Application Form Towards Provident Fund Settlement (Page 2 of 2) in pdf

INSTRUCTIONS FOR FILLING IN THE APPLICATION.

EMPLOYEE PARTICULARS

Sr. No. 5. - The PF no. allotted to the employee should be entered

Sr. No. 6. - The EPS No. allotted to the employee should be entered

Sr. No. 7. - If the applicant has transferred his previous PF accumulations to the current PF a/c, the applicant should tick “Y” or esle “N”

If there is any previous Transfer in to the current PF a/c

Sr. No. 8. - The Date/month of Transfer in (if any) from previous PF a/c should be entered if available for our cross reference.

Sr. No. 10. - The Date of joining the Company by he employee should be entered.

Sr. No. 11. - The Date of joining the PF membership by the employee should be entered. PF Membership date is the date from which the

member commenced contribution to PF. In case the member has been a memeber of PF in his/her previous employment,

then that date has to be mentioned.

Sr. No. 12. - In case of DD please specify the place where the DD has to be made payable

In case you desire the cheque to be send directly to your Bank or through Electronic Clearance Service -

The bank name, branch’s address & code no. if any, 9-digit code number of the bank & branch appearing on the MICR

cheque issued by the bank

(please attach a photocopy of a cheque or a blank cancelled cheque issued by your branch bank for verifying the

accuracy of the code number)

, account type

(SB account/current account/cash credit)

, account no.

DETAILS TO BE FILLED IN BY HR/UNIT HEAD

Sr. No. 14.b. - The Last PF (member’s Contribution ) deducted along with the month and amount should be entered.

Sr. No. 14.c. - The Last VPF (Voluntary Contribution ) deducted along with the month and amount should be entered.

Sr. No. 14.e. - If any PF loan is outstanding, which has be adjusted with the settlement shoudl be entered.

Sr. No. 14.f. - If any interest PF loan is outstanding, which has to be adjusted with the settlement shoudl be entered.

GENERAL :

The Application should be signed by the HR/Unit Head/ Co.ordinator before forwarding to HAIPL and the Date of Forwarding the Application

should also be entered for better tracking of applications.

Please enclose a copy of the nomination form if not filed earlier.

Form 10C / 10D should be filled in and enclosed with the application if you are on EPS member and the same shall be forwarded to RPFC by HAIPL

accordingly.

(Form 10C is to be filled in for settlement of pension by RPFC if the applicant has not completed 10 years of eligible service - Form 10D to be filled in for

settlement of pension by RPFC if the applicant has completed 10 years of eligible service.)

PHOTOCOPIES OF THE FORM SHOULD NOT BE USED WHILE SENDING APPLICATIONS

Application Form Towards Provident Fund Settlement Page 2

Related Articles

Related forms

Related Categories