[Company Logo][Company Name]
GRATUITY NOMINATION DECLARATION (INTERNAL)
- Employee Name:
- [Employee Name]
- Employee ID:
- [Employee ID]
- Date of Joining:
- [Date of Joining]
- Department:
- [Department]
Note: This is an internal company declaration. The prescribed statutory nomination format will also be completed where required.
1. Family Details
| Name | Relationship | Date of Birth | Address |
|---|---|---|---|
| [Name] | [Relationship] | [DD/MM/YYYY] | [Address] |
| [Name] | [Relationship] | [DD/MM/YYYY] | [Address] |
| [Name] | [Relationship] | [DD/MM/YYYY] | [Address] |
2. Nominees for Gratuity
| Nominee Name | Relationship | Age | Address | Share of Gratuity (%) |
|---|---|---|---|---|
| [Nominee Name] | [Relationship] | [Age] | [Address] | [%] |
| [Nominee Name] | [Relationship] | [Age] | [Address] | [%] |
| [Nominee Name] | [Relationship] | [Age] | [Address] | [%] |