Gratuity withdrawal form I

Gratuity withdrawal form I

FORM I

[See sub-Rule (1) of Rule 7]

APPLICATION FOR GRATUITY BY AN EMPLOYEE

To

Sir/Gentlemen,

I beg to apply for payment of gratuity to which I am entitled under sub-section (1) of Section 4 of the Payment of Gratuity Act, 1972 on account of my Superannuation/ retirement/ resignation after completion of not less than five years of continuous service total disablement due to accident/total disablement due to disease with effect from the ____________________ Necessary particulars relating to my appointment in the Establishment are given in the statement below:

STATEMENT

1. Name in full

2. Address in full

3. Department/ Branch/ Section where employed

4. Post held with Ticket or Serial No. if any

5. Date of appointment

6. Date and cause of termination of service

7. Total period of service

8. Amount of wages last drawn

9. Amount of gratuity claimed

2. I was rendered totally disabled as a result of ________________________________.

3. Payment may please be made in cash/ open or crossed Bank Cheque.

4. As the amount of gratuity payable is less than Rupees One Thousand. I shall request you to arrange for payment of the sum due to me by

Postal Money Order at the address mentioned above after deducting Postal Money Order commission there from.

Yours faithfully,

Place: Signature/ Thumb-impression

Date : of the applicant-employee

Download Form I

Different types of forms of gratuity

Employment / Labour Laws in India (Latest Amendments included)

Union of India v. K.M. Shankarappa, (2001) 1 SCC 582,

The executive has to obey judicial orders. Without enacting an appropriate legislation, the executive or the legislature cannot set at naught a judicial order.

The Code replaces the following four laws: (i) the Payment of Wages Act, 1936, (ii) the Minimum Wages Act, 1948, (iii) the Payment of Bonus Act, 1965, and (iv) the Equal Remuneration Act, 1976.

Proposed & drafted Labour Laws

    • LABOUR CODE ON INDUSTRIAL RELATIONS BILL, 2015

    • LABOUR CODE ON WAGES BILL, 2015

Laws That Protect You at Your Workplace in the United States

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