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Forms
FORM NO

PURPOSE

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13(revised) For transferring the Provident Fund account of a member from one establishment to another establishment covered under the act / scheme. Preview and
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14 Application for financing a life insurance policy out of Provident Fund account. Preview and
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19 To be submitted by a member to withdraw his Provident Fund dues on leaving service/retirement/termination. Preview and
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20 In the event of death of member, this form is to be used by a nominee / family member to claim the member's Provident Fund accumilation. Preview and
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31 For the use of Provident Fund members to avail advances / withdrawals as provided in the scheme. Preview and
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Declaration to be submitted along with Form 31

FORMS FOR CLAIMING BENEFITS UNDER THE EMPLOYEES' PENSION SCHEME '95

FORM NO
PURPOSE
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For claiming :
- Refund of Employer share.
- Withdrawl benefit
- Scheme certificate for retention of membership
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To be submitted by the first claimant i.e.
- member or 
- widow/widower or
- orphan or
- nominee as the case may be
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Certificate to be submitted by pensioner
(Life Certificate/Non Re-Marriage Certificate)
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FORMS FOR WITHDRAWAL OF INSURANCE FUNDS BENEFITS UNDER EMPLOYEES' DEPOSIT LINKED INSURANCE SCHEME, 1976

FORM NO
PURPOSE
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5(I.F.) To be preferred by the person eligible to receive the Employees' Provident Fund dues of the deceased member who died while in services. Preview and
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GENERAL
Statement IW - 1

Statement of Employees qualifying for membership as International Workers

 

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Advance Stamped Receipt Preview and
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