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    DCRG Nomination Form

    Uploaded by

    Binu Pk
    This document is a nomination form for retirement or death gratuity in which a government servant nominates members of their family to receive any gratuity payments in the event of their death or retirement. The form allows the government servant to nominate original and alternate recipients and specifies the extent to which each nominee would receive the gratuity. Key details like the nominee names and relationships, signatures of the government servant and witnesses, and office approval are included.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    DCRG Nomination Form

    Uploaded by

    Binu Pk
    3K views1 page
    This document is a nomination form for retirement or death gratuity in which a government servant nominates members of their family to receive any gratuity payments in the event of their death or retirement. The form allows the government servant to nominate original and alternate recipients and specifies the extent to which each nominee would receive the gratuity. Key details like the nominee names and relationships, signatures of the government servant and witnesses, and office approval are included.

    Original Description:

    DCRG Nomination Form for CG Pensioners.

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    This document is a nomination form for retirement or death gratuity in which a government servant nominates members of their family to receive any gratuity payments in the event of their death or retirement. The form allows the government servant to nominate original and alternate recipients and specifies the extent to which each nominee would receive the gratuity. Key details like the nominee names and relationships, signatures of the government servant and witnesses, and office approval are included.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    3K views1 page

    DCRG Nomination Form

    Uploaded by

    Binu Pk
    This document is a nomination form for retirement or death gratuity in which a government servant nominates members of their family to receive any gratuity payments in the event of their death or retirement. The form allows the government servant to nominate original and alternate recipients and specifies the extent to which each nominee would receive the gratuity. Key details like the nominee names and relationships, signatures of the government servant and witnesses, and office approval are included.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Form No 3

    Nomination for Retirement Gratuity / Death Gratuity


    [ See Rule 53 (1) of CCS (Pension) Rules, 1972 ]

    When the Government servant has no family and wishes to nominate one member, or
    more than one member, thereof.

    I,___________________________________________hereby nominate the person/person(s) mentioned


    below who is / are member(s) of my family and confer on him/them the right to receive, to the extent specified
    below, any gratuity the payment of which may be authorized by the Central Government in the event of my death
    while in service and the right to receive on my death, to the extent specified below, which having become admissible
    to me on retirement may remain unpaid at my death:--
    Original Nominee(s) Alternate Nominee(s)

    This nomination supersedes the nomination made by me earlier on______________which stands cancelled.
    Dated this ___________________________day of 20_________at _____________

    Two Witnesses to Signature

    1. Name _____________________Signature_______________

    2. Name _____________________Signature_______________ Signature of Government Servant

    (To be filled by the Head of Office)

    Nomination by _______________________________ Signature of Head of Office


    Designation__________________________________ Date_______________________
    Date of receipt of nomination____________________ Designation__________________
    ___________________________________________________________________________________
    * This column should be filled in so as to cover the whole amount of the gratuity.

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