Coir Board General Provident Fund Bye-Laws,1977
28. FIRST SCHEDULE
FIRST SCHEDULE
[Bye-law 6 (3)]
Subscriber’s name : Shri/Smt ………………………………………………..
Depositor Account No. ………………………………………………..
Nomination Register Folio No. ……………………………………………..
SUBSCRIBER’S NOMINATION
I. When the subscriber has a family and wishes to nominate one member thereof.
I hereby nominate the person mentioned below who is a member of my family as defined in Bye-law 2 of the Coir Board General Provident Fund Bye-laws,1977 to receive the amount that may stand to my credit in the Fund, in the event of my death before that amount has become payable, or having become payable has not been paid :
1. Name and address of the nominee in the event of subscriber’s death…………….
2. Relationship with subscriber……………………………………………………
3. Age…………………………………………………………………………………
4. Name, address and relationship of person, or persons, if any, to whom the right of the nominee shall pass in the event of his predeceasing the subscriber …………………………………………………………………………
Dated this……………………..day f……………………..!9…………at………………………..
Signature of subscriber………………………..
Designation…… ……………………………….
Address………… ……………………………….
Signature of two witnesses with addresses.
(1) ………………………………………………………………………………………………
(2) ………………………………………………………………………………………………
N.B.-The subscriber should draw lines across the blank space below his last entry to prevent insertion of any names after he has signed.
Column 4 should be filled in so as to cover the whole amount that may stand to the credit of the subscriber in the Fund at any time.
Subscriber’s name : Shri/Smt. …………………………………………………………………..
Depositor Account No. …………………………………………………………………………….
Nomination Register Folio No. ………………………………………………………………….
SUBSCRIBER’S NOMINATION
II. When the subscriber has a family and wishes to nominate more than one member thereof.
I hereby nominate the persons mentioned below, who are members of my family as defined in bye-law 2 of the Coir Board General Provident Fund Bye-laws,1977 to receive the amount that may stand to my credit in the Fund 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 shall be distributed among the said persons n the manner shown below against their names :
Name and address of nominees in the event of the subscriber’s death Relationship with subscriber
Age Amount of share of accumulations to be paid to each Contingencies on the happening of which the nomination shall become invalid.Name, address and relationship of the person or persons, if any, to whom the right of the nominee shall pass in the event of his predeceasing the subscriber.
123456
Dated this…………………day of ……. 19…………at……………………
Signature of subscriber………………………..
Designation……………………………………..
Address…………………………………………..
Signature of two witnesses with addresses.
(1) ……………………………………………………………………………………………….
(2) ……………………………………………………………………………………………….
N.B.-The subscriber should draw lines across the blank space below his last entry to prevent insertion of any names after he has signed.
Column 4 should be filled in so as to cover the whole amount that may stand to the credit of the subscriber in the Fund at any time.
Subscriber’s name : Shri/Smt. …………………………………….
Depositor Account No. …………………………………………………………..
Nomination Register Folio No. …………………………………………..
SUBSCRIBER’S NOMINATION
III. When the subscriber has no family and wishes to nominate one person.
I, having no family as defined in Bye-law 2 of the Coir Board General Provident Fund Bye-laws,1977, hereby nominate the person mentioned below to receive the amount that may stand to my credit in the Fund, in the event of my death before that amount has become payable, or having become payable has not been paid :
1.Name and address of the nominee……………………………………………….
2.Relationship with subscriber……………………………………………………
3.Age…………………………………………………………………………………
4. Contingencies (**) on the happening of which the nomination shall become invalid ………………………………………………………………………………
5. Name, address and relationship of the person, or persons, if any, to whom the right of the nominee shall pass, in the event of his predeceasing the subscriber………………………………………………………………………….
Dated this……………..day of…………19…………at……………….
Signature of subscriber………………………..
Designation……………………………………..
Address…………………………………………..
Signature of two witnesses with addresses.
(1) ……………………………………………………………………………………………….
(2) ……………………………………………………………………………………………….
N.B.
The subscriber should draw lines across the blank space below his last entry to prevent insertion of any names after he has signed.
Column 4 should be filled in so as to cover the whole amount that may stand to the credit of the subscriber in the Fund at any time.
Subscriber’s name : Shri/Smt. ……………………………………………………………………
Depositor Account No. …………………………………………………………………………….
Nomination Register Folio No. ………………………………………………………………….
1.Note.-Where a subscriber who has no family makes a nomination, he shall specify in this column that the nomination shall become invalid in the event of his subsequently acquiring a family.
SUBSCRIBER’S NOMINATION
IV. When the subscriber has no family and wishes to nominate more than one person.
I, having no family as defined in bye-law 2 of the Coir Board General Provident Fund Bye-laws,1977, hereby nominate the persons mentioned below to receive the amount that may stand to my credit in the Fund, in the event of my d
eath before that amount has become payable, or having become payable has not been paid, and direct that the said amount shall be distributed among the said persons in the manner shown below against their names :
Name and address of nominees in the event of the subscriber’s deathRelationship with subscriber
Age*Amount of share of accumulations to be paid to each**Contingencies on the happening of which the nomination shall become invalid.
Name, address and relationship of the person or persons, if any, to whom the right of the nominee shall pass in the event of his predeceasing the subscriber.
123456
Dated this………………..day of……………19…………at………………..
Signature of subscriber………………………..
Designation……………………………………..
Address…………………………………………..
Signature of two witnesses with addresses :
(1) ……………………………………………………………………………………………….
(2) ……………………………………………………………………………………………….
N.B.-The subscriber should draw lines across the blank space below his last entry to prevent insertion of any names after he has signed.
*This column should be filled in so as to cover the whole amount that may stand to the credit of the subscriber in the Fund at any time.
**Where a subscriber who has no family makes a nomination he shall specify in this column that the nomination shall become invalid in the event of his subsequently acquiring a family.
