8/11/2019 dependency form.pdf
1/5
OIL AND NATURAL GAS CORPORATION LIMITED
CORPORATE POLICY GROUP)
TELBHAVAN:DEHRADUN
No. ONGC/ER/CP/ MED/01 0
OFFICE ORDER
Dated 26th September, 2007
Sub: Income ceilings for determining the dependency of parents.
The Executive Committee in its 314th meeting held on 28.08.2007 has
decided to enhance the existing income ceilings for determining the dependency
of parents, as under:
2.
The Executive Committee has also decided that -
2.1 For availing of medical facility only, the amount of pension drawn by the
parents who are wholly dependent on the employee may be ignored while
assessing the income. In other words, the pension drawn by the wholly
dependent parents will not be considered for computing the total income.
2.2 Lump sum non-recurring income e.g. Contributory Provident Benefits,
Government of India Prize Bonds, Gratuity and Insurance Benefit would not be
regarded as income for assessing the monthly income for the above purposes.
Recurring monthly income from other sources such as property, investments and
landholding will however be taken into account.
2.3 For the purpose of availing medical facility, age of dependency of son is
raised from 25 years to 30 years or until he starts earning whichever is earlier. In
such cases where medical facility of the dependent son has been ceased on
attaining the age of 25 years, the same would be re-stored.
2.4 A standardized, transparent and uniform procedure for acceptance of
dependency of parents as detailed hereunder, shall be followed at all ONGC
work centers:
Contd ...2/-
Facility
Monthly income ceiling
Existing
Revised
Medical
RsAOOO/-
Rs.6000/-
Availingof LFA ITA on
Rs.3000/-
RsA500/-
transfer)
Encashment of LFA
Rs. 800/-
No change
8/11/2019 dependency form.pdf
2/5
-2-
I.
Request for declaring dependency of parents/family would be
submitted to the concerned Incharge, HR/ER on revised
Dependency Declaration Form-GEN- DEC-04 Annexure-A).
In order to assess the income, the employee concerned will have to
furnish the following documents /income proof along-with the
request-
II.
a.
Income Certificate from Tehsildar/Revenue Officer of the
concerned area.
b.
In respect of pensioner, a photocopy of Pension Pay Order
indicating the pension amount without commutation and a
certificate from the pension disbursement authority indicating
the current pension including all components.
c.
A duly notarized affidavit as per nnexure Bon a non-
judicial stamp paper of requisite value.
d.
If brother s)/sister s) of the employee are employed, a
certificate from their employer certifying that they are not
claiming any facility in respect of parents from their
department/organization.
III.
All employees whose parents/family members are dependent shall
have to submit compulsorily an affidavit mentioned above at
2.4.ll.c, to the concerned Incharge, HR/ER in the month of January
every year. The Incharge, HR/ER shall ensure compliance in this
regard.
2.5 Other conditions regarding minimum period of residing of parents with the
employee shall remain unchanged.
3.
This order shall take effect from the date of issue.
~
~~ ~.
/;6..W
~
AmarendraSahu) -
Chief Manager HR)-Corp. Policy
Distribution:
All concerned through ongcreports.net- copy may be downloaded
- hard copies not being circulated.
8/11/2019 dependency form.pdf
3/5
NNEXURE
Form No. GEN-DEC-04
OIL ND N TUR L G S CORPOR TION LTD
EPEN EN Y
DECL R TION
CPF No:
Designation:
Org. Unit:
Location:
Basic Pay: Rs.) ~ PP: Rs.) [[]I]
Dateofjoining Onorbefore:01.06.1987
D
ONGC
Sp.Pay: Rs.: [[]I] DA: Rs. ~
Onor after:02.06.1987
D
Total monthly/annual income of parents from all sources -Rs.
Amount of monthly pension drawn by the parents, if any-Rs.
Details of Brothers/sisters
This is to certify that-
1. My parents, unmarried sister s), minor brother s) whose details given below, are wholly
dependent upon me.
A;.
Page of
S.No.
Name
Brother/sister
Date of birth
Occupation
Monthly Income
01
02
03
04
S.No.
Name Sex
Relationship
Age
MIF
01
02
03
,
04
05
8/11/2019 dependency form.pdf
4/5
2.
My parents reside with me at-least,
months in a calendar year.
3.
My unmarried sister s and minor brother s are permanently residing with me.
4. My parents are not drawing benefits of any other Govt. Medical Scheme.
5.
The following documents are attached herewith in support of above statements/facts.
1. Income Certificate from Tehsildar/Revenue Officer of the concerned area;
11.
respect of pensioner, a photocopy of Pension Pay Order indicating the pension amount
without commutation and a certificate from the pension disbursement authority indicating
the current total pension including all components.
A duly notarized affidavit in accordancewith the instructions on the subject.
11.
IV.
If brother s /sister s of the employee are employed, a certificate from their employer
certifying that they are not claiming any facility in respect of parents from their
department/organization.
Signature of the Employee
Forwarded
Signature of Controlling Officer
For use inHRIER
Establishment Officer
Dependency accepted in respect of the following for availing of the facility as indicated against each:
Name of dependent Relation Facility permitted
a.
b.
c.
d.
Signature of Incharge, HRIER
Page 2 of2
8/11/2019 dependency form.pdf
5/5
NNEXURE B
FFID VIT
Before Incharge, HR/ER, (name of AssetlBasin/Institute)
Mfidavit of Shri/Smt. son/daughter/wife of Shri
resident of , employed in ONGC
as
Deponent
I, the above named deponent, solemnly and sincerely state as follow (strike out
whichever is not applicable):
1.
2.
My parents are wholly dependent onme.
Myparents monthly/annual income from all sources is Rs.- /-
3.
My father/mother is a retired employee of (name of Govt. /Semi Govt.
Department. or PSU) and is currently drawing pension of Rs. ~- per
month.
4.
5.
Myparents are not drawing benefits of any other Govt. Medical Scheme.
My brother(s)/sister(s), who are employed in , are not
claiming any facility in respect of my parents from their employer.
6.
I further state my parents reside with me at for
a minimum _months in a calendar year. In case of any change of
residence, I will also bring the same to the notice of ONGC.
7. My son (name)
dependent on me.
is still non-earning andged
8.
My daughter (name)
non-earning and dependent on me.
aged
is still unmarried
9.
My unmarried sister(s) and minor brother(s) (name) aged
is/are permanently residingwith and wholly dependent onme.
10.
.
When the monthly income of my parents exceeds Rs.- /- (Rupees
only) or my son/daughter starts earning or gets married, I
will intimate to ONGC without any delay to delete their dependency in
accordance with the existing instructions.
Deponent
I, the deponent named above do hereby solemnly declare and verify on this the
day of _20- - at that the contents of the above affidavit are true to
my personal knowledge and beliefs. That no part of it is false and nothing has been
concealed.
Deponent