Form F Nomination Details

A gratuity form, also known as a tip sheet, is a document that lists the names of individuals who have provided service to the customer and are eligible for a gratuity. The form allows customers to indicate the amount they would like to give each individual servicer. It is important to provide your staff with a gratuity form so that they can accurately track tips and ensure that they receive appropriate compensation for their hard work. You can find examples of gratuity forms online or create your own using a word processing program.

Here is the details concerning the form you were looking for to fill out. It will show you how much time you will need to complete gratuity form, what parts you need to fill in and several other specific facts.

QuestionAnswer
Form NameGratuity Form
Form Length6 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 30 sec
Other namesform f for gratuity, how to fill form f, gratuity form f download, form f gratuity nomination form sample filled

Form Preview Example

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.

4.

(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)

1.

2.

3.

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.

3.

(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)

1.

2.

3.

4.

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.

 

If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .