The payment of Gratuity act has total 21 Forms used for various purposes. The names are :
FORM A-Notice of opening--(Meant for employer)
FORM B--Notice of change of establishment--(Meant for employer)
FORM C--Notice of Closure of establishement-(meant for employer)
FORM D--Notice for excluding husband from family -(Meant for employee)
FORM E--Notice of withdrawal of notice for excluding husband from family
FORM G--Fresh Nomination--(by means of marriage)
FORM H--Modification of nomination
FORM I--Application of gratuity by an employee
FORM J--Application of gratuity by a nominee
FORM K--Application of gratuity by a legal heir
FORM L--Notice for payment of gratuity
FORM M--Notice rejecting claim for payment of gratuity
FORM N--Application for direction
FORM 0--Notice for appearance before the controlling authority
FORM Q--Particulars of application under section 7
FORM R--Notice for payment of Gratuity
FORM S--Application for recovery of gratuity
FORM T-Application for recovery of gratuity
FORM U--Abstract of the Act and R ules
pl find below the FORM F--meant for employee--for nomination.
[See sub-rule (1) of rule 6]
[Give here name or description of the establishment with full address]
I. Shri/Shrimati/Kumari 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 dependant on me.
(b) my husband's father/mother/parents is/are not dependant on my husband.
5. I have excluded my husband from my family by a notice dated the 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.
Name in full with full address of nominee(s) Relationship with the employee Age of nominee Proportion by which the gratuity will be
1. Name of employee in full.
4. Whether unmarried/married/widow/widower.
5. Department/Branch/Section where employed.
6. Post held with Ticket or Serial No., if any.
7. Date of appointment.
8. Permanent address.
Village Thana Sub-division Post Office
Place Signature/Thumb impression
of the employee
Declaration by witnesses
Nomination signed/thumb impressed before me.
Name in full and full Signature of witnesses.
address of witnesses.
Certificate by the employer
Certified that the particulars of the above nomination have been verified and recorded in this establishment.
Employer's Reference No., if any.
Signature of the employer/
Date Name and address of the
establishment or rubber stamp
Acknowledgement by the employee
Received the duplicate copy of nomination in Form 'F' filed by me and duly certified by the employer.
Date Signature of the employee
I hope i have clarified your queries.
From India, Gurgaon
Let me know the Forms to be maintain under
1. Shops & Establishment Act
* ESI & PF (Send the Forms)
* Statutory records to be maintain (Send the forms)
2. Industrial Establishment Act
From India, Madras
It is hereby clarified that we must use those forms which are provided in the State Rules of the particular Act in question. If the appropriate Govt. is central govt. then adhere to the Central Rules otherwise plz go through the State Rules in which your unit is situated. Form F is the nomination form under the PG Act/Rules.
Skylark Associates, Gurgaon
From India, Delhi
Welcome to CiteHR.
This is to inform you that none of the enactments provide us the forms. It is the Rules which provides us different forms. Therefore first decide which of the central or state Rules of Gratuity & Minimum wages Acts are applicable in your case & then go through those Rules to have forms under these Acts.
Skylark Associates, Gurgaon (Haryana)
(Labour Law Consultants) (M)
From India, Delhi
From India, Bangalore
From India, Pune
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