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    Gratuity11.PDF Form K

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    minitha_1984
    1. This is an application form for a legal heir to claim gratuity payment following the death of an employee who did not nominate a legal heir. 2. The form requests information about the applicant legal heir and their relationship to the deceased employee. It also requests employment details of the deceased employee such as date of appointment, department, post, wages, and date and cause of termination. 3. The applicant declares the particulars provided are true and requests the gratuity payment be made in cash, cheque, or postal money order depending on the amount to be paid.

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    Download as PDF, TXT or read online from Scribd

    Gratuity11.PDF Form K

    Uploaded by

    minitha_1984
    133 views2 pages
    1. This is an application form for a legal heir to claim gratuity payment following the death of an employee who did not nominate a legal heir. 2. The form requests information about the applicant legal heir and their relationship to the deceased employee. It also requests employment details of the deceased employee such as date of appointment, department, post, wages, and date and cause of termination. 3. The applicant declares the particulars provided are true and requests the gratuity payment be made in cash, cheque, or postal money order depending on the amount to be paid.

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    1. This is an application form for a legal heir to claim gratuity payment following the death of an employee who did not nominate a legal heir. 2. The form requests information about the applicant legal heir and their relationship to the deceased employee. It also requests employment details of the deceased employee such as date of appointment, department, post, wages, and date and cause of termination. 3. The applicant declares the particulars provided are true and requests the gratuity payment be made in cash, cheque, or postal money order depending on the amount to be paid.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    133 views2 pages

    Gratuity11.PDF Form K

    Uploaded by

    minitha_1984
    1. This is an application form for a legal heir to claim gratuity payment following the death of an employee who did not nominate a legal heir. 2. The form requests information about the applicant legal heir and their relationship to the deceased employee. It also requests employment details of the deceased employee such as date of appointment, department, post, wages, and date and cause of termination. 3. The applicant declares the particulars provided are true and requests the gratuity payment be made in cash, cheque, or postal money order depending on the amount to be paid.

    Copyright:

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    Download as PDF, TXT or read online from Scribd
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    FORM 'K'

    See sub-rule (3) of Rule 7

    Application for Gratuity by a Legal Heir


    To, (Give here the 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, as a legal heir of late (Name of the Employee) who was an employee of your establishment and died on the without making any nomination. The gratuity is payable on account of the death of the aforesaid employee while in service/superannuation of the aforesaid employee on the on the after completion of retirement or resignation of the aforesaid employee years of service/total

    disablement of the aforesaid employee due to accident or disease while in service with effect from the Necessary particulars relating to my claim are given in the Statement below:

    Statement
    1. Name of applicant legal heir 2. Address in full of applicant legal heir 3. Marital status of the applicant legal heir (unmarried/married/widow/widower) 4. Name in full of the employee 5. Relationship of the applicant with the employee 6. Religion of both the applicant and the employee 7. Date of appointment and total period of service of the employee 8. Department/Branch/Section where the employee worked last 9. Post last held by the employee with Ticket or Sl. No., if any 10. Total wages last drawn by the employee 11. Date and cause of termination of service of the employee (death or otherwise) 12. Date of death of the employee and evidence/witness in support thereof 13. Total gratuity payable to the employee 14. Percentage of the gratuity claimed 15. Basis of the claim and evidence/witness in support thereof

    2. I declare that the particulars mentioned in the above statement are true and correct to the best of my knowledge and belief. 3. Payment may please be made in cash/open or crossed bank cheque. 4. As the amount payable is less than Rupees one thousand, I shall request you to arrange for payment of the sum due to me by postal money order at the address mentioned above, after deducting postal money order commission therefrom. Yours faithfully, Signature/Thumb-impression of applicant legal heir. Place: Date:

    Note.Strike out the words not applicable.

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