Employee onboarding

Nomination Form

Payment of Wages (Nomination) Rules, 2009 · Form I · See Rule 3

Nominate the person(s) who should receive any amount due to you from TechSopi in the event of your death. Fill in your details, add your nominees, then download the PDF and email it to HR.

Nothing you type is saved or sent anywhere. The PDF is created on your own device when you download it, so keep this page open until you have downloaded it.

Person making the nomination

Title

1. Name (in block letters) *

2. Father's / Husband's name *

3. Date of birth *

4. Sex *

5. Marital status

6. Permanent address *

Temporary address Same as permanent address

Nominees

I hereby nominate the person(s)/cancel the nomination made by me previously and nominate the person(s) mentioned below to receive any amount due to me from the employer, in the event of my death.

Nominee 1

Name of nominee

Relationship with you

Address

Date of birth

Share of amount to be paid (%)

If the nominee is a minor: name and address of the guardian who may receive the amount

Nominee 2

Name of nominee

Relationship with you

Address

Date of birth

Share of amount to be paid (%)

If the nominee is a minor: name and address of the guardian who may receive the amount

Declaration

1. Certified that I have no family and should I acquire a family hereafter, the above nomination shall be deemed as cancelled. 2. Certified that my father/mother is/are dependent on me. Tick only the statements that apply to you. On the PDF, the box next to each statement you tick is marked.

Signature or thumb impression of the employed person

Sign here with your finger, stylus or mouse

Upload signature image

Optional. If you leave it blank, sign the printed PDF by hand.

Page 2 of the PDF is the employer's certificate. HR signs and stamps it after you hand in the form.