Dear Sir / Madam,

Attached herewith Superannuation Forms.

Please take a printout of attached forms and fill according to the instructions given in :

1. Pension Claim Form :

A) Section I : Fill full details as mentioned in the form along with signature.
B) Section II : Affix One Rupee Revenue Stamp and Sign on it.
C) SECTION III: No need to fill.
D) Section IV: Your name and nominees name, nominees age.
Your signature and nominee signature.

2. GSCA 2 Form :

Fill full details as mentioned in the form along with two specimen signature of Member (Self) and Beneficiary
(spouse) . (Option 6.LIFE PENSION WITH RETURN OF CORPUS is the best option)

3. NEFT Form :

Fill full details as mentioned in the form along with signature and take attestation from the Bank. (Signature and
stamp of bank officials is mandatory).

4. Attachments Require :

A) Zerox Copy of PAN Card self attested

B) Personalized Cancelled cheque leaf of bank account
C) Copy of Aadhar Card self attested
D) Spouse copy of PAN card and aadhar card self attested

Please note : The above forms have to be filled, signed and sent along with the required documents on the following
address :

Mr. Bharat Bakhru

C/o M/s.Kansai Nerolac Paints Limited
Nerolac House, 1st Floor, Finance Department,
G.K. Marg, Lower Parel, Mumbai-400013.
Maharashtra, INDIA
Email : bharatbakhru@nerolac.com
Tel.No.: 022-40602638

TIME TAKEN FOR SETTLEMENT:

The above forms will be verified and submitted to LIC of India upon availing the Trustees’ signature. LIC of India will
take almost a month time to settle the claim.

DISBURSEMENT OF FUND FROM LIC:

LIC of India will settle the claim in three part as per the followings and the contract of Superannuation comes to end.
a) 1/3rd commutation value :
The features of commutation value –
i) This is not compulsory option
ii) Among the corpus fund i.e. accumulated balance as on date of leaving 1/3rd amount is
payable to the employee in case the option for 1/3rd is opted by the employee
iii) 1/3rd commuted value is taxable if the same is withdrawn before the superannuation age
viz.. 58 years.

b) Pension payable:
i) Corpus fund (-) Commuted value = Pensionable fund or Balance Corpus Fund
ii) Pension is calculated on Pensionable fund or Balance Corpus Fund
iii) Pension is payable to employee as per the mode of Pension selected by the employee i.e.
monthly, quarterly, half-yearly & yearly
iv) Pension amount is taxable

c) Balance Corpus Fund :

i) This fund is payable to the Nominee on death of the member
ii) To claim this fund, nominee has to submit the followings:
a) Copy of death certificate of member
b) Self attested copy of aadhar card
c) Self attested copy of PAN card
d) Personalized one cancel Bank account cheque leaf
e) Discharge Receipt (attested by Trustee)
f) Claimant statement (attested by Trustee)

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