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.
| Question | Answer |
|---|---|
| Form Name | Gratuity Form |
| Form Length | 6 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min 30 sec |
| Other names | form f for gratuity, how to fill form f, gratuity form f download, form f gratuity nomination form sample filled |
FORM 'F'
[See
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 ………………
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
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 ……………..
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
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. |
|