Scribd Logo
Upload

Welcome to Scribd!

  • 154 views

    India - Gratuity - Form - V2 - Signed PDF

    Uploaded by

    PRASHANT KUMBHAR
    1. Jyoti Kumbhar nominates her husband Mangesh Ghatkar to receive her gratuity payment in case of her death. 2. Mangesh Ghatkar is listed as her sole nominee and will receive 100% of the gratuity payment. 3. Jyoti provides her personal details like name, employee ID, date of birth, marital status, and address in the form to validate her nomination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    India - Gratuity - Form - V2 - Signed PDF

    Uploaded by

    PRASHANT KUMBHAR
    154 views2 pages
    1. Jyoti Kumbhar nominates her husband Mangesh Ghatkar to receive her gratuity payment in case of her death. 2. Mangesh Ghatkar is listed as her sole nominee and will receive 100% of the gratuity payment. 3. Jyoti provides her personal details like name, employee ID, date of birth, marital status, and address in the form to validate her nomination.

    Original Title

    India - Gratuity_form_V2_Signed.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1. Jyoti Kumbhar nominates her husband Mangesh Ghatkar to receive her gratuity payment in case of her death. 2. Mangesh Ghatkar is listed as her sole nominee and will receive 100% of the gratuity payment. 3. Jyoti provides her personal details like name, employee ID, date of birth, marital status, and address in the form to validate her nomination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    154 views2 pages

    India - Gratuity - Form - V2 - Signed PDF

    Uploaded by

    PRASHANT KUMBHAR
    1. Jyoti Kumbhar nominates her husband Mangesh Ghatkar to receive her gratuity payment in case of her death. 2. Mangesh Ghatkar is listed as her sole nominee and will receive 100% of the gratuity payment. 3. Jyoti provides her personal details like name, employee ID, date of birth, marital status, and address in the form to validate her nomination.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    GRATUITY NOMINATION

    FORM ‘F’
    To
    IBM INDIA PVT LTD
    No.12, Subramanya Arcade
    Bannerghatta Road
    Bangalore - 560 029

    1.
    Jyoti Kumbhar
    …………..................................................................... whose particulars are given in the statement below,
    [Name in full here]
    hereby nominate the person(s) mentioned below to receive the gratuity payable after my death as also the gratuity standing to my
    credit in the event of my death before that amount has become payable, or having become payable has not been paid and direct that
    the said amount of gratuity shall be paid in proportion indicated against the name(s) of the nominee(s).
    2. I hereby certify that the person(s) mentioned is a /are member(s) of my family within the meaning of clause (h) of section
    (2) of the Payment of Gratuity Act, 1972.
    3. I hereby declare that I have no family within the meaning of clause (h) of section (2) of the said Act.
    4. (a) My father/mother/parents is/are not dependent on me.
    (b) My spouse's father/mother/parents is/are not dependent on my spouse.
    5. I have excluded my husband from my family by a notice dated ..............to the Controlling Authority in terms of the
    proviso to clause (h) of section 2 of the said Act.
    6. Nomination made herein invalidates my previous nomination.

    Nominee(s)
    SL.No Name in full with full address of nominee (s) Relationship Age of Proportion by
    with nominee which
    the employee the gratuity will
    be shared

    MANGESH GHATKAR
    1 FLAT NO.-301 , WING -K , ROSE ICON HOUSING SOCIETY KUNAL ICON ROAD PIMPLESAUDAGER Husband 36 100
    PUNE MAHARASHTRA 411027

    I GIVE BELOW THE PARTICULARS ABOUT MYSELF


    1. Full name: Jyoti Kumbhar 2. Employee No. 0 0 3 V B 1
    3. Gender: Female 4. Religion: Hindu 5. Date of Birth : 0 3 / J a n / 1 9 9 3
    6. Date of appointment: 7. Marital Status: Married
    8. Father/Husband’s name: Arun
    IBM Confidential
    9. Permanent Address: k-301 ,Rose icon housing Society, pimple saudagar
    pune Maharashtra 411027 India
    Village Thana Sub Division Post office

    District State Maharashtra


    In the event of my death during the minority of above named nominee, I hereby direct that the
    person (s) whose particulars are given below shall be deemed to be the guardian of the minor
    nominee for the purpose of the IBM INDIA PVT LTD EMPLOYEES GRATUITY FUND TRUST.
    SL.No Name of the Nominee Age of Name & Address of the Guardian Relationship
    the Minor

    Place : Pune Signature/Thumb impression


    of the employee

    Date:
    D D M M M Y Y Y Y

    Declaration by witnesses
    Nomination Signed/thumb impression before me.
    Name in full and full address of witnesses. Signature of witnesses.

    1 1

    2 2

    Place:

    Date:
    D D M M M Y Y Y Y

    Certificate by the employer


    Certified that the particulars of the above nomination have been verified and recorded in this establishment.

    Signature of the employer/ officer authorized

    Designation
    Date: IBM INDIA PVT LTD
    D D M M M Y Y Y Y No.12, Subramanya Arcade, Bannerghatta Rd
    Bangalore – 560 029
    Name & Address of the Factory / Establishment of rubber stamp thereof
    Acknowledgement by the employee
    Received the duplicate copy of the nomination in Form ‘F’ filled by me and duly certified by the employer.
    Date:
    D D M M M Y Y Y Y Signature of the employee
    IBM confidential

    You might also like