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de aim sar ai eH” (grat er (Sata) Pram 1972, % Pram 6 & satan (1) % aTER) ante a, ae a (agi Sierra aH atte GR fear Bt ge ET VAT a) 1.8, sysop SSS CD. Rae eh AS Ren Ree &, eragr BA Ry 3 eT a svar afer ste a ae ofr aaa aS a At a et ort, Ram a aoe oer at ae fee faftfen aiRveert & ata avert ¢ atk fade Sava € Rae wae fr ar aT / athe 3 ame eee me saga segER GE ‘fear are, 2. & ape wes ear € Fs af aa wren vera sire 1972 a ar 2 Bae “Ta” fae my onl & yas FR oan aya wae ee 3. care Soon ae ¢ fs se a ST 2 de “ea” & od & ites Fa AE shan a # 4, (B) BURT Reaver ere, RE at a ~@ ae wee. 5, aa catia aA er 2 de ea” & oe «Pua. PEAIC. NO. BANK OF INDIA FORM "F (in torms of sub-rule (1) of rule 6 of the Payment of Gratuity (Central Rules 1872)) NOMINATION To, ‘The Chief Manager/Manager Branch (Give here name or description of the establishment with full address) 4. ShifSmt./Kumar an (name in {all hare) 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 gratulty 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 (f) of section (2) of the payment of Gratuity Act, 1972, 8. hereby declare that | have no family within the ‘meaning of clause (h) of section (2) of the sald Act. 4. (a) My father/mother/parents is/are not dependant (©) My husband's father/mother/parents is/are not dependant on my husband. 2 TS eee aS exuded my husband trom my fay by Cones 7" notice dated the —_____ tothe retarted at Ast mg alfa & ste are SAE = controling authority in terms of the proviso to clause (h) amt or} Ua AB eer fear e. ‘of section (2) of the said Act. 6. Roa A Roe Te amd & are AR are awa fRre_—_& Nomination made herein invalidates my previous se Fay a ef

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