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Exgratio Form 37

The document outlines various administrative and procedural aspects related to a specific welfare scheme, including details on family definitions, eligibility, and benefits. It emphasizes the importance of providing accurate information for claims and the consequences of misinformation. Additionally, it includes specific instructions for reporting accidents and natural deaths, along with associated compensation details.

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warvalguri9
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0% found this document useful (0 votes)
36 views2 pages

Exgratio Form 37

The document outlines various administrative and procedural aspects related to a specific welfare scheme, including details on family definitions, eligibility, and benefits. It emphasizes the importance of providing accurate information for claims and the consequences of misinformation. Additionally, it includes specific instructions for reporting accidents and natural deaths, along with associated compensation details.

Uploaded by

warvalguri9
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Pwrm nM: 37 (rUl 265 vyKo) lwBpwqrI dI

qsdIk Sudw
gzikp fpbfvzr n?Av ndo ez;Noe;aB toeoI t?bc/no p'ov tb'A gzihfeqs T[;koh feoshAW leI Poto
AYksgRySIAW skIm dyx sbMDI Pwrm[

1H gzihfeqs feosh dk BkA : _______________________________


2H ofi;Nqq/;aB BzL _______________________________
3H pRIvwr dy AwSirq mYNbrW dw vyrvw: ______________________________
lVI nM: mYNbr dw nW imRqk nwl irSqw aumr

4. fojkfJ;ah gZsk: ______________________________


5. tYlIPon/mobwiel nMbr __________________________
6. ADwr kwrf nMbr __________________________
7. auswrI kMmW nwl sbMDq pySw __________________________
8. AMSdwn dI rwSI iks imqI q`k jmW hY __________________________
9. lwBpwqrI dy bYNk Kwqy sbMDI sUcnw

lVI nM: bYNk/ brWc dw nW Aqy pqw lwBpwqrI dw Kwqw nMbr [Link] nMbr

10. feosh dh w"s j'D dh fwsh Aqy sQwn:


(mOq dw srtIiPkyt nwl lgwieAw jwvy) ______________________________
jW
d[oxNBk tkgoB dh fwsh Aqy sQwn ______________________________

11. ngzrsk dI surq ivc (g{oB s'o s/$nz;ae s'o s/): ______________________________
(isvl srjn dw srtIiPkyt nwl
lgwieAw jwvy)

ieh qsdIk kIqw jWdw hY ik AWSk ApMg hoieAw lwBpwqrI [Link] skIm ADIn kvr nhIN hY [

fpB/eko d/ j;skyo

gVskbhnk fog'oN
fJj s;dhe ehsk ikAdk j? fe T[go'es noih ckow ftZu do;kJ/ sZE mYN fBih s'o s/ fwsh _____________
Bz{ _____________ u?e ehs/ ns/ mhe gkJy rJy [ ibnYkwr AWSirqw nMU ` _______________ dh ok;ah ps'o
AYksgRySIAW d/D dh f;cko;a ehsh ikAdh j?.

ikrq ieMspYktr dy hsqwKr Aqy mohr

qsdIk kIqw jWdw hY ik mYN ikrq ieMspYktr dI auprokq irport nwl sihmq hW Aqy lwBpwqrI nMU
auprokq lwB dyx dI isPwrS kIqI jWdI hY[

;jkfJe feos efw;aBo$ feos s/


;[bkj nc;o dy hsqwKr Aqy mohr

not:- AYksgRySIAW dIAW drW Aqy SrqW ipCly pMny qy vyKoN


SrqW:-

1. pMjIikRq lwBpwqrI dI mOq hox qy pMjwb [Link] vrkrz rUlz 2008 dy rUl 2(t) ivc
‘PYmlI’ dI prIBwSw jo hyT pRkwr hY, ivc dsy pirvwr dy mYNbr ieh rkm ‘AYksgyRSIAw’
vjoN lYx dy h`kdwr hoxgy:-
“Family” means the husband or wife, minor sons (including major sons who are
insane or physically handicapped and unable to earn), unmarried daughters and
the parents of the building worker, who are solely dependant on him”.

jykr pRIvwr dy iksy iek mYNbr vloN rkm klym kIqI jWdI hY qW pRIvwr dy bwkI mYNbrW
pwsoN ieqrwjhInqw srtIiPkyt pRwpq krky nwl lgwieAw jwvy[

2. n?e;rq/;ahnk dk ftZsh bkG j/m fby/ nB[;ko fdZsk ikt/rkL ^

bVh BzL jkd;/ dh fe;w n?e;rq/;ahnk dh oew


1 T) d[oxNBk ftZu w's ti'A ( accidental death ) o[H 4H00 bZy
n) e[dosh w's ti'A (natural death) o[H 3H00 bZy
2 bkGgksoh dh ngzrsk dh ;{os ftZu
i) g{oD (100#) ngzrsk ti'A i) n?e;rq/;ahnk ok;ah = 4H00 bZy o[gJ/

ii) nK;ae ngzrsk dh ;{os ftZu ii) jo/e 1# ngzrsk bJh 4000$^
o[gJ/ i'fe 4H00 bZy o[gJ/ sZe ik
;edh j?.

3H Grs g{oD f;zx f;js phwk :'iBk (BPSSBY) ekov j'bvI B{z d[oxNBk ftZu w's j'D iK 100#
ngzrsk dh ;{os ftZu fJ; ;ehw nXhB bkG BjhA fdZsk ikt/rk, feT[Afe nfijh ;{os ftZu
BPSSBY ;ehw ftZu 5H00 bZy o[gJ/ dk w[nktik d/D dk gqktXkB j?.

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