Union of India - Act
The Khadi And Village Industries Commission Employees (Pension) Regulations, 1984
UNION OF INDIA
India
India
The Khadi And Village Industries Commission Employees (Pension) Regulations, 1984
Rule THE-KHADI-AND-VILLAGE-INDUSTRIES-COMMISSION-EMPLOYEES-PENSION-REGULATIONS-1984 of 1984
- Published on 26 September 1984
- Commenced on 26 September 1984
- [This is the version of this document from 26 September 1984.]
- [Note: The original publication document is not available and this content could not be verified.]
1971.
G.S.R. 686(E), dated 26th September, 1984. - In exercise of the powers confirmed under Section 27 of the Khadi and Village Industries Commission Act, 1956 (61 of 1956), the Khadi and Village Industries Commission, hereby makes with the previous sanction of the Central Government, the following Regulations, namely ;Chapter 1
Preliminary
1. Short title and commencement.
2. Application.
- Save as otherwise provided in the regulations, these regulations shall apply to all employees of the commission born on the regular establishment of the Commission appointed substantial to posts under the said Commission, but shall apply to the employees of the commission in the establishment:Provided that an employee of the Commission who his retirement from service on attaining the age of superannuation or on his being declared to be percently incapacitated for further service under the Commission by an appropriate medical authority or he has rendered temporary service of not less then twenty years shall be brought within the pursue of these regulations and the condition of hold a post in a substantive capacity shall be discaused with in this case :Provided further that nothing in these regulations shall apply to an employee of the Commission who being in the service of the Commission on the date which these regulations come into effect, in being opt out to be governed by these regulations.Explanation : (i) For the purpose of this regulation, employees of the Commission-born on the regular establishment" shall means all the employees of the commission who are on time-scales of pay, but shall include the following:3. Definition.
- In these regulations, unless the context otherwise requires :-(i)"Act" means the Khadi and Village Industries Commission Act, 1956 (61 of 1956);(ii)"allottee" means an employee of the Commission to whom Commission's accommodation has been allotted on payment of licence fee or otherwise.(iii)"average emoluments" means average emoluments as determined in accordance with the regulation 31;(iv)"Appointing Authority" means an authority under the Commission to whom powers for making appointments are delegated by the Commission or the Chief Executive officer, as the case may be from time to time;(v)"Chief Executive Officer" means the Chief Executive Officer appointed by the Commission under rule 8 of the Khadi and Village Industries Commission Rules, 1957;(vi)"Chief Accounts Officer" means the Chief Accounts Officer of the Commission and includes any authority under the Commission to whom powers are delegated by the Chief Executive Officer or the Commission for the purpose of discharge of duties and functions assigned to the Chief Accounts Officer under these regulations;(vii)"Child" means a child of an employee of the Commission who, if a son, is under 21 years of age and if a daughter is unmarried and is under 24 years of age and the expression "children" shall be construed accordingly;(viii)"Commission's dues" means dues as defined in sub-regulation (3) of regulation 65;(ix)"Director (Administration)" means the Director appointed by the Commission to be the head of its Directorate of Administration and shall include any officer to whom powers are delegated by the Chief Executive Officer or the Commission for the purposes of discharge of duties and functions assigned to the Director (Administration) under these regulations;(x)"emoluments" means emoluments as defined in regulation 30;(xi)"employee" means an employee of the Commission;(xii)"family pension" means family pension admissible under regulation 49;(xiii)"foreign service" means service in which an employee of the Commission receives his pay with the sanction of the Commission from any source other than the funds of the Commission;(xiv)"Form" means a Form appended to these regulations ;(xv)"Government" means the Central Government;(xvi)"gratuity" includes(i)'service gratuity' payable under sub-regulation (1) of regulation 43;(ii)'death-cum-retirement gratuity' payable under sub-regulation (1) or sub-regulation (3) of regulation 44; and(iii)'residuary gratuity' payable under sub-regulation (2) of regulation 44;(xvii)"Head of a Department" means an authority specified as such by the Commission under orders issued from time to time;(xviii)"Head of Office" means an officer declared as such under orders issued by the Commission or the Chief Executive Officer from time to time for the purpose of these regulations;(xix)"minor" means a person who has not completed the age of 18 years;(xx)"Medical authority" means Medical authority appointed by the Commission and includes in the case of an application for commutation of pension-(a)seeking commutation of invalid pension, or(b)seeking commutation of pension other than invalid pension but his application for commutation has not been received by the Head of Office within one year of his retirement and the amount of pension to be commuted together with the amount or amounts previously commulated exceeds one hundred rupees per mensum, or(c)Where commutation has been refused on medical grounds, or in the case of an applicant having once declined to accept communication on the basis of addition of years to his actual age recommended by the medial authority, applied for a second medical examination in accordance with the provisions of regulation 103 and regulation 104 the medical authority shall be a Medical Board that maybe decided by the Commission in each such case.(xxi)"Pension" includes gratuity except when the term 'pension' is used in contradistinction to gratuity;(xxii)"qualifying service" means the service rendered by an employee while on duty or otherwise which shall be taken into account for the purpose of pension and gratuity admissible under these regulations;(xxiii)"retirement benefits" includes pension or service gratuity, and Death-cum-retirement gratuity, where admissible;(xxiv)'Service book" includes service roll, if any,4. Employees of the commission transferred from posts to which these regulations do not apply.
Chapter II
General Conditions
5. Claims to Pension or Family pension.
6. Limitations on number of pensions.
- An employee of the Commission shall not earn two pensions in the same service or post at the time or by the same continuous service except as provided in regulation 17. An employee of the Commission who having retired on a superannuation pension or retiring pension is subsequently re-employed shall not be entitled to a separate pension or gratuity for the period of his re-employment.7. Pension subject to future good conduct.
- I (a) Future good conduct shall be an implied condition of every grant of pension and its continuance under these regulations.(b)The Commission or any other authority to whom the Commission may delegate powers in this regard may, be an order in writing, withhold or withdraw a pension or a part thereof, whether permanently or for a specified period, if the pensioner is convicted of a serious crime or is found guilty of grave mis-conduct.Provided that where a part of pension is withheld or withdrawn, the amount of such pension shall not be reduced below the amount of rupees sixty per mensem.8. Right of Commission to withhold or withdraw pension.
2.
(a)The department proceedings referred to under sub-regulation (1), if instituted while the employee was in service, whether before his retirement or during his re-employment, shall, after the final retirement of the employee of the Commission be deemed to be proceedings under this regulation and shall be continued or concluded by the authority by which they were commenced in the same manner as if the employee of the Commission had continued in service.Provided that where the departmental proceedings are instituted by an authority subordinate to the Commission, that authority shall submit a report recording its findings to the Commission.(b)The departmental proceedings, if not instituted while the commission's employee was in service whether before his retirement or during his re-employment.(i)shall not be instituted save with the sanction of the Commission,(ii)shall not be in respect of any event which took place, more than 4 years before such institution, and(iii)shall be conducted by such authority and in such places as the Commission may direct and in accordance with the procedure applicable to departmental proceedings in which an order of dismissal from service could be made in relation to the employee of the Commission during his service.9. Commercial employment after retirement.
10. Employment after retirement under a Government outside India.
- If a pensioner, who immediately before his retirement was holding a group 'A' (Class-I) post under the Commission, wishes to accept any employment under any Government outside India, he shall obtain the previous permission of the Commission for such acceptance, and no pension shall be payable to a pensioner who accepts such an employment without proper permission in respect of any period for which he is so employed or such longer period as the commission may direct :Provided that an employee who was permitted by the Commission to take up a particular form of employment under any Government outside India during his leave preparatory to retirement shall not be required to obtain subsequent permission for his continuance in such employment after retirement.Explanation. - For the purpose of this regulation the expression "employment under any Government outside India" includes employment under a local authority or Corporation or any other institution or organisation which functions under the supervision or control of a Government outside India, or an employment under an International Organisation of which the Government of India is not a Member.Chapter III
Qualifying Service
11. Commencement of qualifying service.
- Subject to the provisions of these regulations, qualifying service of an employee shall commence from the date he takes charge of the post to which he is first appointed either substantively or in an officiating or temporary capacity :Provided that officiating or temporary service is followed without interruption by confirmation against a permanent post under the Commission :Provided further that the service rendered before attaining the age of eighteen years shall not count for the purpose of this regulation.12. Conditions subject to which the service qualified.
13. Counting of service on probation.
- Service on probation against a post if followed by confirmation in the same or another post shall qualify.14. Counting of service as apprentice.
- Service as an apprentice shall not qualify.15. Counting of service rendered under trading establishment or on contract.
16. Counting of per-retirement service under the Commission in the case of re-employed employee of the Commission.
17. Counting of military was service rendered before employment under the commission.
18. Counting of periods spent on leave.
- All leave during service for which leave salary is payable and all extraordinary leave granted to medical certificates shall count for qualifying service :Provided that in the case of extraordinary leave other than extraordinary leave granted on medical certificate the appointing authority may, at the time of granting such leave, allow the period of the leave to count as qualifying service if such leave is granted to an employee of the Commission :19. Counting of periods spent on training.
- The Commission may, be order decide whether the time spent by an employee of the commission under training immediately before appointment to service under the Commission shall, count as qualifying service.20. Counting of periods of suspension.
- The period passed by an employee of the Commission under suspension pending enquiry in the conduct shall count as qualifying service where, on conclusion of such enquiry, he has been fully exonerated or the suspension is held to be wholly unjustified; in other cases, the period of suspension shall not count unless the authority competent to pass orders under the rules governing such cases expressly declare at the time that it shall count to such extent as the competent authority may declare.Note. - The competent authority should at the appropriate time declare whether and to what extent the period of suspencion will count towards the qualifying service. Specific entries in this regard in the service book records will be taken note of at the time of recknoning qualifying service. In the absence of any specific entry, period of suspension shall be taken as counting towards the qualifying service.21. Forfeiture of service on dismissal of removal.
- Dismissal or removal of an employee of the Commission from service of the Commission entails for feature of his past service.22. Counting of past service on re-instatement.
23. Forfeiture of service on resignation.
24. Effect of interruption in service.
25. Condonation of interruption in service.
26. Addition to qualifying service when an employee of the Commission is declared surplus.
27. Addition to qualifying service in special circumstances.
28. Period of deputation to United Nations and other organisations.
- An employee deputed on foreign service for a period of 5 years or more to the United Nations Secretariat or other United Nations bodies, the International Monetary Fund, the international Bank of Reconstruction and Development or Asian Development Bank or Commonwealth Secretariat, may at his option :29. Verification of qualifying service after 25 years service, or 5 years before retirement.
Chapter IV
Emoluments And Average Emoluments
30. Emoluments.
31. Average emoluments.
- Average emoluments shall be determined with reference to the emoluments drawn by an employee of the Commission during the last ten months of his service.Note. - (1) If during the last ten months of a service, the employee of the Commission had been absent from duty on leave for which leave salary payable or having been suspended had been reinstate without forfeiture of service, the emoluments which he would have drawn had he not been absent from duty or suspended shall be taken into account to determining the average emoluments :Provided that any increase in pay [other than increment referred to in Note (3) below] which not actually drawn shall not form part of his employments.Chapter V
Classes Of Pensions And Conditions Governing Their Grant
32. Superannuation pension.
- A superannuation pension shall be granted to an employee of the Commission who is retired on his attaining the age of compulsory retirement.Note. - Every employee of the Commission shall retire from service with effect from the afternoon the last day of the month in which is date or retirement falls according to the clauses (a) and (b) sub-regulation (3) of Regulation 5 of the Khadi Village Industries Commission's Regulations-19 without prejudice to clause (d) of the said Regulation.33. Retiring pension.
- A retiring pension shall granted- (a) to an employee of the Commission shall retires, or is retired, in advance of the age of compulsory retirement, in accordance with the provisional regulation 40 or 41 of these regulations or clause of sub-regulation (3) of Regulation 5 of the Khadi and Village Industries Commission Regulations, and34. Pension on absorption in or under Government in or under a Corporation or Company.
- An employee of the Commission who has permitted to be absorbed in a service or post under Government or in or under a Corporation Company wholly or substantially owned or allowed by the Government or in or under a body allowed or financed by the Government shall, if absorption is declared by the Commission to be the public interest be deemed to have retired from service the date of such absorption and shall be capable to receive retirement benefits which he may elected or deemed to have elected, and from date as may be determined in accordance with orders of the Government applicable to corresponding categories of Government servants :Provided that no declaration regarding absorption the public interest in a service or post in or under Government or in or under such Corporation, Commission body shall be required in respect of an employee of the commissions whom the Commission may, under, declare to be a scientific employee.35. Payment of lum sum amount to an employee of the Commission on absorption in or under Govt. or in or under a Corporation, Company or body.
36. Invalid pension.
37. Compensation pension.
38. Compulsory retirement pension.
39. Compassionate allowance
Chapter VI
Regulation Of Amounts Of Pensions
40. Retirement on completion of 30 years qualifying service.
41. Retirement on completion of 20 years qualifying service.
42. Addition to qualifying service on voluntary retirement.
43. Amount of pension.
| Completedsix monthly periods of qualifying service | Scaleof service gratuity | |
| 1 | 2 | |
| 1 | 1-2/12 | MonthsEmoluments |
| 2 | 1 | , |
| 3 | 1-1/2 | , |
| 4 | 2 | , |
| 5 | 2-1/2 | , |
| 6 | 3 | , |
| 7 | 3-1/2 | , |
| 8 | 4 | , |
| 9 | 4-3/8 | , |
| 10 | 4-3/4 | , |
| 11 | 5-1/8 | , |
| 12 | 5-1/2 | , |
| 13 | 5-7/8 | , |
| 14 | 6-1/4 | , |
| 15 | 6-5/8 | , |
| 16 | 7 | , |
| 17 | 7-3/8 | , |
| 18 | 7-3/4 | , |
| 19 | 8-1/8 |
| Averageemoluments | Amountsof monthly pension |
| (i)Upto first Rs. 1,000 | 50%of average emoluments. |
| (ii)Next Rs. 500/- | 45%of average emoluments. |
| (iii)Balance | 40%of average emoluments subject to a maximum of Rs. 4,500 permensem including relief on pension payable upto to index level328; |
| (i)Amount of family pension determined under sub-regulation (1) ofRegulation 49 with reference to the emoluments drawn by anemployee retired on invalid pension. | Rs.160/-p.m. |
| (ii)Amount of original invalid pension i.e. determined with referenceto the qualifying year of service and the average emoluments. | Rs.90/-pm. |
| (iii)Extra pension allowed to bring the amount of invalid pension at(ii) above to the level of family pension shown at (i) above(i.e. the amount at (i) above minus the amount (ii) above. | Rs.70/-p.m. |
| (iv)Total of the amount shown at (ii) and (iii) above which willbecome payable on retirement on invalid pension. | Rs.160/-pm. |
44. Death-cum retirement gratuity.
45. Persons to whom gratuity is payable.
46. Debarring a person from receiving gratuity.
47. Lapse of death-cum-retirement gratuity.
- Where an employee dies while in service or after retirement without receiving the amount of gratuity and leaves behind no family, and48. Nominations.
49. Family pension.
| Payto the employee | Amountof monthly family pension |
| (i)Below Rs. 400. | 30%of pay subject to a minimum of Rs. 60/- and a maximum of Rs.100/- |
| (ii)Rs. 400 and above but Rs. 1200. | 15%of pay subject to a minimum below of Rs. 100/- and maximum of Rs.160/-. |
| (iii)Rs. 1200 and above | 12%of pay subject to a minimum of Rs. 160/- and maximum of Rs. 250/- |
Chapter VII
Determination And Authorisation Of The Amounts Of Pension And Gratuity
50. Preparation of list of employees due for retirement.
51. Intimation to the Estate Officer regarding issue of "No Demand Certificate".
52. Preparation of Pension Papers.
- Every Head of Office shall undertake the work of preparation of pension papers in Form '5' two years before the date on which the employee is due to retire on superannuation or on the date on which he proceeds on leave preparatory to retirement whichever is earlier.53. Stages for completion of pension papers.
54. Completion of pension papers.
- The Head Office shall complete Part 1 of From 5 not later 6 months before the date of retirement of the employee of the Commission.55. Forwarding of pension papers to Director (Administration).
56. Intimation to Director (Administration) regarding any event having bearing on pension.
- If after the pension papers have been forwarded to the Director for (Administration) within the period specified in sub-regulation (3) of Regulation 55, any event occurring which has a bearing on the amount of pension admissible, the fact shall be promptly reported to the Director (Administration) by the Head of Office.57. Intimation of particulars of Commission's dues to the Director (Administration).
58. Provisional Pension.
59. Authorisation of pension and gratuity by the Director (Administration).
60. Payment of provisional pension and gratuity through money order.
- If the provisional pension or gratuity or both sanctioned under sub-regulation (4) of Regulation 58 is desired to be paid by the pensioner through money order or bank draft, the same shall be remitted to him through money order or Bank draft at his cost; Provided that in the case of any pensioner who have been authorised payment of provisional pension not exceeding two hundred and fifteen rupees per mensem (exclusive of amount of relief on pension) that amount or amount upto such limit as may here-after be fixed by the Commission from time to time shall, at the request of the pension be remitted to him by money order at Commission's expense.61. Employees on deputation.
- In the case of an employee of the Commission who retires from service, while on deputation to foreign service, action to authorise pension and gratuity in accordance with the provisions of this chapter shall be taken by the Director (Administration).Note. - Acceptance of evidence regarding payment of pension contribution. - (a) There are some cases in which, in accordance with the term of deputation foreign service', it is the responsibility and liability of the employee himself to maintain the continuity of pensionable service by the payment of pension contributions. In such cases, it will be necessary to ascertain whether the recoveries have been made, before the period of foreign service is reckoned as qualifying service. However, the employee is sometimes put to considerable difficulty because of defective incomplete record maintenance by the administrative offices. In such cases, while he could be reasonably asked to show that he had indeed made the contributions, the administrative authority should show a spirit of reasonableness and accommodation in evaluating and accepting such evidence as he is able to put forward, and not insist rigidly on formal proof with reference to service or accounts records for the maintenance of which the employee is not responsible.62. Interest on delayed payment of gratuity.
63. Provisional pension where departmental or judicial proceedings may be pending.
64. Revision of Pension after authorisation.
65. Recovery and adjustment of Commission's dues.
66. Adjustment and recovery of dues pertaining to Commission's accommodation.
67. Adjustment and recovery of dues other than dues pertaining to Commission's accommodation.
68. Date of retirement to be notified.
- When employee of the Commission retires from service, an order shall be issued by the Head of Office specifying the date of retirement within a week of such date and a copy of every such order shall be forwarded immediately to the Director (Administration) and the Chief Accounts officer.Provided that where in order regarding grant of save preparatory to retirement to an employee is sued, a further order that the Commission's employee has actually retired on the expiry of such leave shall not be necessary unless the leave is curtailed and the retirement is for any reason ante-dated or postponed.Chapter VIII
Determination And Authorisation Of The Amount Of Family Pension And Death-Cum-Retirement Gratuity In Respect Of Employees Of The Commission Dying While In Service.
69. Obtaining of claims for family pension and death-cum-retirement gratuity.
70. Completion of Form 12.
71. Determination of the amount of family pension and gratuity where service records are incomplete.
- If in any particular case, the service book has not been maintained properly despite the orders on the subject, and it is not possible for the Head of office to accept the unverified portion of service as verified on the basis of entries in the service book, the Head of office shall not proceed with the verification of the entire spell of service. The verification of service in such a case shall be confined to the following spells of service :72. Forwarding the papers to the Director (Administration).
73. Sanction, drawal and disbursement of provisional family pension and gratuity.
74. Authorisation of final pension and balance of the gratuity by the Director (Administration).
75. Adjustment of commission's dues.
76. Payment of family pension and death-cum-retirement grativity when an employee of the Commission dies while on deputation.
- In the case of an employee who dies while on deputation to foreign service, action to authorise the family pension and death-cum-retirement gratuity in accordance with the provisions of this chapter shall be taken by the Head of Office.Chapter IX
Sanction Of Family Pension And Residuary Gratuity In Respect Of Deceased Pensioners
77. Sanction of family pension and residuary gratuity on the death of a pensioner.
78. 'Authorisation' of payment by Director (Administration).
- On receipt of sanction under Regulation 77 regarding payment of family pension or residuary gratuity or both the Chief Accounts Officer shall make the payment of the same.Chapter X
Payment Of Pension
79. Date from which pension becomes payable.
80. Currency in which pension is payable.
- All pensions including gratuities admissible under these regulations shall be payable in rupees in India only.81. Manner of payment of gratuity and pension.
Chapter XI
Commutation Of Pension
General Conditions82. Restriction on commutation of pension.
- No employee against whom departmental or judicial proceedings as referred to in Regulation 8 have been instituted before the date of his retirement, or the pensioner against whom such proceedings are instituted after the date of his retirement, shall be eligible to commute a fraction of his provisional pension authorised under Regulation 63 or the pension, as the case may be, during the pendency of such proceedings.83. Limit on commutation of pension.
84. Commutation of pension to become absolute.
- (i) The commutation of pension shall become absolute in the case of an applicant for commutation referred to :(i)In sub-regulation (1) of Regulation 91 on the date on which the application in Form 19 is received by the Director (Administration).(ii)in Chapter XIII on the date on which the medical authority signs the medical report in Part-III of Form 22:Provided that the reduction in the amount of pension on account of commutation shall be operative from the date of receipt of the commuted value of pension or at the end of the three months after issue of authority by the Director (Administration) for the payment of commuted value of pension, whichever is earlier.Explanation. - The term "applicant" referred to in this chapter and hereinafter in chapters XII and XIII means a commission's employee, including a retired Commission's employee, who applies for commutation of a fraction of pension in the said form.85. Death of an applicant for commutation before receiving the commuted value.
- If an applicant died without receiving the commuted value on or after the date on which commuted became absolute, the commuted value shall be paid to his heirs.86. Calculation of commuted value of pension.
- The lumpsum payable to an applicant shall be calculated in accordance with the Table of the value fixed from time to time and applicable to the applicant on the date on which the commutation become absolute.Explanation : "Table" referred to in this regulation and hereinafter means table of commutation values for pension appended to these regulations.87. Commutation of provisional pension.
88. Retrospective revision of final pension.
- An applicant who has commuted a fraction of his final pension and after commutation his pension has been revised and enhanced retrospectively as a result of commission's decision, the applicant shall be paid difference between the commuted value determined with reference to enhanced pension and the commuted value already authorised. For the payment of difference the applicant shall not be required to apply a fresh.Provided that in the case of an applicant who has commuted a fraction of his original pension not exceeding rupees one hundred after being declared by the appointed Medical Authority and as a result of retrospective enhancement of pension, he becomes eligible to commute an amount exceeding one hundred rupees per mensem, he shall be allowed the difference between the commuted value of one hundred rupees per mensem and the committed value of the fraction of the original pension without further medical examination. The commutation of any further amount beyond rupees one hundred per mensem shall be treated as fresh commutation and allowed subject to examination by a Medical Board.Chapter XII
Commutation Of Pension Without Medical Examination
89. Scope.
- The provisions of this Chapter shall apply to an applicant who is eligible to commute a fraction of his pension without medical examination.90. Eligibility.
- An applicant, whose is authorised:91. Application for commutation of Pension.
92. Action to be taken by the Director (Administration) on application for commutation of pension.
93. Authorisation of commuted value by the Director (Administration).
94. Authorisation of the commuted value of a fraction of provisional pension.
4. The Director (Administration) shall on final assessment of pension-
Chapter XIII
Commutation Of Pension After Medical Examination
95. Scope.
- The provisions of this Chapter shall apply to an applicant who is eligible to commute action of his pension after medical examination.96. Eligibility.
- An applicant who-97. Application for commutation of pension.
- An applicant referred to in Regulation 86 shall apply to the Director (Administration) in Form 20 for commutation of a fraction of his pension including provisional pension sanctioned under Regulation 58.98. Action to be taken by the Director (Administration) on application for commutation of pension.
99. Action to be taken by the Medical Authority.
100. Fee for medical examination to be borne by the applicant for commutation.
- The applicant for commutation shall be required to pay for medical examination such fee as may be specified by the Commission.101. Failure to appear before the medical authority.
102. Procedure for Medical Examination.
3. The medical authority shall also send to the applicant a certified copy of Part-III of Form 22.
103. Second Medical Examination.
104. Appeal against the findings of Medical Authority.
105. Withdrawal of application.
106. Modification in the value specified in the Table.
107. Authorisation of payment of commuted value by the Director (Administration).
108. Final assessment of provisional pension.
Chapter XIV
Miscellaneous
109. Finance and expenditure.
- All the expenditure for payment arising out of and on account of these regulations shall be met from the funds provided by the Central Government to the Commission in each financial year under Section 17 of the Act.110. Interpretation.
- If any doubt arises as to the interpretation of any provision of these regulations, they shall be interpreted in accordance with the rules orders on the subject issued by the Government of India from time to time.Form-1[(See Regulation 48 (1)]Nomination For Death-Cum-Retirement GratuityWhen the employee has a family and wishes to nominate one member, or more than one member, thereof.I..............................hereby nominate the person/persons mentioned below who is/are members (s) of my family, and confer him/them the right to receive, to the extent specified below, any gratuity the payment of which may be authorised by the Commission the event of my death while in service and the right to receive on my death, to the extent specified below, any gratuity which having come admissible to me on retirement may remain unpaid at my death :| Originalnominee(s) | Alternativenominee(s) | ||||
| Namesand address nominee/nominees | Relationshipwith the employee | Age | Amountor gratuity payable | Name,address, relationship and age of the person or persons if any towhom the right conferred on the nominee shall pass in the eventof the nominee pre-deceasing the employee or the nominee dyingafter the death of the employee but before receiving payment ofgratuity. | Amountof share of gratuity, payable to[**] [The amount/share of the gratuity shown in this column should cover the amount/share payable to the original nominee (s)]each |
| 1 | 2 | 3 | 4 | 5 | 6 |
1.
..........................................2.
..........................................Signature of employee(To be filled in by the Head of Office)Nomination by........................... Signature of Head of Office.............Designation............................ Date................................Office.................Designation..............Profarma For Acknowledging The Receipt Of The Nomination From By The Head Of OfficeTo.............................................................................................................Sir,In acknowledging the receipt of your nomination, dated the ............../cancellation, dated the......... of the nomination made earlier in respect of gratuity in Form.......... I am to state that it has been duly placed on record.Place .......................Dated the .......................Signature of Head of OfficeDesignation.....................Note :- The employee is advised that it would be in the interest of his nominees if copies of the nominations and the related notices and acknowledgement are kept in safe custody so that they may come into the possession of the beneficiaries in the event of his death.Form-2[See Regulation 48 (1)]Nomination For Death-Cum-Retirement GratuityWhen the employee has no family and wishes to nominate one person or more than one person.I......... having no family, hereby nominate the person/persons mentioned below and confer on him/them the right to receive, to the extent specified below, any gratuity the payment of which may be authorised by the Commission in the event of my death while in service and the right to receive on my death, to the extent specified below, any gratuity, which having become admissible to me on retirement may remain unpaid at my death:| Originalnominee(s) | Alternativenominee(s) | ||||
| Names and addressnominee/nominees | Relationship withthe employee | Age | Amount or gratuitypayable to each[*] [This column should be filled in so as to cover the whole amount of the gratuity.] | Name, address,relationship and age of the person or persons if any to whom theright conferred on the nominee shall pass in the event of thenominee pre-deceasing the employee or the nominee dying after thedeath of the employee but before receiving payment of gratuity. | Amount of share ofgratuity, payable to[**] [The amount/share of the gratuity shown in this column should cover the whole amount/share payable to the origial nominee(s).]each |
| 1 | 2 | 3 | 4 | 5 | 6 |
1. ...................................
2. ...................................
(To be filled by the Head of Office)Nomination by........................Designation.....................Office.............................Signature of employee.Signature of Head of OfficeDate..................................Designation.............................Profarma For Acknowledging The Receipt Of The Nomination Form By The Head Of Office.To.................................................................................Sir,In acknowledging the receipt of your nomination, dated the ........................cancellation, dated the................................of the nomination made earlier in respect of gratuity in Form .............................................. I am to state that it has been duly placed on record.Place ...............................Dated the ..............................Signature of Head of OfficeDesignation....................Note :- The employee is advised that it would be in the inter fest of his nominees if copies of the nominations and the related notices and acknowledgement are kept in safe custody so that they may come into the possession of the beneficiaries in the event of his death.Form-3[Regulation 49 (13)]Details Of FamilyName of the employee.....................................Designation..................................Date of birth...............................Date of appointment.....................Details of members of my family as on..................................| Sr.No. | Nameof the Members of 'family' | Dateof birth | Relationshipwith the employee | Initialsof the Head of office | Remaks |
| 1 | 2 | 3 | 4 | 5 | 6 |
1. Name
2. (a) Date of Birth
3. Two specimen signatures (to be furnished in a separate sheet) duly attested by a Commission's Officer.'.................
4. Three copies of Passport size joint Photograph' with wife or husband (To be attested by the Head of Office)................................
5. Two slips showing the particulars of height and personal' identification marks duly attested by a Commission's Officer. ......................
6. Present address..................
7. Address' after retirement.....................
8. Details of the family in Form 3.
Place .................................Dated the .......................Signature...................Designation...............Deptt./Office.............1. Two slips each bearing the left hand thumb and finger impressions duly attested may be furnished by a person who is not literate enough to sign his name. If such an employee on account of physical disability is unable to give left hand thumb and finger impressions he may give thumb and finger impression of the right hand. Where an employee has lost both the hands, he may give his toe impressions. Impressions should be duly attested by a Commission's Officer.
2. Two copies of the Passport size Photograph of self only need to be furnished if the employee is governed by Regulation 49 and is unmarried or a widower or widow.
3. Where it is not possible for an employee to submit a photograph with his wife or her husband, he or she may submit separate photographs.
The photographs shall be attested by the Head of Office;4. Specify a few conspicuous marks, not less than two, if possible.
5. Any subsequent change of address should be notified to the Head of Office.
6. Applicable only where Regulation 49 applies to the employee.
Form-5Form For Assessing Pension And Gratuity See Regulations 52, 54, 55(1) And 59(1)(To be sent in Duplicate)Part -I1. Name of the employee
2. Father's name (and also husband's name in the case of female employee).
3. Date of birth (by Christian era).
4. Religion.
5. Permanent residential address, showing village, town, district and state.
6. Present or last appointment including name of establishment.
7. Date of beginning of service.
8. Date of ending of Service.
9. (i) Total period of military service for which pension or gratuity was sanctioned.
10. Amount and nature of any pension/gratuity received for previous civil service.
11. Government/Organisation under which service has been rendered in order of employment. : Years : Months : Days
12. Class of pension applicable :
13. The date on which action initiated to :
14. Details of omission, imperfections or deficiencies in the service book which have been ignored under Regulation 53(1)(b)(ii),
15. Total length of qualifying service (for the purpose of adding towards broken periods, a month is reckoned as thirty days).
16. Periods of non-qualifying service : From : To
17. Emoluments reckoning for gratuity:
18. Average emoluments
| Post held | Form | To | Pay | Personal Pay orSpecial pay | AverageEmoluments |
19. Date on which Form 4 has been obtained from the employee (To be obtained eight months before the date of retirement of employee).
20. (i) Proposed pension.
21. Proposed death-cum-retirement gratuity.
Date from which pension is to commence.Propose amount of provisional pension. if departmental or judicial proceedings is instituted against the employee before retirement.| Nameof member of the family | Dateof birth | Relationshipwith the employee. |
1. Total period of qualifying service, which has been accepted for the grant of superannuation or retiring or invalid or compensation or compulsory retirement pension and gratuity, with reasons for disallowance, if any, (Other than disallowance indicated in Part 1 of this Form).
2. Account of superannuation or retiring or invalid or compensation or compulsory retirement pension or gratuity that has been admitted.
3. The date from which superannuation or retiring or invalid or compensation or compulsory retirement pension or gratuity is admissible.
4. Head of Account to which superannuation or retiring or invalid or compensation or compulsory retirement pension or gratuity is chargeable.
5. The amount of the Family pension becoming payable to the entitled members of the family in the event of death of the employees after retirement.
Section-II1. Name of the employee
2. Class of pension or gratuity.
3. Amount of pension authorised.
4. Amount of gratuity authorised.
5. Date of commencement of pension.
6. Amount of family pension in the event of death after retirement.
7. The amount of graded relief admissible on pension.
8. The Commission's dues recoverable out of gratuity before authorising its payment.
9. The amount of cash deposit or the amount of gratuity held over for adjustment of unassessed Commission's dues.
10. Date on which was pension papers received by the Director (Administration).
Form 6Form Of List Per To The Director (Administration) Forwarding The Pension Papers Of An EmployeeNo..........................Department/Office ..............Dated the................To,The Director (Administration)Khadi & V.I. Commission,Irla Road, Vile Parle (West),Bombay-56Sub :- Pension Papers Of Shri/Shrimati/Miss ....................... For Authorisation Of Pension.Sir,I am directed to forward herewith the pension papers of Shri/Shrimati/Miss.........................of Department/Office for further necessary action.2. The details of Commission's dues which will remain outstanding on the date of retirement of the employee and which need to be recovered out of the amount of death-cum-retirement gratuity are indicated below:
| (a)Balance of the House Building or conveyance advance. | Rs.................................. |
| (b)Overpayment of pay and allowance including leaves salary. | Rs.................................. |
| (c)Income-Tax deductible at source under Income tax Act, 1961 (43 of1961) | Rs................................. |
| (d)Arrears of licence-fee for occupation of Commission'saccommodation. | Rs................................ |
| (e)The amount of licence-fee for the retention of Commission'saccommodation for the permissible period of two months (or as maybe prescribed) beyond the date of retirement. | Rs............................... |
| (f)Any other assessed dues and the nature thereof. | Rs............................... |
| (g)The amount of gratuity to be withheld for adjustment orunassessed dues, if any. | Rs.............................. |
| Tota: | Rs................. |
3. Your attention is invited to the list of enclosures which is forwarded herewith.
4. The receipt of this letter may be acknowledged and this Department/Office informed that necessary instruction for the disbursement of pension have been issued to the Chief Accounts Office.
5. The death-cum-retirement gratuity will be drawn and disbursed by this Department/Office on receipt of authority from you. The outstanding Commission's dues as mentioned in para-2 above will also be recovered out of the death-cum-retirement gratuity before giving payment.
Yours faithfully.Head Of Office.List Of Enclosures :1. Form 4 and 5 duly completed.
2. Medical Certificate of incapacity (if the claim is for invalid pension).
3. Statement of the savings effected and the reasons why employment could not be found elsewhere (if the claim is for compensation of pension or 4. Service-Book (Date of retirement to be indicated in the service book).
5. (a) To specimen signatures duly attested by a Commission's Officer of Gazetted status or in the case of pensioner not literate enough to sign his name, two slips bearing the left hand thumb and finger impressions, duly attested by Commission's Officer.
6. A statement indicating the reasons for delay in case the pension papers are not forwarded before six months of the retirement of the employee.
7. Written statement, if any, of the employee as required under Regulation 53(i)(a).
8. Brief statement leading to reinstatement of the employee in case the employee has been reinstated after having been suspended compulsorily retired, removed or dismissed from service.
Note :- When initials or name of the employee are or is incorrectly given in the various records consulted. This fact should be mention in the letter.If an employee is compulsory retired from service and delay is anticipated in obtaining Form 4 from the employee, the Head Office may forward the pension papers to the Director (Administration) without Form 4. The form maybe sent as soon as it is obtained from the employee.Form 7[See Regulation 69(2)]Form Of Letter To The Member Or Members Of The Family Of A Deceased Employee Where Valid Nomination For The Grant Of The Death-Cum-Retirement Gratuity ExistsNo............................Department/Office............Dated the.................To,Sub :- Payment Of Death-Cum-Retirement Gratuity In Respect Of The Late Shri/Shrimati........Sir/Madam,I am directed to state that in terms of the nomination made by the late Shri/Shrimati.................(designation)...............in the Office/Department of ......................a death-cum-retirement gratuity is payable to his/her nominee(s). A copy of the said nomination is enclosed herewith.2. I am to request that a claim for the grant of the gratuity may be submitted by you in the enclosed Form 9.
3. Should any contingency have happened since the date of making the nomination, so as to render the nomination invalid, in whole or in part, precise details of the contingency may kindly be stated.
Yours faithfully.Head Of OfficeForm-8(See Regulation 69(2))Form Of Letter To The Member Of Members Of The Family Of A Deceased Employee Where Valid Nomination For The Grant Of The Death-Cum-Retirement Gratuity Does Not ExistNo ............................Deptt./Office ................Dated the .................To,..................................................................Sub :- Payment Of Death-Cum-Retirement Gratuity In Respect Of Shri/Smt./Miss....................Sir/Madam,I am directed to say that in terms of Regulation 44 of the Khadi & Village Industries Commission Employees (Pension) Regulation 1984, a death-cum-retirement gratuity is payable to the following members of the family of late Shri/Smt./Miss .......................................... (Designation)....................................... in the office/department of ...............in equal shares :| (i)Wife/Husband including judicially wife/husband. | includingstep children and separated adopted children |
| (ii)Sons | |
| (iii)Unmarried daughter including step children and adopted children. |
2. In the event of there being no surviving member of the family as indicated above, the gratuity will be payable to the following members of the family in equal shares :
| (i)Widowed daughters including step and adopted daughters. | includingadoptive parents in case of individuals whose personal lawpermits adoption. |
| (ii)Father | |
| (iii)Mother | |
| (iv)brother below the age of eighteen years and unmarried widowedsisters including step brothers and step sisters. | |
| (v)Married daughters and | |
| (vi)Children of a predeceased son. |
3. It is requested that a claim for the payment of gratuity may be submitted in the enclosed Form 9 as soon as possible.
Yours faithfully.Head Of OfficeForm-9(See Regulation 69(2))Form Of Application For The Grant Of Death-Cum-Retirement Gratuity On The Death Of An Employee(To be filled in separately by each claimant and in case the claimant is minor, the form should be filled in by the guardian on his/her behalf. Where there are more than one minor, the guardian should claim gratuity in one form on their behalf).1. (i) Name of the claimant in case he is not minor.
2. (i) Name of the guardian in case the claimants are minor(s).
3. (i) Name of the deceased employee in respect of the whom gratuity is being claimed.
4. Relationship of the claimant/guardian with the deceased employee.
5. Full postal address of claimant/guardian.
6. (i) Where gratuity is claimed by the guardian on behalf of minors the names of the minors, their ages, relationship with the deceased employee etc. :
| SrNo. | Name | Age | Relationshipwith the deceased employee | Postaladdress |
| 1 | ||||
| 2 | ||||
| 3 | ||||
| 4 |
7. Two specimen signature of left hand thumb impression of the claimant/guardian duly attested.
Signature/Thumb impression of the claimant guardian.(To be furnished in a separate sheet).8. Attested by:-
| Name | Fulladdress | Signature |
| (i)....................................................(ii)................................................... |
9. Witness
1. To be furnished in case the applicant is not literate enough to sign his name.
2. Attestation should be done by two officers of the Commission or two gazetted Government Servants or two or more persons of respectability in town, village or paragana in which the applicant resides.
Form-10(See Regulation 69(2)From Of Letter To The Widow/widower Of A Deceased Employee For Grant Of Family PensionNo .....................................................Department/Office ..........................Dated the ............................................To,........................................................................................................................Sub : Payment Of Family Pension In Respect Of Late Shri/Smt.Sir/Madam,I am directed say that in terms of Regulation 49 of Khadi & Village Industries Commission (Pension) Regulations 1984, a family pension is payable to you as widow/widower of the Shri/Smt .............Designation)...............in the office/ Department of ....................2. Your are advised that a claim for the grant of family pension maybe submitted in the enclosed Form-11.
3. The family pension will be payable till your death or re-marriage, whichever event occurs earlier. In the event of your death or re- marriage, the family pension shall be granted to the child or children, if any, through the guardian.
Yours Faithfully,Head Of Office.Form-11[See Regulations 69(3) and 77(2)]Form Application for the Grant of Family Pension on the Death of the Employee/pensioner1. Name of the applicant.
2. Name and age of surviving widow/widower and children of the deceased employee/pensioner
| Sr.No. | Name | Relationshipwith the deceased person | Dateof birth by Christian Era |
| 1 | |||
| 2 | |||
| 3 | |||
| 4 | |||
| 5 | |||
| 6 |
3. Date of death of the employee/pensioner.
4. Office/Department in which the deceased employee/ pensioner served last.
5. If the applicant is guardian, his date of birth and relationship with the deceased employee/pensioner.
6. If the applicant is a widow/widower the amount of service pension which she/he may be in receipt on the date of death of the husband/wife.
7. Full address of the applicant.
8. Enclosures :
9. Signature or left hand thumb impression of the applicant.
10. Attested by :
| Name | FullAddress | Signature |
11. Witness :
1. Name of the deceased employee
2. Father's name (and also husband's name in the case of female employee)
3. Date of Birth (By Christian Era)
4. Date of death (By Christian Era)
5. Religion
6. Office/Department in which last employed.
7. Appointment held last
8. Date of beginning of service.
9. Date of ending of service.
10. (i) Total period of service for which pension and gratuity was sanctioned;
11. Amount and nature of any pension received for previous civil service, if any.
12. Government/Organisation under which service has been rendered in order of Employment.
Year : Months : Days13. The date on which intimation regarding the death of employee was received by the Head of Office.
14. The date on which action initiated to :
15. Whether nomination made for death-cum-retirement gratuity.
16. Length of service qualifying for death-cum-retirement gratuity/pension. : From : To
17. Period of non-qualifying services :
18. (a) Emoluments reckoning for death-cum-retirement gratuity.
19. Family Pension :
20. person to whom family pension is payable :
Name :Relationship with the deceased employed :Full postal address :21. Details of Commission's dues recoverable out of gratuity.
22. Date on which claims received from the claimants.
23. Name of guardian who will receive payment of death-cum-retirement gratuity and family pension in the case of minors.
24. Head of Accounts to which death-cum-retirement gratuity and family pension are debitable.
Place ....................................Dated the ...........................Signature of Head of Office.Section-IIDetails of Provisional Family Pension and Gratuity to be Determined by the Head of Office in Accordance with Regulation 73.| Provisionalfamily pension | Rs....................................p.m. |
| Gratuity(the amount mentioned in item 18(b) of part-I) | Rs....................................pm. |
| Less | |
| (a)Licence fee recoverable from gratuity for occupation ofCommission's accommodation | |
| (asin item 21(i) of Part-I) | Rs....................................pm. |
| (b)Amount of gratuity to be held over pending receipt of informationfrom the Estate Officer | |
| (asin item 21 (ii) of Part-I) | Rs....................................pm. |
| (c)Other Commission's dues as mentioned in item 21 (iii) of Part-I. | Rs....................................pm. |
| (d)Total of (a), (b) and (c) | Rs....................................pm. |
1. Total period of qualifying service which has been accepted for
2. Net amount of gratuity after adjusting Commission's dues.
3. Amount and the period of tenability of family pension. If death took place.
| AmountRs.| Period of tenabilityFrom To |
4. Head of Account to which death-cum-retirement gratuity and Family pension are chargeable.
5. Date from which family pension is admissible.
Section-II1. Name of the deceased employee.
2. Date of death of the employee.
3. Date on which pension papers received by the Director (Administration).
4. Amount of family pension authorised.
5. Amount gratuity authorised.
6. Date of commencement of family pension.
7. Date on which payment of family pension and gratuity authorised.
8. Amount recoverable from gratuity.
9. Amount of gratuity held over pending receipt of "No demand Certificate".
Place ........................Dated the ............................Director (Administration)Form-13[See Regulation 7(1)]Form of Letter to the Director (Administration) Forwarding Papers for Grant of Family Pension and Death- Cum-Retirement Gratuity to the Family of an Employee WHO Dies while in ServiceNo .........................Department/Office ......................Dated the ...............................To The Director (Administration)SUB : Grant Of Family Pension And Death-Cum-Retirement GratuitySir,I am directed to say that Shri/Smt .........................(Designation) died on...................His family has become eligible for the grant of family pension and death-cum-retirement gratuity. Form 12 duly completed is forwarded herewith for further necessary action.2. Commission's dues in respect of the deceased employee will be recovered out of the death-cum-retirement gratuity as indicated in section-II of Part-I of Form 12.
3. Your attention is invited to the list of enclosures which it forwarded herewith.
4. The receipt of this letter may be acknowledged and this Department/Office informed that necessary instruction for the disbursement of family pension and death-cum-retirement gratuity have been issued to the Chief Accounts Officer.
Your faithfully,(Head Of Office)List Of Enclosures :1. Form 12 duly completed.
2. Service Book (date of death to be indicated in the Service Book.)
3. Two specimen signatures of left hand thumb and finger impressions of the claimant or guardian duly attested.
4. Two copies of passport size photographs of the claimant or guardian duly attested.
5. Two copies of descriptive roll of the claimant or guardian duly attested indicating height and personal marks.
6. Postal address of the claimant or guardian.
Form-14[See Regulation 77(2)]Form Of Letter Sanctioning Family Pension To The Child Or Children Of A Retired Employee Who Dies After Retirement But Does Not Leave Behind A Widow Or WidowerNo ..................Department/Office ........................Dated the .......................ToThe Chief Accounts Officer,Sir,SUB : Grant Of Family Pension To The Child/ChildrenI am directed to say that Shri/Shrimati ......................... Formerly ............................ in2. Intimation has been received in this Department/ Office that Shri/Shrimati............died on ..............and that time of death left no widow/widower but is survived by the following children.
| Sr.No. | Name | Son/Daughter | Dateof birth in Christian era | Datefrom which family pension ceases to be payable |
| 1 | 2 | 3 | 4 | 5 |
| 1 | ||||
| 2 | ||||
| 3 | ||||
| 4 | ||||
| 5 | ||||
| 6 |
3. In terms of Regulation 49 of the Khadi & Village Industries Commission Employees (Pension) Regulation, 1984 the amount of Family pension has become payable to the children in the order mentioned above.
The family pension will be payable on behalf of the minor to Shri/ Shrimati .....................who is the guardian.4. Sanction for the grant of Family pension of Rs...........per month to the children mentioned above is hereby accorded.
The family pension will take effect from.......... and subject to the provisions of Sub-regulation (4) of Regulation 49 of the Khadi & Village Industries Commission Employees (Pension) Regulations, 1984 will be tenable till .............................5. The Family Pension is debitable to the Head ...................
6. Attention is invited to the information furnished in the list of enclosures.
7. The receipt of this letter may kindly be acknowledged.
Yours faithfullyChief Accounts OfficerList Of Enclosures :1. Permanent address of the guardian.
2. Specimen signature of left hand thumb and finger impressions of the claimant or guardian duly attested.
3. Two attested copies of passport size photograph of the guardian.
4. Descriptive Roll of the guardian, duly attested.
Form-15[See Regulation 77(2)]Form Of Letter Sanctioning Family Pension To The Child Or Children On The Death Or Remarriage Of A Widow/widower Who Was In Receipt Of Family PensionNo ......................Department/Office ....................Dated the ..................................ToThe Chief Accounts OfficerSUB : Grant Of Family Pension To The Child/ChildrenSir,I am directed to say that Shri/Shrimati ..............widow/widower of late Shri/ Shrimati ...................formerly designation...................in this Department/ office ..................... was authorised the payment of the family Pension of Rs ......................with effect from the family pension was tenable till the death or remarriage of the widow/widower.2. Intimation has been received in this Department/Office the Shri/ Shrimati ................................. died/remarried on.............................
3. At the time of death/remarriage of Shri/Shrimati .......................had following children* :
| Sr.No. | Name | Son/Daughter | Dateof birth in Christian era | Datefrom which family pension ceases to be payable |
| 1 | 2 | 3 | 4 | 5 |
| 123456 |
4. In terms of Regulation 49 of the Khadi & Village Industries Commission Employees (Pension) Regulation, 1984, the amount of Family Pension has become payable to the children in the order mentioned above. The family will be payable on behalf of the minors to Shri/Shrimati .....................who is the guardian.
5. Sanction for the grant of family Pension Rs ...................p.m. to the children, mentioned above is hereby accorded. The Family Pension will take effect from......... and subject to the provisions of sub-regulation (4) of Regulation 49 of the Khadi & Village Industries Commission Employees (Pension) Regulation, 1984 will be tenable till ............
6. The Family pension is debitable to the Head ......................
7. Attention is invited to the information furnished in the list of enclosures.
8. The receipt of this letter may kindly be acknowledged.
Yours Faithfully,Director (Administration)List Of Enclosures1. Permanent address of the guardian.
2. Specimen signature or left** hand thumb and finger impression of the guardian duly attested.
3. Two attested copies of Passport size photograph of the guardian.
4. Descriptive roll of the guardian duly attested.
Form-16[See Regulation 77(3)]Form Of Application For The Grant Of Residuary/gratuity On The Death Of A Pensioner(To be filled in separately by each applicant)1. Name of the applicant.
2. (i) Name of the guardian in case the applicant is minor.
3. Name of the deceased pensioner.
4. Office/Department in which the deceased pensioner served last
5. Date of death of the pensioner.
6. Date of retirement of the deceased pensioner.
7. Amount of monthly Pension (including ad-hoc increase, if any) sanctioned to deceased pensioner.
8. Amount of death-cum-retirement gratuity received by the deceased pensioner
9. The amount of Pension (including ad-hoc increase, if any) drawn by the deceased till the date of death.
10. If the deceased had commuted a portion of pension before his death, the commuted value of the pension.
11. Total of items 8,9 and 10.
12. Amount of death-cum-retirement gratuity equal to 12 times of the emoluments.
13. The amount of residuary gratuity claimed, i.e. the difference between the amount shown against item 12 and item 11.
14. Relationship of the applicant with the deceased pensioner
15. Date of birth of the applicant
16. Full address of the applicant.
17. Signature or thumb impression of the applicant (to be furnished in a separate sheet duly attested)
18. Attested by
| Sr.No. | Name | Fulladdress | Signature |
| (i)(ii)19.Witness :(i)(ii) |
1. If a retired employee in receipt of service gratuity or pension dies within five years from the date of his retirement from service including compulsory retirement as a penalty and the sums actually received by him at the time of his death on account of such gratuity of pension including ad-hoc-increase, if any, together with the death-cum-retirement gratuity and the commuted value of any portion of pension commuted by him are less than the amount equal to 12 times of his emoluments, a residuary gratuity equal to the deficiency becomes payable to the family.
2. When a employee has retired before earning a pension, the amount of service gratuity should be indicated.
3. Attestation should be done for Gazette Government servants or by two or more persons of respectability in the town, village or Pargana in which the applicant resides.
Form-17[See Regulation 36 (3)]Form Of Medical CertificateCertified that I/We have carefully examined AB son of CD a ............................in the............/his age by his own statement is .....................years. I/We consider AB to the completely and permanently in capacitated for further service of any kind in the Department/office to which he belongs in consequence of ...........................(Here state disease or cause).(If the incapacity does not appear to be complete and permanent, the certificate should be modified accordingly and the following addition should be made).I/We are of the opinion that AB is fit for further service of less laborious character than that which he had been doing/may, after resting for .................................months, be fit for further service of less laborious character than that which he had being doing.Place :Dated theMedical AuthorityForm-18(See Regulation 29)Form Of Certificate Of Verification Of Service For PensionNo.Department/OfficeDatedCertificateIt is clarified that Shri ..........................has completed a qualifying service of ...................... years ....................months, and.......days as on........... (date), as per details| From | To | |
| 1 | ||
| 2 | ||
| 3 | ||
| 4 |
1. Name (in Block letters) :
2. Father's name (also husband's name in the case of a female employee) :
3. Designation at the time of retirement :
4. Name of Office/Department in which employed :
5. Date of birth (By Christian era):
6. Date of retirement :
7. Class of pension on which retired :
8. Amount of pension authorised, (in case final amount of pension has not been authorised, indicate the amount of provisional pension, sanctioned under Regulations 58 of the Khadi & Village Industries Commission Employees (Pension) Regulations, 1984.
9. Fraction of pension proposed to be commuted. (The applicant should indicate the fraction of the amount of monthly pension (subject to maximum of one-third thereof) which he desires to commute and not the amount in rupees)
10. No. and date of the pension payment Order, it issued by the Director (Administration)
Place:Date :Signature of Applicant Postal AddressPart II – Acknowledgement
Received from Shri...................................application in Part-I of Form 19(Name)(Former Designation)for the commutation of a fraction of pension without medical examination.SignatureDirector (Administration)Place :Date :Part -IIIForwarded to the Chief Accounts Officer ........................with the remarks that-(here idicate the address & designation)(i)the particulars furnished by the applicant in Part I have been verified and are correct.(ii)The applicant is eligible to get a fraction of his pension commuted without medical examination.(iii)The commuted value of pension determined with reference to the Table of commutation value of pension applicable at present comes to Rs ...........................(iv)The amount of residuary pension after commutation will be Rs .............2. It is requested that the payment of the amount of the commuted value of pension may be made and an entry be made in the Pension Payment Order regarding the rate at which the amount of Pension is to be reduced on account of commuted part for pension.
3. The commuted value of pension is debitable to Head of Account.
SignatureDirector1. Name (in Block letters) :
2. Father's name (and also husband's name in the case of a female employees):
3. Designation :
4. Name of Office/Department in which employed :
5. Date of birth (By Christian era)
6. Date of retirement.
7. Class of pension on which retired (See Chapter V of the Khadi & Village Industries Commission Employees (Pension) Regulations, 1984)
8. Amount of pension authorised (indicate the amount of provisional pension if full pension not authorised)
9. Fraction of pension proposed to commuted (The applicant should indicate the fraction of the amount of monthly pension (subject to a maximum of one-third thereof) which he desires to commute and not the amount in rupees)
10. The number and date of the pension order authorised by the Director (Administration)
11. Approximate date from which commutation is desired to have effect.
12. The amount of pension already commuted, if any
13. Preference for station where medical examination is desired to take place.
Signature(Name of the Applicant)Postal Address ............................Place :Date :Part -II AcknowledgementReceived from Shri .................Designation................Name ......................... application in Part-I of Form 20 for commutation of a fraction of a pension after medical examination.SignatureDirector1. Name of the applicant for commutation.
2. Date of birth (By Christian era).
3. Date of retirement.
4. Amount of pension including provisional pension, if final pension not authorised.
5. Class of pension (See Chapter V of the Khadi & Village Industries Commission Employees (pension) Regulations, 1984).
6. Amount of pension desired to be commuted.
on the basis ofAdded yearsNormalAge : 1 year : 2 yearsRs. : Rs. : Rs.7. (i) Sum payable if commutation becomes absolute before the applicant's next birth day, which falls on ............................................
8. The Head of Account to which commuted value is debitable.
9. Number of enclosures, if any (See note below)
SignatureDirector (Administration)Place :Date :Note - The Director (Administration) should enclose with the form a copy of the report or statement of the applicant's case if the applicant has been granted invalid pension or has previously commuted a part of his pension or declined to accept commutation on the basis of an addition of years to actual age, or has been refused commutation on medical grounds.Form-21Form Of Letter To The Medical Authority[See Regulation 98(3) and (4) and 105 (5)](Please see Annexure)No .........................Department/Office .......................................Dated the ............................................To,The .................................................................SUB : Medical Examination Commutation Of PensionShri .......................Who retired ............................from service on ...........................as.......................has applied for2. It is requested that Shri ................may be examined as expeditiously as possible before next birthday which falls on ...............................
3. It is requested that arrangements for medical examination maybe made at the nearest available station mentioned by Shri ....................his application in form 20.
The attention of the medical authority is drawn to the provisions, of Regulation 102 of the Khadi and Village Industries Commission Employees (Pension) Regulations, 1984.4. It is requested that Shri .....................may be informed direct under intimation to this office as to where I when he should appear for medical examination. A copy of this letter is being endorsed to him so that he may comply with their instruction on hearing from you.
5. The receipt of this letter may please by acknowledged.
SignatureDirector (Administration)Copy forwarded to Shri.................................with remarks that subject to the medical authority recommending commutation, he will be eligible for the lumpsum payment in lieu of the amount of pension to be commuted follows : -On the basis of---------------Added year Normal---Age : 1 year : 2 yearRs. : Rs. : Rs.1. Name of the applicant (in block letters) .............................
2. Date of birth (by Christian era) ..................................
3. Place of birth ................................................
4. Particulars regarding parents, brothers and sisters :
| Father'sage if living & state of health | Father'sage at death & cause of death | No.of brothers living their ages at state of health | No.brother of dead their ages at death and cause of death | Mother'sage, if living and state of health | Mother'sage at death and cause of death | No.of sisters living their ages and state of health | No.of sisters dead their ages of death and cause of death |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
5. Have you ever been examined-
6. Have you been granted or considered for grant of invalid pension ? If so, state the ground thereof.
7. Have your ever been granted leave of medical certificate during the last five years? If so, state periods of leave and nature of illness.
8. Have you ever-
9. Present state of health :
1. Apparentage
2. Height
3. Weight
4. describe any scar or identifying marks of the applicant.
5. Pulse rate
6. Blood pressure
7. Is there any evidence of disease of the main organs.
8. Investigations-
| Agenext Birthday | CommutationValue expressed as number of year's purchase | Agenext Birthday | Commutationvalue as number of year's purchase | NextBirthday | Commutationexpressed as number of year's purchase |
| 17 | 19.28 | 40 | 15.87 | 63 | 9.15 |
| 18 | 19.2 | 41 | 15.64 | 64 | 8.82 |
| 19 | 19.11 | 42 | 15.4 | 65 | 8.5 |
| 20 | 19.01 | 43 | 15.15 | 66 | 8.17 |
| 21 | 18.91 | 44 | 14.9 | 67 | 7.35 |
| 22 | 18.81 | 45 | 14.64 | 68 | 7.53 |
| 23 | 18.7 | 46 | 14.37 | 69 | 7.22 |
| 24 | 18.59 | 47 | 14.1 | 70 | 6.91 |
| 25 | 18.47 | 48 | 13.82 | 71 | 6.6 |
| 26 | 18.34 | 49 | 13.54 | 72 | 6.3 |
| 27 | 18.21 | 50 | 13.25 | 73 | 6.01 |
| 28 | 18.07 | 51 | 12.95 | 74 | 5.72 |
| 29 | 17.93 | 52 | 12.66 | 75 | 5.44 |
| 30 | 17.78 | 53 | 12.35 | 76 | 5.17 |
| 31 | 17.62 | 54 | 12.05 | 77 | 4.9 |
| 32 | 17.46 | 55 | 11.73 | 78 | 4.65 |
| 33 | 17.29 | 56 | 11.42 | 79 | 4.4 |
| 34 | 17.11 | 57 | 11.1 | 80 | 4.17 |
| 35 | 16.92 | 58 | 10.78 | 81 | 3.94 |
| 36 | 16.72 | 59 | 10.46 | 92 | 3.72 |
| 37 | 16.52 | 60 | 10.13 | 83 | 3.52 |
| 38 | 16.31 | 61 | 9.81 | 84 | 3.32 |
| 39 | 16.09 | 62 | 9.48 | 85 | 3.13 |