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    Form F Gratauity

    Uploaded by

    bishtgaurav1234

    Copyright:

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

    Form F Gratauity

    Uploaded by

    bishtgaurav1234
    10 views3 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    10 views3 pages

    Form F Gratauity

    Uploaded by

    bishtgaurav1234

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    FORM – F

    [See Sub-Rule (1) of


    Rule 6] NOMINATION
    T
    o

    Sorting Hat Technologies Pvt Ltd


    Maruti Infotech Centre 3rd Floor A
    Block Domlur Koramangala Inner Ring Road
    Bangalore - 560071
    Laxman Singh
    I Shri/smt./Kumari ............................................ 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).

    ⦁ 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.

    ⦁ I hereby declare that I have no family within the meaning of clause (h) of section 2
    of thesaid act.

    ⦁ (a) My father/mother/parents is/are not dependent on me.


    (b) My husband's father/mother/parents is/are not dependent on my husband.

    ⦁ I have excluded my husband from my family by a notice dated the to the Controlling Aut

    ⦁ Nomination made herein invalidates my previous nomination.

    Nominee(s)
    Name in full with full Relationship with Age of Proportion by which the
    address of nominee(s) the employee Nominee gratuity will be shared
    1. Gali number 36 Mohan
    Garden,Uttam Nagar, FATHER 48
    New Delhi 110056 100%

    2.

    3.

    4.

    So On
    Statement

    ⦁ Name of employee in full : Gaurav Singh

    ⦁ Sex: Male
    ⦁ Religion : Hindu

    1
    ⦁ Whether unmarried/married/widow/widower : Unmarried

    ⦁ Department / Branch/Section where employed : Sales


    ⦁ Post held with Ticket or Serial No.,if any :
    ⦁ Date of appointment : 25/03/2024
    ⦁ Permanent address : 1283,Pushp Vihar,Sec7 MB.Road Saket
    New Delhi 110017
    New Delhi
    Village New Delhi Thana Saket Sub-division

    Post office Pushpa Bhawan District south Delhi State DELHI

    Place : NOIDA Signature / Thumb-impression


    Date : 23/03/2024 of the employee.
    Declaration by witnesses
    Nomination signed / thumb-impressed before me.

    Name in full and full Signature of


    witnesses address of witnesses

    1. Laxman Singh 1.

    2. 2.

    Place: Delhi
    Date : 23/03/2024

    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. for Sorting Hat Technologies Pvt Ltd

    Sorting Hat Technologies Pvt Ltd


    Maruti Infotech Centre 3rd Floor A
    Block Domlur Koramangala Inner Ring Road
    Bangalore - 560071
    Authorized Signatory
    Signature of the employer / officer
    authorised Designation

    Name & Address of the


    establishment or Rubber-stamp
    thereof
    Acknowledgment by the
    employee

    Received the duplicate copy of nomination in Form `F’ filed by me and duly certified by
    the employer.

    2
    Date: 23/03/2024 Signature of the employee

    Note : Strike out the words/paragraphs not applicable.

    Definition for Family

    ⦁ “Family” in relation to an employee, shall be deemed to consist of –

    ⦁ in the case of a male employee, himself, his wife, his children, whether married or
    un married, his dependent parents 1 [and the dependent parents of his wife and the
    widow] and children of his predeceased son, if any.

    (ii) in the case of a female employee, herself husband, her children, whether married, or
    unmarried, her dependent parents and the dependent parents of her husband and the
    widow and children of her predeceased son, if any:
    [1. Substituted for the words “and the widow” by Act No. 22 of 1987, s.2(ii)(a), w.e.f.
    1-10-1978]

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