Dear Shrinivas,
First of all, I would like to inform you that The Payment of Gratuity Act, as enacted in 1972, applies to every shop or establishment within the meaning of any law for the time being in force in a state, in which 10 or more persons are employed or were employed on any day of the preceding 12 months. If yes, then you are entitled to gratuity on the separation of your employment @ 15 days' last drawn salary (26 days in month basis) for every completed year of service (240 days including sanctioned leave).
If your last drawn Basic Plus DA is (for example) Rs. 20,000/-, the calculation will result as follows: 20000/26 x 15 x 6 years = 69,231 (note that the calculation is different for seasonal establishments).
You can apply for gratuity in writing in Form I as given below.
Application of Gratuity by an Employee
[See sub-rule (1) of rule 7]
To
[Give here name or description of the establishment with full address]
Sir/Gentlemen,
I beg to apply for payment of gratuity to which I am entitled under sub-section (1) of section 4 of the Payment of Gratuity Act, 1972, on account of my superannuation/retirement/resignation after completion of not less than five years of continuous service/total disablement due to accident/total disablement due to disease with effect from the ……… Necessary particulars relating to my appointment in the establishment are given in the statement below:
Statement
1. Name in full.
2. Address in full.
3. Department/Branch/Section where last employed.
4. Post held with Ticket No. or Serial No., if any.
5. Date of appointment.
6. Date cause of termination of service.
7. Total period of service.
8. Amount of wages last claimed.
9. Amount of gratuity claimed.
I was rendered totally disabled as a result of
[Here give the detail of the nature of disease or accident]
The evidence/witnesses in support of my total disablement are as follows:
[Here give Detail]
Payment may please be made in cash/open or crossed bank Cheque.
As the amount of gratuity payable is less than Rupees one thousand, I shall request you to arrange for payment of the sum to me by Postal Money Order at the address mentioned above after deducting postal money order commission therefrom.
Yours faithfully,
Place:
Signature/Thumb impression of
Date:
the applicant employee.
Note: 1. Strike out the words not applicable.
2. Strike out paragraph or paragraphs not applicable.
Thanks,
Vinod