Gratuity Form – Fill Out and Use This PDF

The Gratuity Form, encompassed within the Payment of Gratuity Act of 1972, serves as a crucial document where an employee nominates one or more individuals to receive their gratuity amount in the event of their death. Typically, this form ensures that an employee's gratuity, a sum of money paid as a benefit for long service, is distributed according to their wishes among nominated family members or dependents. For those seeking to secure the future of their loved ones, understanding and filling out this form correctly is imperative. Ensure the financial security of your beneficiaries by clicking the button below to fill out the Gratuity Form.

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Gratuity Form PDF Details

Navigating through the intricacies of employment-related paperwork is essential for both employees and employers, ensuring rights and obligations are comprehensively addressed. Amongst these critical documents is the Gratuity Form, which plays a pivotal role in detailing how an employee's gratuity—the monetary benefit paid by employers as a token of gratitude for the service rendered—should be disbursed upon the employee's demise or under specific conditions. This form encompasses multiple aspects: initial nominations (Form 'F'), updates due to changes in the employee’s family status (Form 'G'), and modifications to prior nominations (Form 'H'). Each variant mandates the employee to declare their nominees, ensuring the gratuity is distributed according to the employee’s wishes. Critically, the forms stipulate the necessity of nominating family members as defined by the Payment of Gratuity Act, 1972, reaffirming the employee's familial ties or lack thereof, dependency status of parents or in-laws, and even the exclusion of the husband from the nominee list under certain conditions. Additionally, the process includes declarations from witnesses and verification by the employer, underscoring the formal and legal acknowledgment of the employee's nominations. By addressing these forms with due diligence, employees can securely plan for the financial well-being of their loved ones, making these documents a cornerstone of responsible employment planning.

Question	Answer
Form Name	Gratuity Form
Form Length	6 pages
Fillable?	Yes
Fillable fields	82
Avg. time to fill out	17 min 54 sec
Other names	how to fill up form f of gratuity nomination form with sample copy, form f gratuity nomination form sample filled, gratuity form f download, form f gratuity

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FORM 'F'

[See sub-rule (1) of rule 6]

Nomination

To ……………………………………………………………………………………………………………..

[Give here name or description of the establishment with full address]

I. Shri/Shrimati/Kumari …………………. whose particulars are given in the statement below,

[Name in full here]

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) 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.

3.I hereby declare that I have no family within the meaning of clause (h) of section (2) of the said 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.

5.I have excluded my husband from my family by a notice dated the to the Controlling Authority in terms of the proviso to clause (h) of section 2 of the said Act.

6.Nomination made herein invalidates my previous nomination.

Nominee(s)

Name in full with full

address of nominee(s)

so on.

Relationship with the

employee

Age of nominee

Proportion by which the gratuity will be

shared

Statement

1.Name of employee in full.

2.Sex.

3.Religion.

4.Whether unmarried/married/widow/widower.

5.Department/Branch/Section where employed.

6.Post held with Ticket or Serial No., if any.

7.Date of appointment.

8.Permanent address.

Village ……………… Thana ……………… Sub-division ………………. Post Office ………………

District ………………. State…………………

Place	Signature/Thumb impression
Date	of the employee

Declaration by witnesses

Nomination signed/thumb impressed before me.

Name in full and full	Signature of witnesses.
address of witnesses.
1.	1.
2.	2.

Place

Date

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.

	Signature of the employer/
	officer authorised
	Designation
Date	Name and address of the
	establishment or rubber stamp
	thereof.
	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

Note: Strike out the words and paragraphs not applicable.

FORM 'G'

[See sub-rule (3) of rule 6]

Fresh Nomination

To ………………………………………………………………………………………………………….

[Give here name or description of the establishment with full Address]

I, Shri/Shrimati ………………… [Name in full here] whose particulars are given in the

statement below, have acquired a family within the meaning of clause (h) of section (2) of the Payment of Gratuity Act, 1972 with effect from the …………………… [date here] in the manner

indicated below and therefor nominate afresh 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 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 the person(s) nominated is a/are member(s) of my family within the meaning of clause (h) of section 2 of the said 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.

4.I have excluded my husband from my family by a notice dated the ………………. to the controlling authority in terms of the proviso to clause (h) of section 2 of the said Act.

Nominee(s)

Name in full with full

address of nominee(s)

(1)

so on.

Relationship with the

employee

(2)

Age of nominee

(3)

Proportion by which the gratuity will be shared

(4)

Manner of acquiring a "family"

[Here give details as to how a family was acquired, i.e., whether by marriage or parents being rendered dependant or through other process like adoption].

Statement

1.Name of the employee in full.

2.Sex.

3.Religion.

4.Whether unmarried/married/widow/widower.

5.Department/Branch/Section where employed.

6.Post held with Ticket No. or Serial No., if any.

7.Date of appointment.

8.Permanent address.

Village ……………. Thana …………….. Sub-division ………………… Post Office …………………

District ……………….. State ……………….

Place	Signature/Thumb impression
Date	of the employee.

Declaration by witnesses

Fresh nomination signed/thumb impressed before me.

Name in full and full	Signature of witnesses.
addresses of witnesses.
1.	1.
2.	2.
Place
Date
	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.

	Signature of the employer/
	officer authorised
	Designation
Date	Name and address of the
	establishment or rubber
	stamp thereof.
	Acknowledgement by the employee
	Received the duplicate copy of the nomination in Form ………… filed by me on …………
duly certified by the employer.
Date	Signature of the employer

Note: Strike out the words and paragraphs not applicable.

FORM 'H'

[See sub-rule (4) of rule 6]

Modification of Nomination

To ………………………………………………………………………………………………

[Give here name or description of the establishment with full address]

I, Shri/Shrimati/Kumari ………………… [Name in full here] whose particulars are given in the

statement below, hereby give notice that the nomination filed by me on [date] and recorded under your reference No………. dated ……………… shall stand modified in the following manner:

[Here give details of the modifications intended]

Statement

1.Name of the employee in full.

2.Sex.

3.Religion.

4.Whether unmarried/married/widow/widower.

5.Department/Branch/Section where employed.

6.Post held with Ticket No. or Serial No., if any.

7.Date of Appointment.

8.Address in full.

Place	Signature/Thumb impression
Date	of the employee

Declaration by witnesses

Modification of nomination signed/thumb impressed before me.

Name in full and full	Signature of witnesses.
addresses of witnesses.
1.	1.
2.	2.
Place
Date
	Certificate by the employer
Certified that the above modification have been recorded.
Employer’s reference No., if any.	Signature of the employer/
	Officer authorised

Designation

Name and address of the

Establishment or rubber

Stamp thereof.

Acknowledgement by the employee

Received the duplicate copy of the notice for modification in Form ‘H’ filed by me on …………

…and duly certified by the employer.
Date	Signature of the employee
Note: Strike out the words and paragraphs not applicable.

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Completing the how to fill form f file is a breeze with this PDF editor. Try out the following actions to get the document ready without delay.

Step 1: On the webpage, press the orange "Get form now" button.

Step 2: So you will be on your file edit page. It's possible to add, alter, highlight, check, cross, insert or remove areas or words.

Create the how to fill form f PDF and provide the details for each area:

form f gratuity nomination form sample filled blanks to consider

You should write down the required information in the address, of, nominees employee, soon, Proportion, by, which, the, gratuity, will, be shared, and Statement area.

step 2 to filling out form f gratuity nomination form sample filled

It's important to record particular data inside the section Declaration, by, witnesses Signature, of, witnesses and Certificate, by, the, employer

Filling in form f gratuity nomination form sample filled stage 3

The Signature, of, the, employer officer, authorised Designation, Date, Name, and, address, of, the establishment, or, rubber, stamp Acknowledgement, by, the, employee there, of and Signature, of, the, employee box is going to be place to indicate the rights and obligations of both sides.

Finishing form f gratuity nomination form sample filled stage 4

Check the fields Fresh, Nomination and Nominees and next fill them in.

Filling out form f gratuity nomination form sample filled part 5

Step 3: Hit the Done button to save your file. So now it is obtainable for transfer to your electronic device.

Step 4: Ensure that you remain away from potential complications by producing minimally 2 duplicates of the file.

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