FORM OF NOMINATIONto receive the amount that may stand to my credit in the Punjab General Provident Fund in the event of my death.

Account No. ………………

P.F.-2

(Referred to in Rule 13.7 (3))

FORM OF NOMINATION

When the subscriber has a family not having Family and wishes to nominate one member thereof

2.         I hereby nominate the person mentioned below, who is a member of my family or not so defined in rule 13.2 of the Punjab Civil Service Volume II, to receive the amount that may stand to my credit in the Punjab General Provident Fund in the event of my death.

Name & address of nominee	Relationship with subscriber	Age	Contingencies on the happening of which the nomination shall become invalid	Name, address and relationship of the person or persons if any to whom the right of nominee shall pass in the event of his/ her predeceasing the subscriber or on the happening of the contingency specified in the previous columns
			Death/ Legal Separation/ Insanity

Date ……….. day of ………………………

Two witnesses with Signature:

1.  ……………………………………………….

     ………………………………………………..                                                            Signature of subscriber

                                                                                                                   Father's Name …………………………………

2.  ……………………………………………….                                     Office/ Branch …………………………………

     ………………………………………………..                                    ………………………………………………….

ਨਾਮੀਨੇਸ਼ਨ ਪ੍ਰਵਾਨ ਹੈ|

NOMINATION IS ACCEPTED