Application Forms for Purchasing Savings Instruments Sanchayapatra Sanchayapatra Purchase Form: Form PSP-2: Certificate for gratuity and pension fund: EFT Mandate Form. Gratuity should be paid to an employee by an employer during 01 month from the date of terminated the employment of an employee. A complaint can be made if not paid gratuity during that period. Fees paying to obtain this service. Period taken to provide the Service (Ordinary Service and Priority Service) Not relevant.
Sample Letter format to Claim Gratuity
[Here briefly focus on sample letter format to Claim Gratuity. You should write these letter show with an appropriate cause and formal manner. You can modify this format as your requirement.]
Date…
The HR Admin,
Institution name…
Institute Address…
Sub: Letter to Claim Gratuity
Sir,
I am writing this to apply for payment of gratuity to which I am entitled under sub Gratuity Act, (Company act no.) on account of my resignation after completion of not less than five years (Job requirement) of continuous service.
Since I have recently resigned from your organization I am yet to the received payment of my gratuity. Having worked in your organization for 8/9/10 years I am entitled to receive a gratuity. For your reference, I have enclosed the documents in this regard.
Since I have recently started my own venture, I am in need of money, thus I hereby request to please pay my gratuity as soon as possible. You can either send a cheque/demand draft to my postal address given below or directly deposit the said amount into my account.
We look forward to a quick resolution to our claim. Please resolve this issue and ensure the payment. Thanking you in anticipation.
Name…
Previous job designation…
Contact no and signature…
Another format,
Date…
The CEO/MD,
Institution name…
Institute Address…
Sub: Application to claim Gratuity
Sir,
This is in reference to my resignation letter submitted to the HR department on (Date) from (Job designation and department name). I had given a notice of 15/30 days and my letter was duly approved by my Department Head and a copy was submitted to the HR dept.
I have received my last salary remittance and provident fund amount in my bank account last week but gratuity amount is not credited as per the final settlement letter sent by HRD.
I have completed 8/10/12 years of service with the company and hence entitled to gratuity as per the Payment of Gratuity Act. I guess there has been some error in calculating my tenure of service and hence request you to kindly recheck and process my gratuity amount.
Name…
![Gratuity certificate format form Gratuity certificate format form](https://www.edarsghah.com/wp-content/uploads/2020/04/form-5b-744x1024.png)
Previous job designation…
Gratuity Certificate Format Form
Contact no and signature…
Gratuity Certificate Format Letter
Payment of Gratuity (Central) Rules FORM 'F' See sub-rule (1) of Rule 6
Nomination To, (Give here name or description of the establishment with full address) The ABC Company Ltd Bangalore I, Shri/Shrimati/Kumari Ch Hareesh Kumar (Name in full here) whose particulars are given in the statement below, 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/are a 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 Not Required the controlling authority in terms of the proviso to clause (h) of Section 2 of the said Act.
to
6. Nomination made herein invalidates my previous nomination.
Nominee(s)
Name in full with full
Relationship with
Age of
Proportion by which
address of nominee(s)
the employee
nominee
the gratuity will be shared
(1)
(2)
(3)
(4)
1.
Ch Simhachalam
Father
55
50%
2.
Ch Jayalakshmi
Mother
50
50%
3. So on.
Statement 1. Name of employee in full Chadaram Hareesh Kumar 2. Sex Male 3. Religion Hindu 4. Whether unmarried/married/widow/widower Unmarried 5. Department/Branch/Section where employed Human Resource Department 6. Post held with Ticket No. or Serial No., if any Employee ID : 2100421 7. Date of appointment 25-03-2017 8. Permanent address: Address Of Employee Should Be Mentioned Here Village
Thana
Sub-division
Post Office
District
State
Place: Bangalore
Employee Signature Signature/Thumb-impression of the Employee
Date: 25-03-2017
Declaration by Witnesses Nomination signed/thumb-impressed before me Name in full and full address of witnesses.
Signature of Witnesses.
1.
G Uday Bhaskar, Bangalore, Karnataka
1.
2.
S Sunil Kumar, Hyderabad, Andhra Pradesh
2. Signature Of Witness 2
Signature Of Witness 1
Place: Bangalore Date: 25-03-2017
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 Employee Id : 2100421 Signature of the employer/Officer authorised Designation Employer Signature Date: 25-03-2017
Name and address of the establishment or rubber stamp thereof. Address Stamp Of Establishment
Acknowledgement by the Employee Received the duplicate copy of nomination in Form 'F' filed by me and duly certified by the employer. Employee Signature Date: 25-03-2017
Note.—Strike out the words/paragraphs not applicable.
Signature of the Employee
Nomination To, (Give here name or description of the establishment with full address) The ABC Company Ltd Bangalore I, Shri/Shrimati/Kumari Ch Hareesh Kumar (Name in full here) whose particulars are given in the statement below, 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/are a 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 Not Required the controlling authority in terms of the proviso to clause (h) of Section 2 of the said Act.
to
6. Nomination made herein invalidates my previous nomination.
Nominee(s)
Name in full with full
Relationship with
Age of
Proportion by which
address of nominee(s)
the employee
nominee
the gratuity will be shared
(1)
(2)
(3)
(4)
1.
Ch Simhachalam
Father
55
50%
2.
Ch Jayalakshmi
Mother
50
50%
3. So on.
Statement 1. Name of employee in full Chadaram Hareesh Kumar 2. Sex Male 3. Religion Hindu 4. Whether unmarried/married/widow/widower Unmarried 5. Department/Branch/Section where employed Human Resource Department 6. Post held with Ticket No. or Serial No., if any Employee ID : 2100421 7. Date of appointment 25-03-2017 8. Permanent address: Address Of Employee Should Be Mentioned Here Village
Thana
Sub-division
Post Office
District
State
Place: Bangalore
Employee Signature Signature/Thumb-impression of the Employee
Date: 25-03-2017
Declaration by Witnesses Nomination signed/thumb-impressed before me Name in full and full address of witnesses.
Signature of Witnesses.
1.
G Uday Bhaskar, Bangalore, Karnataka
1.
2.
S Sunil Kumar, Hyderabad, Andhra Pradesh
2. Signature Of Witness 2
Signature Of Witness 1
Place: Bangalore Date: 25-03-2017
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 Employee Id : 2100421 Signature of the employer/Officer authorised Designation Employer Signature Date: 25-03-2017
Name and address of the establishment or rubber stamp thereof. Address Stamp Of Establishment
Acknowledgement by the Employee Received the duplicate copy of nomination in Form 'F' filed by me and duly certified by the employer. Employee Signature Date: 25-03-2017
Note.—Strike out the words/paragraphs not applicable.
Signature of the Employee