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Form-2. ADDITION/DELETION IN FAMILY DECLARATION FORM. EMPLOYEE'S STATE INSURANCE CORPORATION. (Regulation 15B) Name of the Insured Person__________________________-Insurance No. I declare that the person/persons whose particulars are given below has/have now become/ceased to be member(s) of my family*. Si. No. Name. Date of Birth.
The form has to be used to add or delete family member details. Family means all or any of the following relatives of an Insured Person namely:- (i) a spouse. (ii) a minor legitimate or adopted child dependant upon the I.P.
I hereby nominate the following person for receiving the monthly widow pension (admissible under para 16 2 (a) (i) & (ii) in the event of my death without leaving any eligible family member for receiving pension.
Distt. State. Name of IMP/Disp. attached. I hereby declare that the particulars given above are true to the best of my knowledge and belief. Necessary changes may kindly be made in my Declaration Form submitted earlier. Passport size photographs of the members who are added to family is/ are enclosed.
This document is a nomination and declaration form for the Employees Provident Fund (EPF) and Employees Pension Scheme (EPS). It allows an employee to [1] nominate individuals to receive their EPF and pension funds in the event of death and [2] provide family details for pension eligibility.
Declaration and Nomination Form under the Employees’ Provident Funds and Employees’ Pension Scheme (Paragraphs 33 & 61 (1) of the Employees Provident Fund Scheme, 1952 and Paragraph 18 of the Employees’ Pension scheme, 1995)
9 Αυγ 2024 · Get to know everything related to EPF form 2 (revised) including how to submit, form filing process, nomination declaration, form sample and more!
