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1. Employee Information: Basic details of the employee including name, employee ID, department, designation, and date of joining
2. Declaration Purpose: Statement of purpose for the declaration and its implications for benefits and tax purposes
3. Dependent Details: Comprehensive information about each dependent including name, relationship, date of birth, gender, and whether differently-abled
4. Financial Dependency Statement: Declaration of financial dependency status of listed dependents, including income details if any
5. Medical Coverage Requirements: Information about medical coverage needs for dependents and any existing conditions
6. Document Checklist: List of mandatory supporting documents required for each type of dependent
7. Declaration and Undertaking: Employee's formal declaration of information accuracy and undertaking to inform about any changes
8. Verification Section: Space for HR department verification and approval
1. Differently-abled Dependent Details: Additional section for detailed information about differently-abled dependents, required when declaring such dependents
2. Parents/In-laws Option Declaration: Section to declare choice between parents and in-laws for benefits, needed when company policy requires such choice
3. Dependent Address Details: Section for dependent address if different from employee's address, required for communication purposes
4. Emergency Contact Information: Additional contact details for dependents in case of emergencies
5. Insurance Nominee Details: Special section for insurance nomination if different from dependent declaration
1. Schedule A - Document Requirements: Detailed list of required documents for each type of dependent relationship
2. Schedule B - Age and Dependency Criteria: Comprehensive guidelines on age limits and dependency criteria for different categories of dependents
3. Schedule C - Benefits Summary: Summary of benefits available for different categories of dependents
4. Appendix 1 - Definition of Terms: Detailed definitions of terms used in the form including 'dependent', 'financially dependent', etc.
5. Appendix 2 - Supporting Document Formats: Templates and formats for additional supporting documents that may be required
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