EX-GRATIA FOR DEATH

DADRA AND NAGAR HAVELI

FORM XI

EX-GRATIA FOR DEATH

  • The Board may sanction an amount of Rs.4, 00,000/- Lakhs (Rupees Four Lakhs only) to the nominees/dependents of the member of the fund in case of death in the course of employment.
  • If the death of the member is due to any other reason an amount of Rs:2, 00,000/-(Rs Two Lakh Only) may be sanctioned to the nominees/dependents

An application in Form-XI shall be submitted to the Member secretary (BOCWWB) along with death certificate issued by a Government Doctor/Registered Medical Practitioner not below the rank of Medical Officer and Dependent/Heirship Certificate issued by Competent Authority shall be produced along with the application.

Member Secretary (BOCWWB) shall conduct an inquiry with regards to the eligibility of the applicant. The compensation should be disbursed in a definite time frame not exceeding 60 days from the date of death of the beneficiary.

Temporary Address:
Permanent Address:

(a) Death Certificate

(b) Upload Applicant ID Proof

Whether Nominees are minor:
Bank Details:
Last Update on Date: 15/03/2021
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