1. Past photo sendiri hitam putih ukuran 3 x 4 cm 2 lembar
  2. Pas photo istri /suami hitam putih ukuran 3 x 4 cm 2 lembar
  3. Mengisi Formulir Permintaan Pembayaran (FPP) 1 lembar
  4. Fotocopy SK Pensiun 1 lembar
  5. Fotocopy Buku Rekening Bank (Bank BRI/BPD Jateng/Bank Woori Saudara/Bank MANTAP/Bank Syariah Mandiri 1 lembar)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
  6. Asli dan Tembusan SKPP dari BPKAD Kab.Kebumen 1 lembar
  7. Fotocopy NPWP (Nomor Pokok Wajib Pajak) 1 lembar
  8. Fotocopy KTP yang masih berlaku 1 lembar
  9. Asli Surat Keterangan Masih Sekolah (Jika anak usia 21 s/d 25 tahun) 1 lembar