CHAPTER 1 - Border Roads Organisation

RESTRICTED
To
Form 4
Subject :- APPLICATION FOR PAYMENT OF ACCUMULATION UNDER
CENTRAL GOVERNMENT EMPLOYEES‟ GROUP
INSURANCE SCHEME 1980
Sir,
I have been a member of the Central Government Employees‟ Group
Insurance Scheme, 1980 since……….** I have retired from service after attaining
the age of . . . years/I have ceased to be in employment with the Central
Government wef . . . . . . I was holding the post of Government. I request that the
amount due to me under the Central Government Employees‟ Group Insurance
Scheme may be paid to me.
Yours faithfully,
*Designation and address of the Head of Office
**Month and year of becoming a member of the scheme may be indicated here.
No………
Ministry of
Department of
Office of
Form 5
Dated ……..
To
*
Subject :- PAYMENT OF THE AMOUNT DUE UNDER THE CENTRAL
GOVERNMENT EMPLOYEES‟ GROUP INSURANCE SCHEME, 1980
Dear Sir/Madam,
I am directed to state that the late Shri . . . . . . . . has nominted you
for payment of full/……. Percent amount due under the Central
Government Employees‟ Group Insurance Scheme, 1980. You are,
therefore, requested, to submit an application in the enclosed Form No 6,
for arranging payment.
*Name and address of the nominee
Yours faithfully,
112
RESTRICTED