Home / Code on Social Security / Central Rules 2026
Form guide · Source checked 21 October 2026
Social Security Form III: gratuity nomination
Published by Finin2min
Employee nomination, fresh nomination or modification of nomination for gratuity under the Central Rules.
(See rules 32 (1),(2), (3) and (4) · Social Security (Central) Rules, 2026 · Central-sphere scope
Download and read the completed example
Completed fictional gratuity nomination for Sahyadri Illustration Services Pvt Ltd (fictional), 14 Example Park, New Delhi 110001. It illustrates the prescribed fields without executing a signature or official act.
Fictional, unsigned completed illustration. It demonstrates this form’s fields; it is not a filed return, medical opinion, official order or proof of an actual transaction.
When and how this form is used
Rules 32(1)–(4) distinguish original nomination, fresh nomination after acquiring a family and modification. Select the route that matches the employee’s real family status.
The prescribed table asks for relationship, age, address, Aadhaar particulars and the proportion payable. Shares must reconcile to the whole benefit; a person with a family cannot simply use the no-family declaration.
The completed fields
Employee particulars
| Prescribed field / section | Completed fictional entry |
|---|---|
| Employee name / parent or spouse | Arun Mehta / Suresh Mehta (fictional) |
| Date of birth / UAN | 1 October 1966 / [synthetic UAN; not a live number] |
| Sex / religion / marital status | Male / Hindu / married |
| Department / post / ticket | Finance / accounts officer / DEMO-EMP-01 |
| Appointment / superannuation | 1 October 2016 / 30 September 2026 |
| Full residential address / contact | 8 Example Lane, New Delhi 110001; post office New Delhi; district New Delhi; state Delhi; employee@example.invalid; synthetic mobile |
Nomination and allocation
| Prescribed field / section | Completed fictional entry |
|---|---|
| Employer / address | Sahyadri Illustration Services Pvt Ltd (fictional), 14 Example Park, New Delhi 110001 |
| Route selected | Original nomination; fresh nomination / modification alternatives N/A |
| Nominee name / full address | Neha Mehta (fictional), 8 Example Lane, New Delhi 110001 |
| Relationship / age / Aadhaar | Wife / 56 years / [synthetic identifier; no actual Aadhaar] |
| Share payable | 100% to the sole nominee; no second nominee |
| Family declarations | Employee has a family; nominee is a family member. No-family, dependent-parent exclusion and husband-exclusion alternatives N/A. |
| Previous nomination / change in family | Original nomination; no previous nomination superseded; later family-acquisition declaration N/A. |
| Employee execution | New Delhi, 20 September 2026; Signature / seal / certification not executed; typed name is an illustration only |
Employer record and employee acknowledgement
| Prescribed field / section | Completed fictional entry |
|---|---|
| Employer verification / record reference | Illustrative record DEMO-NOM-01; particulars assumed checked against employment records; no certification executed |
| Officer name / designation / address | Kavita Shah, HR owner, Sahyadri Illustration Services Pvt Ltd (fictional), 14 Example Park, New Delhi 110001 |
| Duplicate acknowledgement | Arun Mehta; duplicate nominally received 20 September 2026; unsigned fictional illustration |
Supporting records and reconciliation
Retain the actual nomination, employee identity/family records, employer recording endorsement and duplicate supplied to the employee. Do not publish real Aadhaar or family data with the public PDF.
Worked calculation: One nominee × 100% = 100% of the gratuity payable.
Official source and version
Official Gazette, Social Security (Central) Rules, 2026; Form III; PDF pages 208–211
Download the official source pages containing this form. Adjacent prescribed forms can share a source page; use the heading and rule identified above.
The Central Rules have their stated jurisdiction. The corresponding appropriate-government rules and any later amendment must match the real establishment and event.
Practical questions
Can I submit the sample as my own completed form?
No. Replace the fictional facts with accurate records, use the competent filing or record-keeping route described above and complete genuine signatures or certifications where required.
What makes the example specific to this form?
This is the prescribed gratuity nomination under (See rules 32 (1),(2), (3) and (4), with its own parties, event, required entries and legal function.