Notice for Payment of Gratuity

Form ‘R’
[See rule 17]

To
(Name and address of employer)

Whereas Shri/Shrimati/Kumari ……….…………….. of ………………………. (Address) an employee under you/a nominee(s)/legal heir(s) of late ……… an employee under you, filed an application under section 7 of the Payment of Gratuity Act, 1972, before me:

And whereas the application was heard in your presence on ………………….. and after the hearing I have come to the finding that the said Shri/Shrimati/Kumari ……………….. is entitled to a payment of Rs. …………………… as gratuity under the Payment of Gratuity Act, 1972;

Now, therefore, I hereby direct you to pay the said sum of Rs. ……………. to Shri/Shrimati/Kumari …………. within thirty days of the receipt of this notice with an intimation thereof to me.

Given under my hand and seal, this………………. day of …………. 20…….

Controlling Authority
Copy to :
(Applicant)

He is advised to contact the employer for collecting payment.

Note :- The portion not applicable to be deleted.