The State Government may, by notification, discontinue the Scheme or amend the rules, subject to three months' notice being given to the Member, Employer and the Corporation. The discontinuance or the amendment shall be effective from the following Annual Renewal Date.
Appendix Form Of Nomination For Savings-Cum-Insurance Scheme District :..........
Serial No. :...........
I hereby, nominate the person/persons mentioned below who is/are member/members of my family and confer on him/her/them the right to receive benefits that may be payable in the event of my death while in service :
1. (a) Name : Shri/Shrimati/Kumari...........
(b) Father's Name................
(c) Address...................
(d) Relationship with Teacher.............
(e) Share................
2. (a) Name : Shri/Shrimati/Kumari..........
(b) Father's Name..................
(c) Address...................
(d) Relationship with Teacher.............
(e) Share....................
3. (a) Name : Shri/Shrimati/Kumari........
(b) Father's Name................
(c) Address..................
(d) Relationship with Teacher.............
(e) Share...................
In the event of death of any of the nominees mentioned above the claim amount of the deceased nominee/s will be paid to the surviving nominee/s.
Dated at........this.........day of.......197........
(Signature of Teacher) Name :........
Designation:.......
School of posting :......
Witness :........
Office Of The Zila Basic Shiksha Adhikari Nominated accepted and serialised at No...........
Copy of the nomination form given to the teacher concerned and Headmaster of.....School where the teacher is serving. His date of birth as entered in the Service Records is.........
Place :.......
Date :........
Zila Basic Shiksha Adhikari