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[Section 19]
[Entire Act]
State of Rajasthan - Subsection
Section 19(4) in RSWC Employees General Provident Fund Regulations, 1990
| 1. | Name (In block letters) | ...................Surname................. | |||||||
| 2. | Caste | .................................................. | |||||||
| 3. | Sex | .................................................. | |||||||
| 4. | Religion | .................................................. | |||||||
| 5. | Occupation | Section/Warehouse................... | |||||||
| 6. | Height | .................................................. | |||||||
| 7. | Father's Name | .................................................. | |||||||
| 8. | Husband's Name | .................................................. | |||||||
| (For married woman only) | |||||||||
| 9. | Marital Status | .................................................. | |||||||
| (Whether bachelor, spinster, married, widow or widower) | |||||||||
| 10. | Date of birth | ......Day.........Month..........Year | |||||||
| {| | |||||||||
| Name and address of the nominee or nominees | Nominee's relationship with the member | Age of nominee | Amount or share of accumulations in the Fund tobe paid to each nominee (in %) | Contingencies the happening of which thenomination shall become invalid |
| 1 | 2 | 3 | 4 | 5 |
| S.No. | Account No. | Name of the employee in Capital letters | Father's Name or Husband's Name | Age |
| 1 | 2 | 3 | 4 | 5 |
| Sex | Date of Eligibility for Membership | Total period of previous service excluding periodof breaks as on date of joining the fund | Remarks |
| 6 | 7 | 8 | 9 |
| Name and address of the nominee or nominees | Nominees relationship with the member | Age of nominee | Amount of share of accumulations in the fund t bepaid to each nominee (in %) | Contingencies on the happening of which thenomination shall be come invalid. |
| 1 | 2 | 3 | 4 | 5 |