Family Declaration - Detials of Family FORM-3

Any regular employee under Central Government of India has to submit declaration of family or also known as 'Details of Family' or FORM 3 which has to be pasted and recorded in the service book of the incumbent concerned.  Family for this purpose means family as defined in Clause (b) of sub rule (14) of Rule 54 of the CCS Pension Rules, 1972. The declaration of FAMILY made by the employee and submitted in FORM 3 has to be accepted by the Head of Office or by the competent authority by attesting his signature on the form. Thereafter the same has to be pasted in the Service Book.


The FORMAT of FORM 3 of the manner in which family declaration has to be submitted is shown below:

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FORM 3

[See Rule 54 (12)]

Details of Family

Name of the Government Servant
Designation
Date of birth
Date of appointment
Details of the members of my family* as on

Serial No	Name of the members of family*	Date of birth	Relationship with the officer	Initials of the Head of Office	Remarks
1
2
3
4
5

I hereby undertake to keep the above particulars up-to-date by notifying to the Head of the Office any

addition or alternation.

Place :

Dated :

Signature of Government servant

* Family for this purpose means family as defined in Clause (b) of sub rule (14) of Rule 54 of the CCS Pension Rules, 1972.

NOTE-Wife and husband shall include respectively judicially separated wife and husband.

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