SCHEDULE I See rule 14 (1) FORM OF NOMINATION Account No
. I
.
....hereby nominate the person(s) mentioned below who is/are member(s)/non-member(s) of my family as defined in clause (j) of sub-rule (1) of rule 2 of the of Telecom Regulatory Authority of India (Contributory Provident Fund) Rules, 2003, to receive the amount that may stand to my credit in the Fund as indicated below, in the event of my death before that amount has become payable or having become payable has not been paid. Name and address of the nominees(s) | Relation-ship with the Subscriber | Age of the nominee(s) | Share payable to each nominee | Contingencies on the happening of which the nomination will become invalid | Name, address and relationship of the person(s) if any to whom the right of nominee shall pass in the event of his/her pre-deceasing the Subscriber | If the nominee is not a subscriber of the family as defined in clause (j) of sub-rule (1) of rule 2, indicate the reasons | (1) | (2) | (3) | (4) | (5) | (6) | (7) | | | | | | | |
Dated this
.day of 200
at
Signature of the Subscriber
Name in Block letters
. Designation
Two witness of signature | Name and address | Signature | | 1. | | | 2. | |
(Reverse of the form) Space for use by Telecom Regulatory Authority of India/Board Nomination by Shri/Smt./Kumari
..Designation
Date of receipt of nomination
.. Signature of Senior Research Officer (Administration and Legal) Secretary of Board
Date
Instructions for the Subscriber (a) Your name may be filled in (b) Name of the fund may be completed suitably. (c) Definition of term family as given in the Telecom Regulatory Authority India (Contributory Provident Fund) Rules, 2003 is reproduced below:- Family means- (i) in the case of a male subscriber, his wife or wives children, parents, minor brothers, unmarried sisters, deceased sons widow and children and where no parent of the subscriber is alive, a paternal grant parent: Provided that if a subscriber proves that his wife has been judicially separated from him or has ceased under the personal law governing him or the customary law of the community to which she belongs to be entitled to maintenance, she shall no longer be deemed to be a part of the subscribers family in the matter to which these rules relate, unless the subscriber subsequently intimates in writing to the Secretary that she shall continue to be so regarded. (ii) in the case of a female subscriber, her husband, parents, children, minor brothers, unmarried sisters, deceased sons widow and children and where no parent of the subscriber is alive, a paternal grand parent. Provided that if a subscriber by notice in writing to the Secretary expresses her desire to exclude her husband from the family, the husband shall henceforth be deemed to be no longer a subscriber of the her family in the matter to which these rules relate, unless the subscriber subsequently cancels such notice, in writing. NOTE: Child means legitimate child and includes an adopted child where adoption is recognised by the personal law governing the subscriber or a ward under the Guardians and Wards Act, 1890 (8 of 1890), who lives with the subscriber and is treated as a member of the family and to whom the subscriber has, through a special will, given the same status as that of a natural born child. (d) Column (4) If only one person is nominated the words in full should be written against the nominee. If more than one person is nominated, the share payable to each nominee over the whole amount of the Provident Fund shall be specified. (e) Column (5) Death of nominee(s) should not be mentioned as contingency in this column. (f) Column (6) do not mention your name. (g) Draw line across the blank space below last entry to prevent insertion of any name after you have signed. | 