FORM ‘R’
[SEE RULE 17]
NOTICE FOR PAYMENT OF GRATUITY

To……………………………….[Name and address of employer]
Whereas Shri/Smt./Kumari………….of…………….(address) an [employee under you/a nominee(s) legal heir(s) of late……………..an employee under you, filed an application under Section 7 of the Payment of Gratuity Act, 1972 before me;
And whereas the application was heard in your presence on and after the hearing I have come to the finding that the said Shri/Smt./Kumari…………….is entitled to a payment of Rs………….the Payment of Gratuity Act, 1972;
Now, therefore, I hereby direct to pay the said sum of Rs…… to Shri/ Smt./Kumari……………within thirty days of the receipt of this notice with an intimation thereof to me.
Given under my hand and seal, this…………………..day of 19……………………
Controlling Authority.
Copy to:
(APPLICANT)
He is advised to contact the employer for collecting payment.
Note:    The portion not applicable to be deleted.