Form No.8 Nomination For Benefits Under The Central Government Employee'S Group Insurance Scheme printable pdf download

Form No.8 Nomination For Benefits Under The Central Government Employee'S Group Insurance Scheme

FORM NO.8

NOMINATION FOR BENEFITS UNDER THE CENTRAL GOVERNMENT

EMPLOYEES’ GROUP INSURANCE SCHEME, 1980

(When the Government servant has a family and wishes to nominate one member or more

than one member thereof)

I _____________________________________________________ hereby nominate the

person(s) mentioned below, who is/are member(s) of my family, and confer on him/them the right

to receive to the extent specified below any amount that may be sanctioned by the Central

Government under the Central Government Employees’ Group Insurance Scheme, 1980, in the

event of my death while in service or which having become payable on my attaining the age of

superannuation may remain unpaid at my death

Name and address of

Relationship

Age

Contingencies

Name, address and

nominee / nominees

with

amount to

the

relationship of the

Government

be paid to

happening

person, if any, to

servant

each

which

the

whom the right of

nomination

the

nominee

shall

become

pass in the event of

invalid

his predeceasing the

Government servant

N.B.:- The Government servant should draw lines across the blank space below his last entry to

prevent insertion of any names after he has signed.

Dated this

day of 20____________ at

Signature of two witnesses:

Signature of Government servant

---------------------------------------------------------------------------------------------------------------------

This column should be filled in so as to cover the whole amount that may be payable

under the Insurance Scheme.

Form No.8 Nomination For Benefits Under The Central Government Employee'S Group Insurance Scheme

Related Articles

Related forms

Related Categories