FOR YOUR INFORMATION
MANDATORY DOCUMENT REQUIRED FOR PF WITHDRAWAL (SOFT COPY)
(2 COPIES OF DOCUMENTS IF SERVICE PERIOD IS MORE THAN 6 MONTHS)
1. AADHAR CARD (FRONT & BACK SIDE)
2. PAN CARD
3. NAME PRINTED CHEQUE
4. LAST MONTH PAY SLIP
***IF SERVICE PERIOD IS MORE THAN 10 YEARS***
Above mentioned docs + Age Proof Certificate of member and his/her family members.
[Pension scheme certificate will be issued by RPFC so that employee can apply for monthly pension at the age of 58 years]
NOTE
• JOINT BANK ACCOUNT NOT ACCEPTED
• ALL DOCUMENTS SHOULD BE SELF-ATTESTED
• NAME OF THE CANDIDATE, ADDRESS OF THE BANK, A/C NO. & IFSC CODE MUST BE CLEARLY VISIBLE ON THE CHEQUE
• IN THE FORM THE REASON OF LEAVING SERVICE SHOULD BE RESIGNATION ONLY
• THE NAME ON THE CHEQUE AND ON THE AADHAAR OR PAN CARD SHOULD BE SAME
• PLEASE FILL UP THE FORM WITH A PEN (TYPED LETTERS NOT ACCEPTED)
• PASSBOOK / STATEMENT NOT ACCEPTED
• ANY TYPE OF OVERWRITING ON PF FORM WILL LEAD TO REJECTION &
ASSOCIATE HIMSELF/ HERSELF WILL BE RESPONSIBLE FOR THAT
DETAILS REQUIRED TO BE FILLED IN THE PF FORM
1. DATE OF JOINING
2. DATE OF LEAVING
3. EMPLOYEE ID (GENIUS)
4. CLIENT NAME (COMPANY NAME)
5. UAN NO.
6. PF NO.
7. UPDATED MOBILE NO.
As per the RPFC guidelines employees can withdraw the PF Accumulation only after 60 days of unemployment if any employee after leaving an organization and joining another organization having PF under EPFO than he has to mandatory transfer his PF accumulation of the previous company into present PF account.
Application Form:
Date:
MANDATORY FIELDS:-
- Mobile No.
- EMP ID:
- CLIENT NAME:
- BRANCH NAME:
- UAN NO:
- AADHAR NO:
- PAN NO:
TO
THE TRUSTEES
"Organisation Name"
"Organisation Address"
Sub: Withdrawal of Final settlement of Provident Fund
Ref: Provident Fund Account No....."Organisation PF Code with your allotted PF number"
Dear Sir,
Please refer to the above Provident Fund Account No. I have resigned from my job on
…………..
I would request you to please settle my Provident Fund dues immediately. Please note
the details as mentioned below for processing my claims.
1) Name (In block letter) :
2) Father’s/Husband’s Name :
3) Date of Birth :
4) Residential Address (In block letter) :
(with PIN code)
5) Date of joining service :
6) Date of leaving service :
8) Reason for leaving service :
7) BANK DETAILS:-
a) Name of the Bank :
b) Branch Name & IFSC CODE :
c) Savings Bank Account No :
d) Full address of the branch :
(With PIN code)
DECLARATION OF NON-EMPLOYMENT:-
In the case of submission of application for settlement under clause (s) of subparagraph
(i) and in clause (b) of sub-paragraph (2) of paragraph 69 of the EPF Scheme, 1952 the claim should be submitted after two months from the date of leaving service provided the member continues to remain un-employed in an estt. to which the Act applies.
Please do the needful.
Thanking you
Yours faithfully
Signature of the member
NOTE:
(Please Be Noted That Without Mob No , PAN No,Adhar No, Client Name, Branch Name , Activated UAN No
,Employee Id And PF No Organisation may not able to accept the form.(i.e. Mandatory Fields Must Be Filled Up Properly)
OTHER DOCUMENTS may required by organisation for processing are (2 COPIES): Name Printed Cheque Or Bank Pass Book (Gramin Bank Is Not Accepted), Birth Proof (i.e. Birth Certificate Or 10th Admit Card), PAN Card, Aadhar Card, Pay Slip Or PF Statement.)
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