Ser Name of the Nominee Relation Rate of Assured Money (%)
Present and Permanent Address of Nominee with Tel/Mobile no
1.
2.
Signature of Student: Date:
Name of Student:
Class: Roll No:
Name of Institution: Cantonment English School & College
Date: Signature of Principal
Note:
ANX B (FORM NO 2) TO
FAMILY SECURITY SCHEME FOR EMSC
Mother/Father/both may be nominated. In absence of mother and father both maximum two person may be nominated. But rate (%) of assured money for each nominee must be mentioned.
COUNTER SIGNATURE
I do hereby become the member of the Family Security Scheme for EMSC willingly and I nominate my mother/father/the following persons to receive the assured money in case of my death (maximum 2 persons can be nominated):
FAMILY SECURITY SCHEME FOR EMSC
