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    Gratuity Form

    Uploaded by

    Bharati Bhutada
    1. Ms. Bharati Rajaram Bhutada, an employee of TATA Consultancy Services Ltd., nominates person(s) to receive any gratuity payments due after her death. 2. She confirms that any nominee(s) would be members of her family as defined by Indian law. 3. This new nomination replaces any previous nominations she had filed.

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    Gratuity Form

    Uploaded by

    Bharati Bhutada
    83 views2 pages
    1. Ms. Bharati Rajaram Bhutada, an employee of TATA Consultancy Services Ltd., nominates person(s) to receive any gratuity payments due after her death. 2. She confirms that any nominee(s) would be members of her family as defined by Indian law. 3. This new nomination replaces any previous nominations she had filed.

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    1. Ms. Bharati Rajaram Bhutada, an employee of TATA Consultancy Services Ltd., nominates person(s) to receive any gratuity payments due after her death. 2. She confirms that any nominee(s) would be members of her family as defined by Indian law. 3. This new nomination replaces any previous nominations she had filed.

    Copyright:

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

    Gratuity Form

    Uploaded by

    Bharati Bhutada
    1. Ms. Bharati Rajaram Bhutada, an employee of TATA Consultancy Services Ltd., nominates person(s) to receive any gratuity payments due after her death. 2. She confirms that any nominee(s) would be members of her family as defined by Indian law. 3. This new nomination replaces any previous nominations she had filed.

    Copyright:

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

    FORM 'F'

    See sub rule(1) of Rule 6


    Gratuity Nomination Form


    To:
    TATA Consultancy Services Ltd.
    9th Floor, Nirmal Building,
    Nariman Point, Mumbai - 400021.

    I, Bhutada, Ms. Bharati Rajaram whose particulars are given in the statement below, 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) nominated is/are a member(s) of my family within the meaning of clause (h) of Section 2
    of the Payment of Gratuity Act,1972. - NA
    3.I hereby declare that I have no family within the meaning of clause (h) of Section 2 of the said Act. - NA
    4.(a) My father is not dependent on me. - NA
    (b) My mother is not dependent on me. - NA
    (c) My spouse's father is not dependent on my spouse. - NA
    (d) My spouse's mother is not dependent on my spouse. - NA
    5.I have excluded my husband from my family by a notice dated the __________ to the controlling authority in terms of the
    provison to clause (h) of Section 2 of the said Act. - NA
    6.Nomination made herein invalidates my previous nomination. - Yes

    Nominee(s)
    Sr.No Name in full with full Address of
    Nominee(s)
    Relationship
    with the
    Employee
    Date of
    Birth
    Proportion
    by which
    Gratuity will
    be shared
    Name , Relationship and
    Address of Guardian if Nominee
    is minor
    Statement
    Full Name: Bhutada, Ms. Bharati Rajaram Employee Number:
    Sex: Female Date of joining:
    Marital Status: Department: Computer Consultancy
    Religion:
    Permanent Address: 13/11/1, Ramrajya, Awade Nagar,, Ichalkaranji, Maharashtra, India - 416115
    Date:
    Place: Signature of the Employee
    Declaration by Witnesses
    Nomination signed before me
    Sr.No Name in full with full address of Witnesses Signature of Witnesses
    1.
    2.
    Date: Place:
    Certificate by the Employer
    Certified that the particulars of the above nominations have been verified and recorded in this establishment
    Office Seal Signature of the Employer/Trustee
    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

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