Section 22(4) in Tamil Nadu Co-Operative Handloom Weavers Family Pension Rules, 1992

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State of Tamilnadu - Subsection

Section 22(4) in Tamil Nadu Co-Operative Handloom Weavers Family Pension Rules, 1992

(4)I am hale and healthy and I or my parents or family members have or had at any time any contagious disease;Place:Date:Signature of the Member.Form III(Vide rule 12)Form of Nomination

(A)When the Subscriber has a Family and Wishes to Nominate one Or More Persons.

I,........ do hereby nominate the person/persons below who is a member of my family to receive the amount of family pension after my death.

1.	Name and address of the nominee/nominees
2.	Relationship to the member
3.	Age and date of birth
4.	Share of family pension to be paid to each
5.	Contingencies under which the nomination shallbecome invalid.
6.	Name and address and relationship, of theperson, if any, to whom the right of nominee shall pass in theevent of his predeceasing the member.
7.	Name and address of the nominee withrelationship to the member, who will inherit the right to get thepension in case of death of the nominee/ nominees found in column(1) for the remaining period of pension (Vide rule 11(2))

Dated this..........day of 20...at......Signature of the witnesses-

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State of Tamilnadu - Subsection

Section 22(4) in Tamil Nadu Co-Operative Handloom Weavers Family Pension Rules, 1992