Gratuity                                     
Data Required for Claiming Gratuity Difference 

Enter Last Drawn Salary Details
DOB - Date of Birth                                                                        
DOA - Date of Appointment                                                           
DOR - Date of Retirement
Branch - Branch Last Worked
Amount - NO SYMBOL or PAISE


Sign in to Google to save your progress. Learn more
Email *
Name *
Father's / Husband Name *
House No / Flat No *
Street Name *
Locality *
City / PINCODE *
Bank *
Branch (with Br Code) *
Designation *
DOB *
MM
/
DD
/
YYYY
DOA *
MM
/
DD
/
YYYY
DOR *
MM
/
DD
/
YYYY
Gratuity Amount Received *
Basic Pay *
FPA (enter only Basic Comp) *
PQA *
DA *
Spl Pay *
Max as per ACT *
PF No *
HRMS ID *
Mobile No *
Spouse Name (Nominee 1 if alive) *
Nominee (Other than Spouse) *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy