[HEADER — replace with your organisation’s letterhead, if used]
Application for Payment of Gratuity
By an employee, nominee or legal heir
Gratuity is payable whether or not an application is made — the obligation to determine and pay it sits with the employer once it becomes payable. An application starts the clock formally and creates a record, and an employer who waits for one before doing anything has misunderstood the obligation.
To the Employer
[COMPANY NAME] [ADDRESS OF THE ESTABLISHMENT]
Date: [DATE]
Subject: Application for payment of gratuity
Sir or Madam,
I apply for payment of the gratuity payable in respect of the employment described below. The particulars required are given, and the documents listed are enclosed.
1. Capacity in Which the Application Is Made
| Applicant is | Tick | Additional documents required |
|---|
| The employee, on resignation, retirement, superannuation or termination | [□] | Proof of identity; bank details |
| The employee, on disablement due to accident or disease | [□] | Medical certificate of disablement |
| A nominee, on the death of the employee | [□] | Death certificate; nomination on record; proof of identity |
| A legal heir, where no nomination is on record | [□] | Death certificate; legal heir or succession certificate; proof of relationship |
| A guardian, on behalf of a minor nominee or heir | [□] | Proof of guardianship; birth certificate of the minor |
2. Particulars of the Employee
| Item | Detail |
|---|
| Full name of the employee | [NAME] |
| [Son / daughter / wife of] | [NAME] |
| Employee identification number | [ID] |
| Designation and department | [DESIGNATION], [DEPARTMENT] |
| Establishment and place of work | [ADDRESS] |
| Date of joining | [DATE] |
| Date of cessation of employment | [DATE] |
| Total period of continuous service | [YEARS] years [MONTHS] months [DAYS] days |
| Reason for cessation | [Resignation / Retirement / Superannuation / Termination / Death / Disablement] |
| Last drawn wages as statutorily defined, per month | ₹ [AMOUNT] |
| Permanent account number | [PAN] |
| Universal account number | [UAN] |