FORM 53

[ See Chapter XXI, para 518ľA (I) ]

Notice summoning pensioners once a year for identification.

No.______________________

OFFICE OF THE

Dated___________________19

To_______________________________________

__________________________________

____________________________

Please note that, in accordance with the prescribed rules for the identification of pensioners, your personal attendance to this office is due before you draw your next pension bill.

(Signature)___________________________

(Designation)_________________________