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On member thereof. I hereby nominate the person/persons mentioned below who is / are member (s) of my family and confer on him/them the right to receive to the extent specified below, any gratuity that may be sanctioned by the Central Govt. in the event of my death while in service and the right to receive on my death, to the extent specified below any gratuity which having become admissible to me on retirement may remain un-paid at my.

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