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FUNERAL ASSISTANCE

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FUNERAL ASSISTANCE

DAMAN

FORM VII

FUNERAL ASSISTANCE

Eligible Criteria:

An application in prescribed Form-VII shall be submitted to the Member secretary (BOCWWB) in case of death of a registered member or spouse. The Board may sanction an amount of Rs.20,000/-(Rs.Twenty Thousand only) to the nominees/dependents towards funeral expenses.

Submit*

Name of Applicant*

Address of Applicant*

Relationship of Applicant with the Worker/Beneficiary*

Name of Beneficiary*

Date of Birth*

Age*

Gender*

Marital Status*

Mobile No.*

Aadhaar Number*

Temporary Address:

Address Line1*

Address Line2

Landmark*

Village/Town/City*

Taluka*

District*

State*

Pincode*

Permanent Address:

Address Line1*

Address Line2

Landmark*

Village/Town/City*

Taluka*

District*

State*

Pincode*

Duration Of Membership*

Date Of Death Of Worker *

(a) Death Certificate

(b) Upload Applicant ID Proof

Amount of Benefit, applied for*

Date of payment of subscription *

Whether applicant is nominee of worker

Whether applicant submitted dependent certificate

Whether Nominees are minor:

Name of Nominee*

Birthdate of Nominee*

Age of Nominees*

Relation of Nominee*

Name Of Guardian*

Whether consent letters from other nominees submitted

Whether certificate of guardianship submitted

Bank Details:

Bank Account Number*

Name Of Bank*

Name Of Branch*

IFSC Code*

Submit*

Department Addresses

DNH Details

Old Circuit House Building,
Opp. Bal Bhawan, Silvassa,
Dadra and Nagar Haveli - 396230

0260 - 2642374

labour-dnh@nic.in

Daman Details

Vidhyut Bhavan, Kachigam,
Daman 396215

0260 - 2261059

lelidaman@gmail.com

Diu Details

Labour & Employment Office
Collectorate Diu 362520

02875 – 252444

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Last Update on Date: 15/03/2021