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GPF - Form For Nomination

This document is a form for nominating beneficiaries to receive funds from a General Provident Fund account in the event of the account holder's death. It requests information such as the name, address, relationship, and age of nominated beneficiaries, along with contingencies that would invalidate the nominations. The subscriber must sign and date the form, and for non-gazetted government employees, it requires countersignature by the head of office.

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Narayanan NM
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3K views1 page

GPF - Form For Nomination

This document is a form for nominating beneficiaries to receive funds from a General Provident Fund account in the event of the account holder's death. It requests information such as the name, address, relationship, and age of nominated beneficiaries, along with contingencies that would invalidate the nominations. The subscriber must sign and date the form, and for non-gazetted government employees, it requires countersignature by the head of office.

Uploaded by

Narayanan NM
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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GENERAL PROVIDENT FUND, KERALA FORM OF NOMINATION

(See Rule 8(1)(iii)

I (Name) .hereby nominate the person(s) mentioned below to receive the amount that may stand to my credit in the Fund in the event of my death before that amount has become payable or having become payable, has not been paid. Name, address,relationship Name and full permanent Relationship Share Contingencies on the and age of the person to Name and address of address of nominee(s) with the Age payable to happening of which whom the right of the the person to whom subscriber each the nomination shall nominee shall pass in the share is to be paid on become invalid event of his predeceasing behalf of minor the subscriber. 1 2 3 4 5 6 7

Date Place

: : Name and Address

Signature of the subscriber Name Designation

: : : Signature

GPF Account No. Witnesses: 1. 2. Countersignature by Head of Office (required only when the subscriber is a Non-Gazetted Government Servant)

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