Dear sir,
Bank of Baroda has issued circular for second option to vrs optees.
Last date for accepting offer is 11.11.2010. The circular is available
on bank's web sight
www.bankofbaroda.com
I attach the same for ready reference.
suvala
Circular.
1
BCC: BR:102/246 9th September 2010
CIRCULAR TO ALL BRANCHES / OFFICES IN INDIA
Issued by
Human Resource Mgmt Deptt
Baroda Corporate Centre
Sub./Pers. File No.
Re: Pension Option – Bank of Baroda Employees’ (Pension) Regulation
1995 – Implementing Pension
Settlement pending amendment to Pension Regulations-issuance of option
letters to existing
Employees/Officers.
In terms of the Agreement/Joint note dated 27.4.2010 entered into /
agreed between IBA and the Workmen
Unions/ Officers’ Organisations, it has been advised by Indian Banks
Association vide their communication
under reference no. CIR/HR&IR/G2/665/90/2010-11/999 dated 10.8.2010
that option to join captioned Pension
Scheme is to be extended to those employees /Officers :-
A. Who were in the service of the bank prior to 29th September 1995
and continue in the service of
the bank on the date of Bipartite Settlement/ Joint Note i.e.27th
April, 2010.
I. Such employees shall exercise an option in writing within 60 days
from the date of the offer, to
become a member of the Pension Fund and
II. Shall authorise the Trust of the Provident Fund of the bank to
transfer the entire contribution of the
bank along with interest accrued thereon to the credit of the Pension
Fund alongwith the pension
cost equivalent to 2.8 times of the revised pay for the month of
November 2007 recovered from the
arrears paid on account of Bipartite Settlement/Joint Note dated
27.4.2010 towards estimated
individual funding gap.
B. Who were in service of the bank prior to 29th September 1995 and
retired after that date and
prior to the date of this Bipartite Settlement/ Joint Note i.e.27th
April,2010
I. Such employees shall exercise an option in writing within 60 days
from the date of offer to become
a member of the Pension Fund and
II. Shall refund within 30 days after expiry of the said period of 60
days, the entire amount of the
banks contribution to the Provident Fund and interest accrued thereon
received by the employee/
officer on retirement together with his/her share in contribution
towards meeting 30% of Rs.3115
crores which is estimated and reckoned as the funding gap. On an
individual basis, the payment
over and above the bank’s contribution to Provident Fund and interest
thereon has been worked
out at 56% of the said amount of bank’s contribution to Provident Fund
and interest thereon
received by the employee/ officer on retirement.
C. The family of those employees/ officers who were in the service of
the bank prior to 29th
September 1995 retired after that date and had died will be eligible
for family pension, provided
I. the family of the deceased employee/ officer exercises option in
writing within 60 days of the offer
to become a member of the Pension Fund and;
II. refund within 30 days after expiry of the said period of 60 days,
the entire amount of the bank’s
contribution to the Provident Fund and interest accrued thereon
received by the deceased
officer/employee on retirement together with his/her share in
contribution towards meeting 30% of
Rs.3115 crores which is estimated and reckoned as the funding gap. On
an individual basis, the
payment over and above the bank’s contribution to Provident Fund and
interest thereon has been
worked out at 56% of the said amount of bank’s contribution to
Provident Fund and interest thereon
received by the employee/officer on retirement.
2
D. The family of those employee/officer who were in the service of the
bank prior 29th September
1995, but have died while in service of the bank after that date will
be eligible for family pension,
provided :-
I. the family of the deceased employee/officer exercises an option in
writing within 60 days of the
offer to become a member of the Pension Fund and
II. refund within 30 days after expiry of the said period of 60 days,
the entire amount of the bank’s
contribution to the Provident Fund and interest accrued thereon
received upon death of the
employee/ officer together with his/her share in contribution towards
meeting 30% of Rs.3115
crores which is estimated and reckoned as the funding gap. On an
individual basis, the payment
over and above the bank’s contribution to Provident Fund and interest
thereon has been worked
out at 56% of the said amount of bank’s contribution to Provident Fund
and interest thereon
received on death of the employee/ officer.
E. The existing pension scheme will not be applicable to those who
join/joining the services of
bank on or after 1st April 2010.
Employee/Officer joining services of the Bank on or after 1.4.2010
shall be eligible for Defined
Contributory Pension Scheme on the lines of New Pension Scheme
introduced for employees of
Central Government. The Employee/Officer joined/joining service on or
after 1.4.2010 shall contribute
10% of Pay and DA towards the Defined Contributory Pension Scheme and
the Bank shall make a
matching contribution. The Scheme shall be regulated and administered
by the Pension Fund
Regulatory and Development Authority (PFRDA).
There shall be no separate Provident Fund for employees joining
services of bank on or after
1st April 2010.
F. Employees/Officers, who ceased to be in service on or after 29th
September 1995 on account of
voluntary retirement under special scheme after rendering service for
a minimum period of 15 years,
shall be eligible to exercise an option to join the Pension Scheme
subject to the terms and conditions
mentioned for retiring employees/officers opting for joining the
Scheme. Such Voluntary Retirement
Scheme in Bank of Baroda would mean BOBEVRS-2001.
The Settlement dated 27.4.2010 and Joint Note dated 27.4.2010 signed
between IBA and the
Workmen Unions and Officer Associations respectively do not envisage
for extension of another option
for pension to those who ceased to be in service by way of
RESIGNATION/ OFFICERS
VOLUNTARILY RETIRED UNDER BANK OF BARODA OFFICER’S SERVICE
REGULATIONS /ON
ACCOUNT OF PUNISHMENT IMPOSED UPON THEM etc. Hence they are not
eligible to opt for
joining the Pension Scheme. Also existing Pension Optees cannot revoke
their option from Pension to
CPF.
G. Pension/ Family Pension to those who opt to join the pension scheme
complying with the terms of the
Settlement/Joint Note dated 27.04.2010, shall be payable with effect
from 27th November 2009,
provided that employees/officers who retired after that date shall get
pension from the respective dates
of their retirement.
H. All the Regulations of the Bank Employees’ Pension Regulations,
1995 / 1996 shall be applicable to
those who opt for the Pension Scheme in terms of the Settlement/Joint
Note dated 27.4.2010 except to
the extent mentioned in the foregoing Clauses of the said Bipartite
Settlement/Joint Note.
The terms of the Settlement/Joint Note dated 27.4.2010 shall be
incorporated in the Bank of Baroda
(Employees’) Pension Regulations, 1995/1996 by complying with the
procedure for amendment.
The option to join pension scheme can be exercised during 13.09.2010
to 11.11.2010 (both days
inclusive) i.e. 60 days.
3
The ex-employees who have completed one year from their date of
cessation from service and desirous to
commute a fraction of pension (maximum 1/3rd) are required to undergo
medical examination and produce
fitness certificate in the proforma attached to this circular. Please
note that only surviving ex-employee can
commute the pension and dependents applying for family pension are not
eligible to commute the pension.
Please note that to avoid any loss on account of any sort of delay, if
option for commutation is submitted within
the above period of 60 days, the date of commutation is fixed as
01.09.2010 for those who have retired prior to
01.9.2010. This will mean that they will be paid full pension from
27.11.2009 provided that employees/ officers
who retired after that date shall get pension from the respective
dates of their retirement till above date and
from aforesaid date, reduced pension will be payable. The period of 15
years for restoration of the commutation
will also start from aforesaid date.
As regards remittance of the Pension Cost recovered from the employees
at the time of making payment of
arrears to existing employees and that of refunding bank’s
contribution and interest thereon along with 56% of
the Bank’s contribution from retired employees, separate instructions
will follow. Till such instructions are
received, the same should not be remitted to Head Office and be
retained at branch.
SUBMISSION OF OPTION LETTERS:
Copies of Option letters and Family Detail Forms uploaded on the
Bank’s intranet along with this circular are as
under:
Option form for serving employees/officers - Annexure A
Option form to be filled in by employees/Officers retired on or after
29.9.1995 - Annexure B
Option form to be filled in by family of those employees who are
eligible for family pension - Annexure C
Family details form for family pension - Annexure D
Option /Undertaking from employee not willing to opt for Pension
Scheme - Annexure E
Additional Information (In lieu of Pension Application) - Annexure F
Application for commutation of pension without medical examination
(within one year) - Annexure G
Application for commutation of pension subject to medical examination
(after one year) - Annexure H
Draft of letter to Bank’s Medical Officer/ Doctor - Annexure I
Declaration of Pensioner/ Proforma of Bank’s Medical Officer/ Doctor’s
Certificate - Annexure J
Proforma of List I – Statement of Employees/ Officers who have opted
for Pension Scheme - Annexure K
Proforma of List II – Statement of employees/ officers who do not
desire to opt for
Pension Scheme
- Annexure L
We request you to take out the required number of option letters and
Family Detail forms and take the following
course of action.
ISSUANCE OF FORMS TO EXISTING EMPLOYEES IN SERVICE (ANNEXURE A & D)
We request you to arrange to issue the option letters and Family
Details forms against acknowledgement to:
a) Each of the permanent FULL TIME employees who is on the muster roll
and who had joined the Bank
prior to 29.9.1995 AND IS PF OPTEE AS ON DATE;
b) Each of the PART TIME employees on scale wages who had joined the
Bank’s service prior to 29.9.1995
AND IS PF OPTEE AS ON DATE.
The employees/officers who have joined the Bank’s service on or after
29th September 1995 should not
be issued such letter / form as they are covered under Bank of Baroda
(Employees’) Pension
Regulations, 1995/96.
Similarly, the employees/officers who have joined the Bank’s service
on or after 1st April 2010 should
not be issued such letters/ form as they are covered under Defined
Contributory Pension Scheme.
4
EMPLOYEES ON LEAVE, SUSPENSION INCLUDING THOSE ON SABBATICAL LEAVE,
UNAUTHORISEDLY ABSENT, DEPUTATION ETC.
In the cases of employees/officers who are on deputation to RRB etc.,
on long leave, unauthorized absence,
under suspension etc. may please be issued the offer letters / forms
at their last known address on Bank’s
records by Regd. A.D. post specifying the last date by which they are
required to submit their letters / forms.
PLEASE NOTE THAT OFFICE COPIES OF SUCH LETTERS ISSUED ALONGWITH THE
REGISTERED AD
SLIP WILL HAVE TO BE PRESERVED AT THE BRANCHES TILL FURTHER
INSTRUCTIONS. IN CASE
ANY OF THE LETTERS IS RECEIVED BACK UNDELIVERED FROM THE POSTAL
AUTHORITIES, THE
SAME IS ALSO TO BE PRESERVED AND KEPT INTACT WITHOUT OPENING THE SAME
IN THE SAFE
CUSTODY.
While issuing the aforesaid letters/forms to the employees/officers
posted in the branch / office, please ensure
that:
a) all eligible employees/officers who are on the muster roll of the
branch / office are issued these option
letters / forms against acknowledgement and ensure that no one is left
out.
b) Please note that all the employees/officers are clearly advised
that option exercised in any form
other than as stated above, will not be accepted.
c) Please arrange to obtain proper acknowledgement from each eligible
employee/officer for issuance of
said option letter / form and should keep a record of the same.
d) When the employees/officers submit the option letters/forms, Branch
Head/Office Manager should
arrange to attest their option letter/family details forms as stated
in the said letter / form.
It has also been decided to make one more mode of submitting the
Option available to existing
employees through self service of HRnes-HRMS. The Modalities would be
as under:
• New Application Form would be made available for ALL employees
through Self-Service.
• The employees’ details would be shown on the TOP
• The existing data “Covered by Pension Regulation “would also be
displayed.
• A Notice would appear on the Form as under:
• “I refer to the Bank’s Circular Letter No…………….….dated ……………….. and
submit my irrevocable
option in terms of the circular as under.
• The employee would be given an option to choose as under:
• Option for Pension === YES / NO
• Upon Choosing YES, the system would generate a Reference Number and
a message
• “Your Option has been registered with reference number ___ Your
Option has been reset to YES.
Please proceed to Print the following documents and submit to your
Regional Office through Branch
Head”
• The employee would be prompted to print out the following :;
• Form A
• Form D
• Upon Choosing NO, the system would generate a Reference Number and a
message “Your Option has
been registered with reference number ___. Your Option has been reset
to NO. Please proceed to Print
the following documents and submit to your Regional Office”
• The employee would be prompted to print out the following::
• FORM E
• The forms after printing should be signed by the employee, witness
and branch head and forwarded to
Head Office, Baroda alongwith List I/II as the case may be as advised
below.
• The employees will be allowed to exercise the on line option only
once and therefore, before submitting
the option all due precaution should be taken.
• Since Substaff members are not having the Employee Self Service in
HRMS, they should submit the
relevant forms as per the choice selected by them and submit the same
to Regional Office through
Branch. The RO HR will be given a link for submitting the option on
behalf of such employees.
5
AS SOON AS THE EXISTING EMPLOYEE SUBMIT THE IRREVOCABLE UNDERTAKING
AND OPTION
STATING THAT HE/SHE DOES NOT WANT TO JOIN PENSION SCHEME AND WOULD
LIKE TO
CONTINUE IN EXISTING CONTRIBUTORY PROVIDENT FUND SCHEME AND SUBMIT THE
SAME IN
ANNEXURE ‘E’, PENSION COST RECOVERED FROM HIM/HER FROM ARREARS SHOULD
BE PAID
BACK TO HIM/HER TO THE CREDIT OF HIS/HER SAVINGS/OVERDRAFT ACCOUNT.
FORWARDING OF OPTION LETTERS / FORMS TO HEAD OFFICE IN CASE OF
EXISTING
EMPLOYEES/OFFICERS:
Branch / Office should arrange to send the option letter / family
details forms received from the
employees/officers to their respective Regional Office in one lot
along with -2- separate lists of
employees/officers with their EC Nos. as under:
a) List-I :- of those employees/officers with EC No. and designation
who have opted for pension scheme
along with their option letter / forms in enclosed sheet (Annexure K).
b) List-II :-of those employees/ officer with EC No. and designation
who have not opted for pension
scheme in enclosed sheet / format showing name, EC No., designation
and also obtain the signature of
each such employees/officers ( in the last column) indicating that
they do not desire to opt for pension
scheme. In other words, they are not submitting option forms and
continuing in Contributory Provident
Fund (Annexure L).
ISSUANCE OF FORMS TO EMPLOYEES/ OFFICERS WHO RETIRED FROM SERVICE/
FAMILY MEMBERS
ON OR AFTER 29TH SEPTEMBER 1995.
IBA has published an advertisement in English in a national daily and
other newspapers in regional languages
advising the retirees to approach the banks in this regard.
Eligible ex-Employees/ Officers, Family of ex-employees who want to
give pension option may collect
relevant option form from any convenient branch. However, they are
required to submit the duly filled
in option forms and refund the amount of Provident Fund and interest
thereon along with their
contribution, to the branch/ office where the employee was last
posted/ worked.
Branches are requested to cooperate with the ex-employees/ officers
approaching them, issue them an option
letter and family details form as per stated above and immediately
advise the following details of such
employees/ officers by email to
pensi...@bankofbaroda.com with a
copy to
retdemp....@bankofbaroda.com.
EC No.,
Name of the Employee/ Officer,
Branch/Office from which retired,
Date of Birth,
Date of Joining
Date of Retirement
Postal Address of the employee;
On receipt of the above details, Head Office Baroda will arrange to
issue a letter to such retired employees/
officers /family of the ex-employee giving following details:
(i) The amount of bank’s contribution to Provident Fund with interest
paid to them at the time of
retirement.
(ii) 56% of the above amount representing his/her share in funding gap
Once the ex-employee/family member receives above mentioned letter and
decides to submit the option, the
option in Annexure B, C & D should be forwarded to Head Office. We may
add that from surviving
retirees only Annexure B & D should be obtained whereas from
dependants requesting family pension
Annexure C & D should be obtained.
6
As regards the employees already retired, the branches / offices are
hereby advised to ensure :-
a) Providing necessary assistance to the retired employees, when they
come to submit their option letters
and other forms and for attestation of their photos and signatures.
b) Keeping their -10- months’ salary particulars ready and giving
these particulars in the form F and certify
the same.
c) In case any retired employee/ officer approaches for getting
himself/herself medically examined for the
purpose of commutation of pension they may be advised to get
themselves examined by the Bank’s
Doctor (wherever posted) irrespective of his/her last place of posting
or by the Civil Surgeon, If they so
desire. Please note that Doctor’s fees, investigation charges, if any,
etc. for such medical examination are
to be borne by the retired employee/ officer himself/ herself.
d) Forwarding the option forms by the retired employees etc. directly
to Head Office as soon as all
formalities are completed.
If you need any clarifications/ guidance in the matter, please contact
AGM (HRM), HO, Baroda for the same.
Please note to exhibit a copy of this circular on the Bank’s notice
board for information of all concerned. All
employees be requested to disseminate this vital information to their
friends/Ex-employees/Family members of
Ex-employees who did not opt for pension earlier but are eligible in
terms of Settlement/Joint Note dated
27.04.2010.
We request you to take necessary action in the matter at the earliest.
Yours faithfully,
ULHAS SANGEKAR
GENERAL MANAGER (HRM & MARKETING)
Encl: a/a
circular_pension_lrj
7
ANNEXURE – A
BANK OF BARODA
Option form to be filled in by the employees
who are in the service of the bank
To,
Asst General Manager (HRM & HRnes)
Bank of Baroda,
Head Office, Baroda House, 1st Floor,
Mandvi, Baroda
I hereby declare that I have read and understood the terms of
Settlement / Joint Note dated 27.4.2010 for
extending another option to join Pension Scheme. I have understood the
terms of the Settlement / Joint Note
have been arrived at on the basis of the Unions / Associations
offering to contribute 30% of the initial funding
gap assessed for extending another option for joining the Pension
Scheme. I am agreeable to the said
contribution of 30% towards the initial funding gap and hereby
voluntarily opt to become a member of the
Bank’s Pension Scheme as per the provisions of the said Settlement /
Joint Note and to cease to be a member
of Contributory Provident Fund Scheme and irrevocable authorize the
Bank / Trustees of the Contributory
Provident Fund to transfer the entire contribution of the Bank along
with entire interest accrued thereon to the
Pension Fund an amount equal to 2.8 times of my revised pay for the
month of November 2007 representing
my share in the 30% contribution mentioned above from the arrears
payable to me on account of wage revision
in terms of Bipartite Settlement / Joint Note dated 27.4.2010.
Signature : ____________________________________________________
Name in Full : ____________________________________________________
Designation : ____________________________________________________
P F Account No. (EC Number) :
____________________________________________________
Present Residential Address :
____________________________________________________
____________________________________________________
_____________________________________________________
______________________________________
(Signature Attested)
Note: Additions / Alteration in the text of the above form will render
the option invalid.
______________________________________________________________________________________
FOR OFFICE USE ONLY
Option noted in the HRMS/ Provident Fund Sheet at
__________________________________________
Folio No. _______________________ and Service Sheet at Folio
No.________________________
_______________________________________________
(Designation of Authority designated by the Bank)
_____________________________________________________________________________________
8
ANNEXURE – B
BANK OF BARODA
Option form to be filled in by the employees Retired on or after
29th September 1995
To,
Asst General Manager (HRM & HRnes)
Bank of Baroda,
Head Office, Baroda House, 1st Floor,
Mandvi, Baroda
I hereby declare that I have read and understood the terms of
Settlement / Joint Note dated 27.4.2010 for
extending another option to join Pension Scheme. I have understood
that the terms of the Settlement / Joint
Note have been arrived at on the basis of the Unions / Associations
offering to contribute 30% of the initial
funding gap assessed for extending another option for joining the
Pension Scheme. I am agreeable to the said
contribution of 30% towards the funding gap and hereby voluntarily opt
for Bank’s Pension Scheme as per the
provisions of the said Settlement / Joint Note. I undertake to refund
the Bank’s contribution to Provident Fund
together with accrued interest thereon paid to me on my retirement
plus an amount equal to 56% of the Bank’s
contribution to Provident Fund with interest received at the time of
retirement being 30% contribution towards
the initial funding gap in terms of Joint Note dated 27.4.2010 and the
Settlement dated 27.4.2010.
Signature :_______________________________________________________
Name in Full :_______________________________________________________
Designation :_______________________________________________________
P F Account No. (EC
Number) :_______________________________________________________
Present Residential
Address :_______________________________________________________
_______________________________________________________
_______________________________________________________
________________________________________
(Signature Attested)*
Note: Additions / Alteration in the text of the above form will render
the option invalid.
________________________________________________________________________________________
FOR OFFICE USE ONLY
Option noted in the HRMS/ Provident Fund Sheet at
_______________________________________________ Folio No.
______________________ and Service
Sheet at Folio No._____________________________
________________________________________________
(Designation of Authority designated by the bank)
________________________________________________________________________________________
*(To be attested by an Officer designated by the bank)
9
ANNEXURE – C
BANK OF BARODA
Option form to be filled in by the
Family of those employees who are eligible for family pension
To,
Asst General Manager (HRM & HRnes)
Bank of Baroda,
Head Office, Baroda House, 1st Floor,
Mandvi, Baroda
I hereby declare that I have read and understood the terms of
Settlement / Joint Note dated 27.4.2010 for
extending another option to join Pension Scheme. I have understood
that the terms of the Settlement / Joint
Note have been arrived at on the basis of the Unions / Associations
offering to contribute 30% of the initial
funding gap assessed for extending another option for joining the
Pension Scheme. I am agreeable to the said
contribution of 30% towards the funding gap and hereby voluntarily opt
for Bank’s Pension Scheme as per the
provisions of the said Settlement / Joint Note. I undertake to refund
the Bank’s contribution to Provident Fund
together with accrued interest thereon paid to my husband/wife/father/
mother/son/daughter (delete whichever is
not applicable) on his / her death while in service / retirement from
bank’s service on my retirement plus an
amount equal to 56% of the Bank’s contribution to Provident Fund with
interest received at the time of
death/retirement being 30% contribution towards the initial funding
gap in terms of Joint Note dated 27.4.2010
and the Settlement dated 27.4.2010.
Signature :_______________________________________________________
Name in Full : ______________________________________________________
Designation : ______________________________________________________
P F Account No. (EC
Number) :_______________________________________________________
Present Residential
Address :_______________________________________________________
_______________________________________________________
________________________________________
(Signature Attested)*
Note: Additions / Alteration in the text of the above form will render
the option invalid.
________________________________________________________________________________________
FOR OFFICE USE ONLY
Option noted in the HRMS/ Provident Fund Sheet at
_______________________________________________ Folio No.
______________________ and Service
Sheet at Folio No.______________________________
________________________________________________
(Designation of Authority designated by the bank)
________________________________________________________________________________________
*(To be attested by an Officer designated by the bank)
10
ANNEXURE – D
BANK OF BARODA
FAMILY DETAILS FORM
EC No : _____________________
Name of the Employee :
______________________________________________________________________
(Surname First)
Residential Tele No. : STD
Code_____Tele.No._____________Mobile:_____________________________
Designation :
______________________________________________________________________
Branch / Office : Alpha: ________________ Name:
_____________________________________
Date Of Birth: ___________ Dt. Of Appointment: ______________ Due Dt.
Of Retirement ____________
TO BE FILLED IN BY BRANCH IN CASE OF EXISTING EMPLOYEES:
Account No. from which Amount of Pension Cost is to be recovered: (SB/
CA/OD A/cs ONLY)
---- ----
Details of the Members of the Family* : as on ___________________
I hereby give below the details of the members of my family for the
purpose of Family Pension payable under
the “Bank of Baroda Pension Regulations 1995,” in the event of my
death.
Details of the Spouse
Sr No Name of the Spouse (Surname First) Date Of Birth Remarks
Details of Other Family Members
SN Name of the Members of
the Family
Dt. of
Birth
Relationship with the
employee
Remarks
1
2
3
4
5
6
I hereby undertake to keep above particulars updated by notifying to
the Branch / Office Manager for any
addition or alterations.
Witnessed By_________________________
________________________________________
(Signature of the Br Mgr/ Acctt/ Any Officer) Signature of the
Employee
______________________________________
________________________________________
Name & EC No of the witness Name & Seal of the Branch
Place: ________________ Date: ____________________
Family for this purpose means family as defined in “Bank of Baroda
(Employees’ ) Pension Regulation, 1995”
11
ANNEXURE E
(OPTION/ UNDERTAKING FORM TO BE FILLED IN BY THE EMPLOYEES WHO ARE IN
THE
SERVICE OF THE BANK AS ON 27.04.2010 AND DO NOT WISH TO CHANGE OPTION
FROM
CONTRIBUTORY PROVIDENT FUND TO PENSION)
EC No. :
Name :
Date of joining :
Designation :
Date :
To,
The Dy. General / Asst General/ Chief/ Senior/ Manager
______________________________ Branch/ Office
______________________________ Zone
Dear Sir,
I hereby, advise that I do NOT wish to opt for Bank’s Pension Scheme
circulated vide Circular No.
BCC:BR:102______ dated ____________.
Accordingly, I exercise my option/ undertaking to continue with the
Contributory Provident Fund, which
please note.
Yours faithfully,
_________________________________
(Name)
_________________________________
(Signature attested*)
Note : additions/ alterations in the text of the above form will
render the option invalid
(to be attested by DGM/ AGM/ CM/ Manager of the Branch/ Office, as the
case may be,
under his full signature and PF No.)
12
ANNEXURE F
ADDITIONAL INFORMATION (IN LIEU OF PENSION APPLICATION)
LAST -10- MONTHS SALARY PARTICULARS IMMEDIATELY PRECEEDING THE DATE OF
RETIREMENT FOR THE MONTHS FULL SALARY WAS PAID (TO BE USED FOR FAMILY
PENSIONERS ALSO)
Name of the Employee: ________________________ EC NO:____________
Name of Spouse (In case applying for family
Pension):_______________________
Date of Retirement/Death/BOBEVRS: ____________________________________
Last Branch:___________________________________
Branch from where desirous to take pension: ________________________
Whether requested for 1/3rd commutation or not: ______________________
(To be filled in by the last branch /office from where the employee
retired)
Please give below the details of Basic, Stagnation, Special Pay, PQP/
Edu all. FPP/PPP, Officiating, if
any, drawn by the aforesaid retired employee in last 10 months before
retirement as defined in
Regulation 20 of the Pension Regulations
Sr.
No.
Month/Year Basic
Pay
Rs.
Stag
Incre.
Rs.
Special
Pay
Rs.
PQP/
Edu all
Rs.
Only
increment
component
of FPP/ PPP
Rs.
Officiating
Pay
Rs.
Total
Rs.
1
2
3
4
5
6
7
8
9
10
This is to certify that the salary particulars of the aforesaid
retired employee as given above are verified
from our branch / office record and are correct. We also certify that
he ceased to be in service on account
of retirement on reaching age of superannuation/ death/ BOBEVRS-2001
------------------------------- _____________________
(Name & seal of Branch) Signature of staff officer
Date: -------------------------------------------------
Signature of Branch Manager
I have no dispute about the salary particulars reported above and I
undertake not to raise any issues on
calculation of pension that will be accorded to me based on the above
particulars in future. I also confirm
that I have requested for commutation as above.
My Pension may be credited to A/C No:
Signature of Employee:____________________
13
Annexure G
APPLICATION FOR COMMUTATION OF PENSION (WITHIN ONE YEAR) WITHOUT
MEDICAL EXAMINATION
(To be submitted within one year from the date of retirement)
___________________________________________________________________________________
SPACE FOR
AFFIXING
ATTESTED
PASSPORT
SIZE
PHOTOGRAPH
To
Asst. Gen. Manager (HRM & HRnes)
Bank of Baroda, Head office,
Baroda House, Mandvi, Baroda
Dear Sir,
I retired/will retire from the Bank’s service with effect from
___________ and have opted for Bank’s
Pension Scheme. I desire to commute a fraction of my pension in
accordance with the ____________
Bank (Employee’s) Pension Regulations, 1995. The necessary particulars
are furnished below:
1. Name in fill (in block letters) : ____________________________
2. Designation at the time of retirement :
____________________________
3. Name of Office/Department from which retired :
____________________________
4. Date of birth (as per Bank’s Service Record) :
____________________________
5. Date of Retirement : _____________________________
6. Class of Pension : _____________________________
7. Fraction of Pension proposed to be
Commuted not exceeding 1/3rd thereof : _____________________________
Place:
Date:
________________________
(Signature)
Address: ______________________
______________________
______________________
Acknowledgement (Form No. G)
Received from
Shri/Smt./
Kum._______________________________________________________________________
_________ application for commutation of Pension.
(Former Designation)
Place :
Date : ___________________________
(Signature of Designated Authority)
14
Annexure H
APPLICATION FOR COMMUTATION OF PENSION (AFTER ONE YEAR) SUBJECT TO
MEDICAL EXAMINATION
(To be submitted in duplicate)
PART – I
SPACE FOR
AFFIXING
ATTESTED
PASSPORT
SIZE
PHOTOGRAPH
To
Asst. Gen. Manager (HRM & HRnes)
Bank of Baroda, Head office,
Baroda House, Mandvi, Baroda
Dear Sir,
I desire to commute a fraction of my pension in accordance with Bank
(Employee’s) Pension Regulations,
1995. An attested copy of my photograph is affixed on the application
and an unattested copy is
enclosed. The necessary particulars are furnished below:
1. Name in fill (in block letters) :_____________________________
2. Designation at the time of
retirement :_____________________________
3. Name of Office/Department from which
Retired :_____________________________
4. Date of birth (as per Bank’s Service
Record) :_____________________________
5. Date of Retirement :_____________________________
6. Class of Pension :_____________________________
7. Fraction of Pension proposed to be
Commuted not exceeding 1/3rd thereof :_____________________________
8. Preference for station where medical
examination is desired to take place :_____________________________
Place:
Date: ______________________
(Signature)
Address: ______________________
________________________
________________________
Acknowledgement (Form No.2)
Received from Shri/Smt./
Kum.______________________________________________
___________________________________ application for commutation of
Pension.
(Former Designation)
Place:
Date: ___________________________
(Signature of Designated Authority)
15
ANNEXURE H
PART – II
(To be completed by the Designated Authority)
1. Name of the Applicant :_________________________________
2. Date of birth (as per Bank’s
Record):__________________________________
3. Date of Retirement :_________________________________
4. Class of Pension :_________________________________
5. Amount of Pension :_________________________________
6. Amount of Pension desired to be
Commuted :_________________________________
On the basis of Added Years Normal Age1 Year 2 Years
---------------------------------------
Rs. Rs. Rs._
7.(i) Sum payable if commutation becomes
Absolute before the applicant’s next
Birthday which falls
on_________________ :_____________________________
(ii) Sum payable if commutation becomes
Absolute after the applicant’s next
Birthday which falls
on_________________ :_____________________________
8. Number of enclosures, if any
(See note below)
Place :
Date :
________________________________
(Signature of Designated Authority)
Note : The Designated Authority should enclose with the form, a copy
of the receipt or statement of the
applicant’s case if the applicant has been granted invalid pension or
has previously commuted a part of
his pension or declined to accept commutation on the basis of an
addition of years to actual age, or has
been refused (commutation) on medical grounds.
16
ANNEXURE H
PART – II (contd.)
Copy forwarded to Shri/Smt./
Kum._________________________________________________________
___________________________________________________________________________
(Give complete postal address)
With the remarks that subject to the Bank’s Medical Officer’s
recommendation he/she will, on the basis of
the report of the Designated Authority be eligible for the lump sum
payment in lieu of the amount of
pension to be commuted as follows:
On the basis of added Years
Normal Age1 Year 2 Years
---------------------------------------
Rs. Rs. Rs._
(i) Sum payable if commutation becomes
Absolute before the applicant’s next
Birthday which falls on_________________ :____________________________
(ii) Sum payable if commutation becomes
Absolute after the applicant’s next
Birthday which falls on_________________ :____________________________
The table of the present value, on the basis of which calculation by
the Designated Authority has been
made, is subject to alteration at any time without notice and
consequently the basis is liable to revision
before payment is made. The sum payable will be the sum appropriate to
the applicant’s age on his
birthday next after the date on which the commutation becomes absolute
or if the medical authority
directs that years will be added to that age, to the consequent
assumed age.
Shri/Smt./Kum.___________________________________ should report for
medical examination to the
Bank’s Medical Officer at Bank’s Dispensary between________ a.m. and
___________p.m. on
___________________. He/She should take with him/her the enclosed Form
No. 4 with the particulars
required in Part-I completed except the signature or thumb
impressions.
Place :
Date :
________________________________
(Signature of Designated Authority)
17
ANNEXURE I
(Draft of Letter to Bank’s Medical Officer
Referring the Pensioner for Medical Examination)
Ref. No. :
Date :
To
Dr. ______________________________________________
(Bank’s Medical Officer)
Sir/Madam,
Medical Examination – Commutation of Pension
Shri/Smt./Kum.__________________________________________ who retired
from the service on
_________________as ____________________________ (Designation) has
applied for commuting a
fraction of his/her pension for a lump sum payment. The following
documents are forwarded herewith.
(a) Application in Form No. H (Part I, Part II & Part II-contd) in
original.
(b) Form No. J (Part I, II and III).
(c)* Report or statement of the applicant’s case if he has been
granted invalid pension or has
previously commuted a fraction of his pension or declined to accept
commutation on the basis of
addition of years to his actual age or has been refused commutation on
medical grounds.
In terms of regulation ______________of Bank (Employee’s) Pension
Regulations, 1995 (commutation of
pension) Shri/Smt./Kum. ______________________________ should be
examined by a Bank’s Medical
Officer. It is requested that arrangement may be made to get Shri/Smt./
Kum.
__________________________ examined as expeditiously as possible
preferably within four weeks.
A copy of this letter is being endorsed to him/her so that he/she may
appear for medical examination
before you at the earliest.
The receipt of this letter may please be acknowledged.
Yours faithfully,
(Designated Authority)
* Strike off whichever not applicable.
18
ANNEXURE J
Part I
Declaration by the Pensioner for facilitating
Medical Examination by the Bank’s Medical Officer
SPACE FOR
AFFIXING
ATTESTED
PASSPORT SIZE
PHOTOGRAPH
The applicant must complete this statement prior to his examination by
the Bank’s Medical Officer and
must sign the declaration appended thereto in the presence of Bank’s
Medical Officer.
1. Name in fill (in block letters) :
____________________________________
2. Date of birth (as per Bank’s Service Record) :
____________________________________
3. Particulars regarding parents.
Father’s age, if living and state of health. :
____________________________________
Father’s age at death and cause of death. :
____________________________________
Mother’s age, if living and state of health. :
____________________________________
Mother’s age at death and cause of death. :
____________________________________
4. Have you been considered for grant of invalid Pension?
If so, state the ground thereof. :
____________________________________
5. Have you been granted leave on medical certificate during the
Last three years of your service? If so, state periods of leave
and nature of illness. : ____________________________________
6. Have you during the last three years period
(a) suffered from any major illness requiring hospitalization?
If so, the nature of illness and period of hospitalization may please
be indicated; or
(b) undergone any major surgical operation
(c) lost or gained weight markedly
___________________________________________________________________________
Declaration by Applicant
(To be signed in the presence of the Bank’s Medical Officer)
I declare all the above answers to be, to the most of my belief, true
and correct.
I am fully aware that by willfully making a false statement or
concealing a relevant fact, I shall incur the
risk of losing the commutation.
_______________________________________________________
Applicant’s signature or thumb-impression in case of illiterate
applicant
____________________________________
(Signature of Bank’s Medical Officer)
19
ANNEXURE J
PART II
Medical Details of the Pensioner
(To be filled by the examining Medical Officer)
1. Apparent age
2. Height
3. Weight
4. Describe any scares or identifying
Marks of the applicant
5. Pulse rate –
a) Sitting
b) Standing
What is the character of pulse?
6. Blood pressure –
a) Systolic
b) Diastolic
7. Is there any evidence of disease of the main organs
a) Heart
b) Lungs
c) Liver
d) Spleen
e) Kidney
8. Investigations (wherever considered
necessary by the Bank’s Medical Officer)
(i) Urine (State Specific Gravity)
(ii)Blood
(ii)X-ray Chest
(iv)E.C.G.
9. Any additional finding.
20
ANNEXURE J
PART III
Certificate of Fitness for Payment of Commutation of Pension
(To be filled by the examining Medical Officer)
I / We have carefully examined Shri/Smt/Kum.
______________________________and am / are of
opinion that –
He/She is in good bodily health and has the prospect of an average
duration of life.
OR
He / She is not in good bodily health and is not a fit subject for
commutation.
OR
Although he/she is suffering from
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
__________ he/she is considered fit subject for commutation but his/
her age for the purpose of
commutation , i.e. the age next birthday should be taken to be
____________________________________ (in words year more than his/ her
actual age.)
Place :
Date :
________________________________
(Signature and Designation of
examining Medical Officer)
21
ANNEXURE K
LIST NO. - I
STATEMENT SHOWING NAMES OF THE EMPLOYEES/OFFICERS WHO HAVE OPTED FOR
PENSION
SCHEME IN RESPECT OF BIPARTITE SETTLEMENT/JOINT NOTE DATED 27.4.2010
TO,
THE ASST GENERAL MANAGER (HRM),
BANK OF BARODA
HEAD OFFICE
BARODA
________________________________________________________________________________________
SR NO NAME EC NO DESIGNATION REVISED BASIC PENSION COST
NOVEMEBR 07
THE OPTION LETTERS / FAMILY DETAILS FORMS OF
AFORESAID EMPLOYEES ARE ENCLOSED HEREWITH
_____________________________
SIGNATURE OF BRANCH MANAGER
DATE:
NAME & SEAL OF THE BRANCH
ENCL: AS ABOVE
22
ANNEXURE L
LIST NO.-II
STATEMENT SHOWING NAMES OF THE EMPLOYEES/OFFICERS WHO DO NOT DESIRE TO
OPT FOR
PENSION SCHEME (I.E. WHO DO NOT WANT TO GIVE OPTION LETTER AND WANT TO
CONTINUE IN
THE EXISTING CONTRIBUTORY PROVIDENT FUND SCHEME IN RESPECT OF
BIPARTITE
SETTLEMENT/JOINT NOTE DATED 27.4.2010
TO,
THE ASST GENERAL MANAGER (HRM),
BANK OF BARODA
HEAD OFFICE
BARODA
________________________________________________________________________________________
SR.NO NAME EC NO. DESIGNATION SIGNATURE OF THE EMPLOYEE
_____________________________
SIGNATURE OF BRANCH MANAGER
DATE:
NAME & SEAL OF THE BRANCH