Pension Related Information / Instructions for Retired EmployeesPension Related Information / Instructions for Retired Employee Employee having superannuated from the services of EIL on or after 1.1.2007 are required to submit duly filled in pension forms alongwith nomination form, prescribed ECS mandate form with photocopy of crossed cheque-leaf and pre-discharge receipt (amount not to be indicated). The formats for the same are available on the retired-employees’ portal. Fields pertaining to Account number/Pension number/Annuity number in the formats can be left blank. In order to locate nearest LIC Divisional Office please visit website of LIC. Before filling up the claim form, please ascertain the balance standing to your credit in the Pension fund. Pension amount You can ascertain your pension amount(indicative) by inserting the accumulations* standing to your credit in one of the annuity tables depending upon the quantum of corpus amount and accordingly indicate your option in the claim form. The four categories of annuity tables are as under : Table No. Corpus Amount ------------ --------------------
1 Less than 1.51 lacs 2 1.51 lacs to < 3.0 lacs 3 3.0 lacs to < 5.0 lacs 4 5.0 lacs and above.
Important
1. Employees having corpus amount of less than Rs.68,670/- to their credit shall have to compulsorily choose annual mode of payment only without commutation.
2. * Denotes accumulations standing to your credit after commutation. 3. Click to view Annuity Tables for Pension amount calculation
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Format No. 3-3041-0004 Rev.0 Copyright EIL – All rights reserved
EIL EMPLOYEES DCS PENSION TRUST  1. Name & Emp. No. of Member :       2. Pension No. :    3.  Address at which pension payment is to be made:     
  4.  Date of Appointment:    5.  Date of entry into the Scheme:    6.  Date of exit (Leaving):    7.  Mode of  exit  (Specify):    8.  Date of Birth:    9. Name, relation  & DOB of beneficiary    10.  Option to choose pension   
(i) Life pension ceasing at death, No purchase price shall be paid on death to beneficiary. No  guaranteed payments. 
(ii) Life pension with guaranteed payments for 5 / 10 / 15 / 20 years. No. purchase price shall  be paid on death or at end of 5 / l0 / l5 / 20  years guarantee. On survival to guaranteed  payments pension shall be continued to be payable till life. (Please  specify period)  
(iii) Life  pension  ceasing  at  death  of  member  with  return  of  capital  (purchase  price)  to  beneficiary along with group pension terminal bonus declared by LIC. 
   11.  Mode of payment of pension (specify ):  MLY / QLY / HLY / YLY.    12. State whether member wants commutation of pension as per prevalent Income Tax Rules:  
(Member can commute maximum 1/3rd (33.33%).   ( yes / no ) 
  13.  If you wish to transfer your annuity servicing to your nearest LIC Divisional Office please specify 
the area____________   
14. Bank A/c details for transfer of annuity  (Please submit filled up ECS Mandate form duly certified by the bank)     
PTO   
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15.  Remittance particulars after last schedule (to be furnished by payroll to trust).      (Signature of witness)                 (Signature of the member)    __________________________________________________________________________________    Forwarded to Trustees, EIL Employees DCS Pension Trust.  The particulars at SL NO. 1 to 9 have been  verified at our end and we certify that these are correct.        
Head (Establishment)/Head Field Personnel Cell   ___________________________________________________________________________             
                                  Dear Sir, 
Re: Master Policy No. GS/CA/332436               Favouring Mr. 
    We are forwarding the claim papers containing ECS mandate, nomination form, form C, form N and  two discharge receipts duly signed by member and one of our existing trustees affixed with revenue  stamp.                                                 Yours faithfully,            
       (Signature of Trustee)      The Manager(P&GS)  LIC of India  Delhi Divisional Oflice1  Jeevan Prakash, 6th, 7th Floor,  25, K. G. Marg,  New DelhiI l0001       
Divisional Office – I, P& GS Unit, Jeevan Prakash, 7th Floor, 25, K. G. Marg, New Delhi – 110 001
Phone No.: (011) 23350678, Fax : (011) 23350832
ECS /NEFT MANDATE FORM
Credit clearing mechanism
A BANK NAME
B BRANCH NAME &
& BRANCH APPEARING ON
ACCOUNT / CURRENT
F ENCLOSE A CANCELLED CHEQUE LEAF
I hereby declare, that the particulars given below are correct and complete. If the
transaction is delayed or not effected at all for reasons of incomplete or incorrect
information, I would not hold LIC responsible.
Date : (______________________)
1. DELHI 2. CHANDIGARH 3. JAIPUR 4. AHMEDABAD 5. MUMBAI
6. NAGPUR 7. HYDERABAD 8. BANGALORE 9. CHENNAI 10.PUNE
11. TRIVENDRUM 12. KOLKATA 13.BHUBHNESHWAR 14.GUWAHATI
15. PATNA 16. KANPUR 17.SOLAPUR 18. VADODRA 19. COIMBATORE
ENGINEERS INDIA LIMITED
   NOMINATION AND DECLARATION FORM
DECLARATION AND NOMINATION FORM UNDER THE ENGINEERS INDIA LIMITED EMPLOYEES DEFINED
CONTRIBUTION SUPERANNUATION SCHEME.
1. . ./Name & Empl.No.___________________ _______________________
( /In Block Letters) 6. ./Account No. 2. / _______________________ 7. _______________________________
Fathers/Husbands Name Permanent Address 3. ____________________________ 8.
Date of Birth Temporary Address __________________________ 4. /Sex _____________________________ 5. /Marital Status _____________________
- PART-A
) ( / ) ( / ) ( / I hereby nominate the person(s)/cancel the nomination made by the previously and nominate the person(s) mentioned below to receive the amount standing to my credit in the ENGINEERS INDIA LIMITED EMPLOYEES DEFINED CONTRIBUTION SUPERANNUATION SCHEME in the event of my death. / (%) Name & Share (%) of the nominee/ nominees
Address
Nominees relationship with the member
Date of Birth
If the Nominee is a minor, name & relationship & address of the guardian who may receive the amount during the minority of nominee.
1
2
3
4
5
( ) Signature of Witness (With name and address) Signature or thumb impression of the subscriber
- 
(PART-B)
(THE ENGINEERS INDIA LIMITED EMPLOYEES DEFINED CONTRIBUTION SUPERANNUATION SCHEME
/CERTIFIED BY EMPLOYER
// ____________________ , / Certified that the above declaration and nomination has been signed/thumb impressed before me by Shri/Smt./Kum____________________________________ employed in my establishment after he/she has read the entries/entries have been read over to him/her by me and got confirmed by him/her.
/Place: _________ Signature of the employer or other officers authorised of the establishment
/Date: _________ /Designation ____________________________________ /
Name & Address of the Factory/ Establishment or Rubber Stamp thereof.
DISCHARGE RECEIPT
Received a sum of Rupees _________________ ( Rupees________________________________) from the in full and final Settlement of my claims and demands under Master Policy No. ______________ on my resignation/retirement from the services on _____________________ Dated at ________________ on this _________________ day of _____________ 20 Name of the member : Signature of the Member WITNESS: SIGNATURE__________________ NAME _______________________ ADDRESS ____________________ ______________________________ ______________________________
across Rs. 1/- Revenue stamp