Follow the steps to complete your nomination and declaration form online.

1. Click ‘Get Form’ button to access the Nomination And Declaration Form Filled Sample and open it in your preferred editor.
2. In the first section, enter your name in block letters. Ensure that you spell your name correctly, as this information is crucial for identification.
3. Provide your father’s or partner's name in the designated field. Accuracy is essential here to avoid potential issues.
4. Next, fill in your date of birth using the specified format. This section helps verify your identity and age.
5. Select your sex by checking the appropriate box provided in the form.
6. Indicate your marital status in the designated area, such as single, married, etc.
7. Enter your account number in the format given (e.g., A.P./ _________________________) to link your nomination to the correct financial account.
8. For the address section, provide your permanent address first and then your temporary address if applicable.
9. In Part A, list the person(s) you are nominating to receive your provident fund benefits. Provide their name, address, date of birth, relationship to you, and the total amount or share of accumulations.
10. If any nominee is a minor, include the name and address of their guardian.
11. Certify your statements by marking whether you have a family as defined in the relevant guidelines and provide necessary declarations.
12. In Part B, provide the particulars of family members eligible for the widow or children's pension. List their name, address, date of birth, and relationship to you.
13. Nominate a person for receiving the monthly widow pension if applicable. Provide their name, address, and date of birth.
14. Sign or provide your thumb impression in the designated field to validate your submission.
15. Finally, make sure to have an employer or authorized officer certify your declaration before submission. They must sign and date the document.
16. Once all fields are completed and verified, save your changes, and consider downloading, printing, or sharing the form as needed.

Complete your nominations and declarations online today to ensure your benefits are secured!