[See sub-rule (5) of rule 18] Notice for Payment of Gratuity as determined by Appellate Authority To [Name and address of employer] Whereas a notice was given to you on Form ‘R’ requiring you to make a payment of Rs to Shri/Smt./Kumari as gratuity under the Payment of Gratuity Act, 1972; Whereas you/the applicant went in appeal before the appellate authority, who has decided that an amount of Rs is due to be paid to Shri/Smt./Kumari as gratuity due under the Payment of Gratuity Act, 1972; The Payment of Gratuity (Central) Rules, 1972 41 Now, therefore, I hereby direct you to pay the said sum of Rs to Shri/Smt./Kumari within 30 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: 1. The Applicant. He is advised to contact the employer for collecting payment. 2. The Appellate Authority. Note.— The portion not applicable to be deleted.
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