Form for modifying nomination

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..... d to my credit in the provident fund/ * amount of gratuity in the event of my death and hereby nominate the person(s) mentioned below to receive the * amount that may stand to my credit in the provident fund/ * amount of gratuity in the event of my death before that amount becomes payable, or having become payable, has not been paid, and direct that the said amount shall be distributed among the s .....

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..... sses to signature . 1. 2. . .. Signature of employee Certified that the above declaration has been signed before me by Shri/Shrimati Date . . .. Signature of the trustee or any person authorised by the trustees in this behalf *Delete the inapplicable words. This column should be filled in so as to cover the .....

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