn. The form must be completed in capital letters and includes a space for a passport-sized photograph. A signature in black pen is required to validate the application. This form serves as the standard template for ICMR pensioners to request their official identification.

This document provides the official application form for retired employees of the Indian Council of Medical Research (ICMR) to obtain a Pensioner Identity Card. Applicants are required to fill in personal details including their name, employee code, contact information, and retirement-related data such as PPO number and last pay drawn. The form must be completed in capital letters and includes a space for a passport-sized photograph. A signature in black pen is required to validate the application. This form serves as the standard template for ICMR pensioners to request their official identification.