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Artifact 2 - Superannuation Form
Artifact 2 - Superannuation Form
Artifact 2 - Superannuation Form
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11. In case Pension is Immediate, particulars
Of Member or Beneficiary : _______________________________________________
_______________________________________________
_______________________________________________
_____________________________________________
(Beneficiary) (Beneficiary)
_____________________________________________
____________________________________________
For Self and Co Trustees of Tata Consultancy Services Employees’ Superannuation Fund
Signature: ____________________________________
TRUSTEE
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Established by the Life Insurance Corporation Act, 1956
Bombay Divisional Office, Group & Superannuation Department
My Address for Correspondence: (Please note the address need to be the address in India postal code
mandatory)
(Signature of Annuitant)
Date: _______________
SECTION II
(To be completed by Annuitant)
I, Shri/Smt. ___________received from the Life Insurance Corporation of India the sum of Rs.
________________ (Rupees________________________________) in full satisfaction and
discharge of my under mentioned claims and demand under the Master Policy No. GSCA/
692068
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SECTION III
To be completed by Trustees
Dear Sir,
We hereby direct, authorise and empower you to pay on our behalf to Shri / Smt _________the
Pension amount as per option elected by him/her above after deduction of Income Tax and other
Taxes and duties as given below:
Total Pension Instalments due _______to _____________ (i.e. during the current financial year)
TOTAL AMOUNT (Rs.) Less Income Tax & Other Net Amount Payable
Duties (Rs.) (Rs.)
(C. V.)
(Pension)
We hereby admit and acknowledge that the above mentioned payments which shall be made by you
shall be in full settlement of the payments due to us and hereby declare that the receipts signed by the
payees shall be sufficient, valid and legal discharge to you for the respective payments made to them
and shall be fully binding upon us as if the payments have been made to us and the receipts signed by
us.
Place: Mumbai
(Signature of Trustees)
Date:
Address: Tata Consultancy Services Employees’
Superannuation Fund
11, Air India Building, Nariman Point,
Mumbai – 400 021.
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Section IV
NOMINATION
____________________
Signature of Annuitant
Witness: _______________________
Address: _______________________
____________________
Place : _______________________
Signature of the Nominee
Date : ________________________
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ECS MANDATE FORM
To
2. ANNUITY NO ______________________________________________
A Bank name
B Branch name
I, hereby declare, that the particulars given above are correct and complete. If the transaction is
delayed or not effected at all for reasons of incomplete or incorrect information, I would not hold
LIC responsible. I have read the option invitation letter and agreed to discharge the responsibility
expected of me as a participant under the Scheme.
Date: (…………………………………)
Signature of Annuitant
CERTIFICATE OF THE ANNUITANT’S BANK
Certified that the particulars furnished above are correct as per our records.
(Note: In lieu of the Bank Certificate to be obtained as above, Annuitant can attach a blank
cancelled
cheque leaf or a photocopy thereof)
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SA FILLING FORM GUIDELINES
Point no 7.
As per the superannuation policy of TCS, a member has an option to withdraw part of Corpus from
the fund; else can choose to avail the annuity pension from the entire Corpus.
Tick “Yes” if you are willing to withdraw / commute part of your superannuation accumulation else
tick “No”.
Point No 8:
If you select “Yes” at point number 7, you are required to tick on the appropriate option as
1/3 or 1/ 2 based on the following.
If the member has completed 5 or more years of TCS service i.e. who is eligible for gratuity, one third
of accumulation can be withdrawn / commuted and if the service is less than 5 years a member can
withdraw half of the total superannuation accumulation.
Please note that if you are exercising the option of withdrawal / commutation the commuted amount
would be subject to Income Tax deduction. This amount is tax exempt in case it is exercised on
retirement or death.
Point No. 9:
Tick the “Type of Pension scheme” you would like to select to get the pension (annuity). The details
of each type of pension scheme are as given below.
1) Life Pension:
In this scheme, the member will get the pension for lifetime. No pension will be paid to the
beneficiary after demise of the member. The pension amount payable under this option is
higher than all other schemes mentioned below.
Please Note:
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The pension will not be paid to the beneficiary if the member’s demise occurs after five
years from the commencement of pension.
Please Note:
No pension will be paid to the beneficiary after the demise of the member.
Point No.10: You have the option to choose the annuity cycle of Half Yearly or Yearly, your annuity
cycle will be based on the option selected.
Section I:
The type of pension selected at point number 9 is to be mentioned in this section along with the
complete bank details like the account number, name of the Bank, Address of the branch, MICR
Code, IFSC Code.
A photocopy of Cheque leaf and PAN card is required to be submitted along with this Form.
Furnish your communication address in India with Telephone number and Email id.
Section II:
This section is relevant only if you are willing to exercise the option of withdrawal / commutation.
You are required to sign at the place of “signature of annuitant”
Section III:
Keep it blank. (To be filled by TRUST).
Section IV:
You are required to fill in the name and age of your nominee. It also needs to be signed by you and
the nominee specified therein.
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ECS FORM:
ECS Form is required so that the Pension amount can be directly credited to your Bank Account
Certificate of the Annuitant’s Bank is mandatory if you are submitting a photocopy of a blank
cancelled cheque leaf which does not contain your printed name on the same.
For any queries regarding your Superannuation settlement you can call us at 67791876/91877 or you
can mail at retiral.settlements@tcs.com we would be glad to assist you.
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