GPAIS Nomination Form PDF

GPAIS Nomination Form in PDF download free from the direct link below.

GPAIS Nomination Form - Summary

Group Personal Accidental Insurance Scheme (GPAIS) is a vital personal accident insurance designed to provide financial support in case of accidental events. The premium will be deducted from the salary for the month of November 2022, starting from 01.01.2023, and is applicable for one year. The annual one-time premium rates are as follows: Rs. 850+GST for employees of KSEB, Rs. 600+GST for employees of KSRTC, and Rs. 500 for State Government employees, including those in Aided Institutions, Universities, Co-operative Institutions, Autonomous Bodies, and all other Public Sector Undertakings.

All Drawing and Disbursing Officers (DDOs) authorized to manage the salary disbursement should ensure the premium is deducted from the salaries of all employees included in the scheme for the November 2022 payroll, which will be paid in December 2022.

Essential Information for GPAIS Nomination Form

Employees need to complete the GPAIS Nomination Form to enroll in this important accidental insurance scheme. In this form, the following details must be provided:

  • Name of the Employee
  • Designation
  • Office
  • Name of Nominee
  • Age of Nominee
  • Address of Nominee
  • Relationship with the member
  • Proportion of benefits to be given
  • Contingency under which the nomination becomes ineffective
  • Person whom the amount is to be given if the nominee is a minor

You can download the GPAIS Nomination Form PDF using the link given below.

GPAIS Nomination Form PDF Download