Form. KVV-10/5 CHAUDHARY SARWAN KUMAR HIMACHAL PRADESH KRISHI VISHVAVIDYALAYA (See Rule 10.12 of Part I of the Account Manual) FORM OF NOMINATION (FAMILY) 1. Name of the subscriber : __________________________________________ 2. Designation : __________________________________________ 3. Account No. : __________________________________________ FORM-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 Rule of the General Provident Fund-cum-Pension-cum-Gratuity Rules of the University 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. Name & address of the nominee Relationship with the subscriber Age Contingencies of the happening of which the nomination shall become invalid Name, address & relationship, if any to whom the right of the nominee shall pass in the event of the nominee predeceasing the subscriber Dated this ______________ Day of _________________________ at _______________________ (Date) (Month) (Year) (Place) This nomination supersedes the previous nomination(s) made in this regard. Signature of subscriber Department _____________________ The witnesses to signature mentioning name in (Block Letters) designation & CPF/GPF Account Number. Sr. No. Name (in Block Letters) Designation CPF/GPF Account Number 1. 2.
