NAGALAND RURAL BANK Head Office,

AMK Shopping Complex, 2nd Floor,

Near Congress Bhawan,
(Jointly owned by the Govt. of India,
Govt. of Nagaland & State Bank of India) D. Block, Kohima – 797 001.

Phone No.0370-2290975(O)
Fax No.0370-2291035
Email : nrb_kma@yahoo.com
Website : www.nagalandruralbank.com

Circular No.17 of 2018-19 16.01.2019

The Senior / Branch Manager Read & Noted by Initial

Nagaland Rural Bank GM/CVO

All Branches SM/ BM

Officer

Other staff

Madam/ Dear Sir,

NAGALAND RURAL BANK (EMPLOYEES') PENSION REGULATIONS-2018

AND NAGALAND RURAL BANK (OFFICERS & EMPLOYEES) SERVICE
(AMENDMENT) REGULATIONS-2018

The National Bank (NABARD) vide its letter No.NB.IDD/344/316(Pension)/2018-19 dated

23.10.2018 on the captioned subject has advised in pursuant to the order of the Hon'ble Supreme
Court of India dated 25th April, 2018 in SLP (C) 39288/2012 regarding grant of pension to the
employees of RRBs. DFS, MoF, Govt. of India vide its letter F.No.8/20/2010-RRB dated
23.10.2018 has communicated the approval of the following after consultation with NABARD and
State Bank of India being Sponsor Bank.

a) Model Regional Rural Bank (Employees') Pension Regulation, 2018

b) Model RRB (Officers & Employees) Service (Amendment) Regulations, 2018.

2. In exercise of the power conferred under Section 30 read with sub-regulation (1) of Section
17 of the Regional Rural Bank Act, 1976 (21 of 1976), the Board of Directors of Nagaland Rural
Bank in its meeting held on 29th October, 2018has approved Nagaland Rural Bank (Employees')
Pension Regulation 2018 and Nagaland Rural Bank (Officers & Employees) Service (Amendment)
Regulations, 2018. The Regulations are published in Gazette of India Extra-ordinary, Part-III sec 4
on 17th December, 2018. The Gazette Notification along with all Form is enclosed herewith for
reference to all concerned. Branches and all existing staff/ retired staffs / family member of
deceased and retired deceased staffs are advised to be guided by the enclosed Regulations.

3. As per Nagaland Rural Bank (Employees') Pension Regulation 2018 and Nagaland Rural
Bank (Officers & Employees) Service (Amendment) Regulations, 2018, all eligible existing
employees, retired employees and the family members of deceased employees/ deceased retired
employees are required to execute their option in writing in the prescribed format enclosed with the
Notification within 120 days (One hundred and twenty days) i.e. from the date of issue of this
circular. The option letter in the prescribed format shall be clear, complete in all respect duly signed
and submitted in physical form.
Contd.-2-
 -2-

4. The details of category of staffs/persons, relevant formats and number of copies to be

submitted are furnished here under :

Sl. No. Category of staff Forms to be submitted No. of copies

All existing Officers and employees who
1 1 and 11 4 copies each
joined the Bank on or before 31.03.2010
All existing Officers and Employees who
2 joined the Bank on or after 01.04.2010 but 14 and 11 4 copies each
on or before 31.03.2018
3 Retired staff members 2,7,9,10,11 4 copies each
Eligible family members of deceased staff
4 members and deceased retired staff 3,8,10,11,12 4 copies each
members

5. Operational Instructions :
i. The option letters should be in prescribed / given format only.
ii. Option letter to be submitted to the Head Office, Kohima.
iii. The option letter should should be filled in by furnishing all the required details without
alterations/ overwriting and duly signed by the concerned person to avoid any future
inconvenience.

6. Bank has also taken up steps for issuing notice for public in the newspaper (Nagaland Post)
to bring to the notice of retired staff members and the family of deceased staff members/ deceased
retired staff members. A copy of the notice is also attached hereto and branches are advised to
display the same notice in the Branch Notice Board. The retired employees/ spouse of the deceased
employees are to refund the Bank's contribution received from EPF along with a certificate on the
same from EPFO to be produced and further papers/ documents required if any, also to be produced
for smooth and timely disposal of pension matter.

7. Please bring the contents of this Circular to the notice of all staff members posted at the
Branch/ Office and to the retired staff members and family members of the deceased staff/ deceased
retired staff.

Yours faithfully,

Chairman
Enclo: As stated.

Circular No.17 of 2018-19

 Format-1

NAGALAND RURAL BANK

HEAD OFFICE, KOHIMA
Option form to be filled by the employees who are in service of the Bank
(To be submitted in quadruplicate through their present Branch/ Office)

Date of receipt of application at Branch/ Office FOR HO USE ONLY

Forwarded on
Forwarded by

(Signature of the concerned

Signature with office seal (Branch/ Office) Authority at HO with date)

The Chairman
Nagaland Rural Bank
Head Office, Kohima Date : ___________

I hereby declare that I have read and understood the Nagaland Rural Bank (Employees') Pension
Regulations, 2018 and I hereby opt to become a member of the Bank's Pension Scheme and
irrevocably authorise the Bank/ EPF Trustees/ EPFO/ RPFC to transfer the entire contribution of
the Bank along with the interest thereon to the credit of Pension Fund to be created for this purpose.
I understand that I am required to contribute to the Provident Fund Account at the rates determined
by the Bank from time to time. I further understand that with effect from 16th January, 2019 (the
date of implementation of Pension Scheme), the Bank shall not make any contribution to my
Provident Fund Account. I also undertake to refund my non-refundable withdrawal from EPF
balance (Bank's contribution component) if any, together with interest at EPF rate from time to time
up to the date of refund.

1. Signature : ____________________________

2. Name in full (in Block letters) : __________________________________

3. Designation : _________________________________

4. EPF No. : ____________________________________

5. Present Residential Address : ___________________________________

____________________________________

6. Date of Birth : ______________________________

7. Date of joining the Bank's service : _____________________

8. Present place of posting : _____________________________ Branch/ Office.

(Signature to be attested by the Branch/ Office Head with seal)

 Format-2

NAGALAND RURAL BANK

HEAD OFFICE, KOHIMA
Option form to be filled by the Retired employees of the Bank
(To be submitted in quadruplicate through the Branch/ Office from where retired)

Date of receipt of application at Branch/ Office FOR HO USE ONLY

Forwarded on OPTION NOTED IN
Forwarded by SERVICE RECORD

(Signature of the concerned

Signature with office seal (Branch/ Office) Authority at HO with date)

The Chairman
Nagaland Rural Bank
Head Office, Kohima. Date : ___________

I hereby declare that I have read and understood the Nagaland Rural bank (Employees') Pension
Regulations, 2018 and I hereby voluntarily opt to become a member of the Bank's Pension Scheme
and irrevocably authorise the EPFO/ RPFC to transfer my entire Pension Fund kept with them to
Bank and credit Pension Fund to be created for this purpose. I undertake to refund the Bank's
Contribution to EPF Fund together with accrued interest thereon paid to me on my retirement. I also
undertake to refund my non-refundable withdrawal from EPF balance ( Bank's contribution
component) if any, together with interest at EPF rate from time to time.

1. Signature : _________________________

2. Name in full ( in Block letters) : ______________________________________

3. Designation (at the time of retirement) : __________________________

4. EPF No. : ______________________________

5. Present Residential Address : _______________________________________

_________________________________________

6. Date of Birth : ________________________________

7. Date of joining the Bank's service : _____________________

8. Date of retiring from the Bank's service : ________________________

9. Branch / Office from where retired : __________________________ Branch / Office.

10. Branch from where pension to be drawn : _____________________________Branch.

(Signature to be attested by the Branch/ Office Head with seal)

 Format-3

NAGALAND RURAL BANK

HEAD OFFICE, KOHIMA
Option form to be filled by the family of those employees of the Bank who are eligible for family
pension (To be submitted in quadruplicate through the Branch/ Office from where retired/ posted
at the time of death)
Date of receipt of application at Branch/ FOR HO USE ONLY
Office Recent photograph of the
applicant to be pasted here and
then to be attested by the OPTION NOTED IN
Forwarded on branch/ Office Head SERVICE RECORD/ EPF
RECORD OF THE
DECEASED EMPLOYEE
Forwarded by

(Signature of the concerned

Signature with office seal (Branch/ Office) Authority at HO with date)

The Chairman
Nagaland Rural Bank
Head Office, Kohima. Date : ____________

I hereby declare that I have understood the Nagaland Rural Bank (Employees') Pension Regulations,
2018 and I hereby voluntarily opt to become a member of the Bank's Pension Scheme and
irrevocably authorise the EPFO/ RPFC to transfer my entire Pension Fund kept with them to Bank
to credit Pension Fund to be created for this purpose. I undertake to refund the Bank's contribution
to EPF 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/ after retirement from Bank's service. I also undertake to refund the non-refundable
withdrawal from EPF balance (Bank's contribution component) availed by my husband/ wife/
father/ mother/ son/ daughter (delete whichever is not applicable), if any, together with interest at
EPF rate from time to time up to the date of retirement/ death.

1. Name of the applicant / dependent of the deceased employee

in Full (in Block letters) : _______________________________

2. Name of the deceased employee in Full (in Block letters) : __________________________

3. EPF No. of the deceased employee : _______________________________

4. Relationship with the employee : __________________________________

5. Name of the guardian if applicant is minor : _________________________________

6 Present Residential Address (in block letters) : _______________________________

___________________________________________________

7. Date of death of the deceased employee (Documentary evidence to be attached) : ________

Contd.-2-
 -2-

8. Date of retirement from Bank's service : ___________________________

9. Branch / Office last served and post held : _______________________________________

10. Branch from where pension to be drawn : _________________________________Branch

11. List of documents/ evidences to be attached :

a) Copy of Superannuation / retirement order of the deceased employees (if applicable)
b) Copy of Death Certificate of the employee
c) Copy of Birth Certificate of child eligible for pension
d) Copy of AADHAR CARD/ KYC document in the name of applicant
e) Any document in support of the stated relation of the applicant

(Mention the name / nature of the document)

I hereby declare that what are stated in the application and documents submitted are true, correct
and genuine.

Enclosures : As stated in point 11 above.

(Signature of the applicant)

Date : ________________________

Signature attested by the Branch/ Office Head with office Seal.

 Format – 4
NAGALAND RURAL BANK
_________________________BRANCH/ OFFICE

Ref No. Date : __________

The General Manager

Nagaland Rural Bank
Head Office, Kohima

Dear Sir,

Sub : Ten months (prior to death/ retirement) average pay & allowances of
Shri/ Smti. ___________________________________ (EPF No. __________________)

We are furnishing below the 10 months (prior to death/ retirement) average pay & allowances of
Shri/ Smti. _______________________________
Designation (Last) __________________________, EPF No.__________________________
who retired / died on _______________________ for calculation of pension under Nagaland Rural
Bank (Employees') Pension Regulations, 2018.

1 Basic
2 Stagnation increment
Pay and Allowances rank for DA
a)
(Mention nature of allowances)
3
b)
c)
Period of Extra Ordinary Leave on Loss
of Pay sanctioned by the Competent
4
Authority and enjoyed during the
Service Period
Leave Without Pay during service
5
Period

Yours faithfully,

Signature with seal

_________________Branch
Note : 1, Delete which is not applicable 2. No column should be left blank 3. Basic Pay & Stagnation Increment to be reported separately in the
column specified 4. For arriving at the months' average please refer to Regulation of Nagaland Rural Bank (Employees') Pension Regulations,
2018.

Contd.-2-
 -2-

Format – 4 (Page - 2)

____________________________________BRANCH/ OFFICE

DETAILS OF LAST TEN MONTHS SALARY

MONTHWISE
BREAK UP
YEAR & MONTH
1. Basic Pay
2.Stagnation
Increment
3. Pay &
Allowances rank
for DA
a)
(Mention nature of
allowances)
b)
c)
d)
TOTAL
AVERAGE

Note : 1. Delete which is not applicable 2. No column should be left blank 3. Basic Pay & Stagnation increment to be reported separately in the
column specified 4. For arriving at 10 months' average please refer to Regulation 36 read with Regulations 2 (c) & 2 (t) of Nagaland Rural
Bank (Employees') Pension Regulations, 2018.

Date : __________

Signature with seal

 Format – 5

NAGALAND RURAL BANK

_______________________________ BRANCH/ OFFICE

Ref. No. Date : _____________

The General Manager

Nagaland Rural Bank
Head Office, Kohima.

Dear Sir,

Sub : Particulars of Outstanding Liabilities of

Shri/ Smti. __________________________________ EPF No. ______________________

We are furnishing below the particulars of outstanding Liabilities of Shri/ Smti. _______________
_________________________

Last designation ___________________________ EPF No. _______________________ retired /

died on _____________________ :

Particulars of Outstanding Loan Account No. Balance

1. House Building Loan
2. Housing Loan (Commercial Scheme)
3. Staff Overdraft
4. Festival Advance
5. Education Loan
6. Conveyance Loan
7. Others, if any (mention details)

TOTAL LOAN BALANCE

Yours faithfully,

Signature with seal

Nagaland Rural Bank

_________________ Branch
Note : Please submit this certificate preferably after closure of all staff loan accounts. If Housing loan (Commercial scheme) and / or Education
Loan continue(s) in terms of sanction please furnish the status of the account(s) including compliance of all terms and conditions of sanction.
Please provide “Nil” Certificate in case of no outstanding liability.
 Format – 6

Nagaland Rural Bank Staff

Pension*
Customer ID
(General Pension)
Nagaland Rural Bank Family
S B A/c No.
Pension*
(*Please √ as applicable)

LIFE CERTIFICATE
(To be submitted by the Pensioner once in a year in November)

Certified that I have seen the pensioner _____________________________________ (name)

__________________________________________________________ (address) holder of PPO

No._________________ and that he/ she is alive on this day.

His/ Her AADHAR No.__________________________.

(Signature of the Pensioner/ Family Pensioner with date)

(Signature with office seal)

Name : _______________________
Designation : ____________________
Nagaland Rural Bank, ________________Branch

Date : _____________

Place : _____________________
 Format - 7

Acceptance/ Non-acceptance of Commercial Employment

I declare that I have not accepted commercial employment in India.

OR

I declare that I have accepted commercial employment in India w.e.f. ___________________ after
obtaining previous sanction of the Bank and none of the conditions, if any, attached thereto by the
Bank has been violated.

OR

I declare that I have accepted commercial employment in India w.e.f. ________________ without
obtaining the sanction of the Bank.

Date : _________________________ Signature of the Pensioner

Name of the Pensioner : ________________________ PPO No. : ___________________

SB (Pension) Account No. ____________________________ Mobile No. __________________

Nate : This declaration is required to be submitted for a period of two years from the date of retirement.
 Format – 8

CERTIFICATE OF NON-REMARRIAGE / NON-MARRIAGE

(APPLICABLE FOR FAMILY PENSIONERS ONLY)

* I hereby declare that I have not got re-married and I undertake to report the same
promptly in the event of my re-marriage. (Applicable for widow / widower Family Pensioner)

* I hereby declare that that I am not married and I understand to report the same promptly
in the event of my marriage. (Applicable for un-married daughter Family Pensioner)

(* Please delete which is not applicable)

Signature of the Family Pensioner

Name of the Pensioner : __________________________

Place : _____________________

Date : ______________________

I certify to the best of my knowledge and belief the above statement is correct.

(Signature of the Bank's Officer or respectable / well known person)

Place : ___________________

Date : ____________________

Name : _____________________________

Designation : __________________________

Address : _______________________________

____________________________________________.
 Format – 9

Letter of undertaking by the Pensioner

The Branch Manager Date : _______________

Nagaland Rural Bank

_______________________ Branch

Dear Sir,

Sub : Payment of Pension under PPO No. _________________________ through your Branch.

In consideration of your having, at my request, agreed to make payment of Pension due to me every
month by credit to my SB Account No. ____________________________ with you. I, the
undersigned, agree and undertake to refund or make good any amount to which I am not entitled or
any amount which may be credited to my account in excess of the amount to which I am or would
be entitled. I further hereby undertake and agree to bind myself and my heirs, successors, executors
and administrators to indemnify the Bank from and against any loss suffered or incurred by the
Bank in so crediting my pension to my account under the scheme and to forthwith pay the same to
the Bank to recover the amount due by debit to my said Savings Bank account or any other account
belonging to me in the possession of the Bank.

Yours faithfully,

Signature in full : _______________________

Address (in Block letters) : ___________________________________________

_____________________________________________
Phone/ Mobile No. : ____________________________

Witness :
Signature :

Name :
EPF No.

Address :
 Format – 10

Letter of undertaking by the Pensioner and Family Members/ Nominees

The Branch Manager Date : _______________

Nagaland Rural Bank

______________________ Branch

Dear Sir,

Sub : Payment of Pension under PPO No. ___________________ through your Branch

In consideration of making payment of Pension as per the Nagaland Rural bank (Employees')
Pension Regulations, 2018, I / We do hereby solemnly, sincerely and conscientiously declare and
say as under:

I / We, hereby undertake and agree to bind myself / ourselves and my / our heirs, successors,
executors, and administrators to indemnify the Bank from and against any loss suffered or incurred
by the Bank in making payment as the aforesaid and to forthwith pay the same to the Bank and / or
adjust from the pension fund under the aforesaid Regulations and / or from any account maintained
with the Bank without any notice to me / us.

Yours faithfully,

Signature (Pensioner) : ________________________

Signature of Family Members / Nominees : _______________________

__________________________

__________________________
Witness :
Signature :

Name :
EPF No.

Address :
 Format – 11
FORM OF NOMINATION
To,
The Trustees,
Nagaland Rural Bank (Employees') Pension Fund

I, _________________________________ PPO No./ EPF No. ________________________ hereby

nominate the person(s) named below and confer on him / them the right to receive, to the extent specified
below, the amount of pensionary benefits under Pension Regulations in the event of my death before the
amount become payable, or having become payable.

Name and Address of the Relationship Age Amount of Date of Birth If nominee is Minor
nominee(s) with the share (%)
Name & Address of the
Pensioner person who may receive the
said pension during the
nominee's minority
1 2 3 4 5 6

Name and Address Age Relationship Amount of Date of Birth, Name & Address of Contingency
of other nominee(s) with the share (%) if the other the person who may on happening
in case the nominee pensioner nominee(s) receive the pension of which
under column 1 is/are minor during other nomination
above predeceases nominee's minority shall become
the pensioner invalid
7 8 9 10 11 12 13

This nomination supersedes the nomination made on _________________ which stands canceled.

Place : ______________ ____________________________________________

Signature/ Thumb Impression (If illiterate) of Pensioner/ Employee
Date : ________________
Name of the Pensioner/ Employee : _______________________

Witness : 1. ______________________ 2. __________________________

Address : _________________________________ Address : ________________________________

Signature : __________________ Signature : _____________

EPF No. _____________________ EPF No. _________________________

ATTESTED by the Pension Disbursing Branch/ Deptt. at HO/ Branch

SEAL OF ATTESTING AUTHORITY

Note : 1, if the employee has a family, the nomination shall not be in favor of any person or persons other than the member of the family. 2, If the
employee has no family, the nomination may be made in favor of person or persons, or body of individuals whether incorporated or not. 3, Strike
out which is not applicable.
 Format – 12

NAGALAND RURAL BANK

HEAD OFFICE, KOHIMA
Application for grant of Family Pension in the event of death of Employee/ Pensioner

The Chairman
Nagaland Rural Bank Date : _____________
Head Office, Kohima.

Dear Sir,

I hereby declare that as an eligible family member to receive Family Pension in terms of Nagaland
Rural Bank (Employees') Pension Regulations, 2018, I am submitting below the requisite
particulars for kind favor of sanction of Family Pension to me.

Name of the Applicant (in Block letters) :

i) Relationship with the deceased employee/ pensioner
ii) Date of Birth
01
iii) Name of the Guardian if the deceased Person is
survived by minor child/ children
iv) Religion and Caste
__________________________________
Present residential address of the applicant
__________________________________
02 (in Block letters)
Contact No.________________________

03 Name & age of surviving parent/widow/widower/children of the deceased employee/ pensioner :

Relationship with the deceased Date of birth
Sl. No. Name
employee/ pensioner (by Christian era)

04 Name of the deceased employee/ pensioner :

05 EPF No. of the deceased employee :
06 Date of death of the employee/ pensioner

Contd.-2-
 -2-

(Documentary evidence to be attached)

07 Date of retirement (in case of pensioner) :

(a) Branch / Office in which the deceased employee/
pensioner served last and the post held by him her :
08
(b) PPO No. of the deceased, if any, with the nature of
pension & Disbursing Authority :
If the applicant is guardian, date of birth of minor &
09
relationship with the deceased employee/ pensioner :
(a) Is the applicant (other than guardian) a pensioner ? YES / NO
If so, indicate the amount of monthly pension : ____________________
10 (b) Is the applicant employed ? YES / NO
If so, particulars in details with last pay drawn certificate
from employer : _____________________
Description of the applicant including :
(a) Height _____________ cm.
11
(b) Personal identification marks, if any on hand, face
etc.

Signature/ LTI** of the applicant (Duly Attested by the

Branch head with seal) : SIGNATURE/LTI OF THE APPLICANT
12 IS ATTESTED

(Signature of the Branch Head with seal)

(a) Name of the Branch of the Bank through which
13 Family Pension is to be drawn :
(b) SB Account No.
List of documents / evidence attached :
(a) Three copies of passport size recent photograph of the applicant, duly attested in front side.
(b) Attested copy of the Death Certificate of the deceased Employee / Pensioner
14
(c) Birth Certificate of the children eligible for pension
(d) Any other document(s) indicating that the applicant is a genuine claimant e.g. AADHAR Card,
Voter Card etc.
I hereby declare that what are stated in the application and documents submitted herewith are true,
15
correct and genuine.

Yours faithfully,

____________________
Signature / LTI of the applicant

**To be furnished in case the applicant is not literate enough to sign his/ her name or unable to sign due to poor health condition which also
needs submission of Medical Certificate.
 Format – 13
NAGALAND RURAL BANK
HEAD OFFICE, KOHIMA

Clearance / Pre-disbursement formalities to be furnished by

the proposed Pension Paying Branch
============================================================================================================

01 Date of Report

02 Name of the Pension Paying Branch

03 Branch Code No. / SOL ID

04 Pensioner's name

05 Pension Type (General or/ Family Pension

PPO No. / EPF No. (in case of Family Pension,

06
mention EPF No. of original pensioner

07 S. B. Account No.

Date of Certificate
(a) Life Certificate
(b) Non-marriage / Re-marriage Certificate
08 (For Family Pensioner only)
(c) Non-Employment / Re-employment
Certificate
(d) Disability Certificate
Whether Undertaking for refund of Excess
09
Payment is taken YES / NO

Branch Manager
(Please use Branch Seal)

Nagaland Rural Bank

______________________Branch
 Format – 14

NAGALAND RURAL BANK

HEAD OFFICE, KOHIMA

Option Form to be filled in by the Employees who joined the service of the Bank
between 01-Apr-2010 and 31-Mar-2018
(To be submitted in quadruplicate through their present Branch/ Office)

Date of receipt of application at Branch / For Head Office use only

Office
Forwarded on Option noted in Service Record
Forwarded by

Signature of the concerned authority

Signature with office seal (Branch/ Office) at Head Office with date

The Chairman
Nagaland Rural Bank
Head Office, Kohima. Date : ________________

I hereby declare that I have read and understood the Nagaland Rural Bank (Employees') Pension Regulations,
2018.

I am presently covered under EPF Scheme 1995 and hereby irrevocably undertake and opt to remain
covered under EPF Scheme 1995 only
--OR--
I hereby opt to become a member of the National Pension Scheme (NPS) and irrevocably authorise
the Bank/ EPF Trustees/EPFO/RPFC to transfer the entire contribution of Myself and the Bank along
with the interest thereon to the credit of Fund Manager to be appointed for this purpose. I understand that I
am required to contribute to the NPS at the rates determined by the Bank/PFRDA from time to time. I also
undertake to refund my non-refundable withdrawal from EPF Balance (Bank's contribution component) in
any, together with interest at EPF rate from time to time up to the date of refund.

1. Signature : _____________________

2. Name in full (in Block letters) : ____________________________

3. Designation : ___________________________

4. EPF No. : _____________________________

5. Present Residential Address : _____________________________________________

_____________________________________________

6. Date of Birth : ____________________

7. Date of Joining the Bank's Service : _____________________________

8. Present Posting Place : ____________________________

Signature to be attested by the Branch/Office Head with seal