ISGEC HEAVY ENGINEERING LTD. Form ‘A’ (Under the scheme for Financial Help to the Family of Deceased Employees) I hereby opt to become a member of company’s scheme for Financial Help to the Family of Deceased Employees and undertake to abide by the terms/conditions of the said scheme as amended from time to time. 2. I further authorize the company to make such deductions form my salary as may be necessary under the said scheme. Date. (Signature) Name in full Father's Name Designation Code Shop/Sec./Dept. (For office use only) Mr. S/oSh. May beenrolled as a member of the scheme for Financial Help to the Family of Deceased employees. Prescribed Authority ISGEC HEAVY ENGINEERING LTD. Form ‘B (Under the scheme for Financial Help to the Family of Deceased Employees) [hereby nominate following person/ persons to receive the benefit under the scheme in the event of my death while in the service of the company. Sr. Name & Address Relationship Age ‘Amt. of share of Benefit to be paid To each nominee. Date... (Signature) Name in full Father’s Name. Designation Code Shop/Sec./Deptt.