Notice Rejecting Claim for Payment of Gratuity

Form ‘M’
[See clause (ii) of sub-rule (1) of rule 8]

To
(Name and address of the applicant employee/nominee/legal heir)

You are hereby informed as required under clause (ii) of sub-rule (1) of rule 8 of the Payment of Gratuity (Central) Rules, 1972, that your claim for payment of gratuity as indicated in your application in Form ………………. under the said rules is not admissible for the reasons stated below.

Reasons

(Here specify the reasons)

Signature of the employer/
Authorised Officer

Name of description of establishment
Or rubber stamp thereof.

Place :………
Date :……….

Copy to : The Controlling Authority.

Note - Strike out the words not applicable.