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Sno.Form No.Purpose
Forms for Claiming Benefits under the Employees' Providend Fund Scheme
113 (revised)For transferring the Provident Fund account of a member from one establishment to another establishment covered under the act / scheme. Preview / Download Preview / Download
214Application for financing a life insurance policy out of Provident Fund account. Preview / Download Preview / Download
319To be submitted by a member to withdraw his Provident Fund dues on leaving service/retirement/termination. Preview / Download Preview / Download
420In 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 / Download Preview / Download
531For the use of Provident Fund members to avail advances / withdrawals as provided in the scheme. Preview / Download Preview / Download
Preview / Download Declaration to be sumitted along with Form 31
Forms for Claiming Benefits under the Employees' Pension Scheme '95'
110-CFor claiming : - Refund of Employer share. - Withdrawl benefit - Scheme certificate for retention of membership Preview / Download Preview / Download
210-DTo be submitted by the first claimant i.e. - member or - widow/widower or - orphan or - nominee as the case may be Preview / Download Preview / Download
3Certificate to be submitted by pensioner (Life Certificate/Non Re-Marriage Certificate) Preview / Download Preview / Download
Forms for Withdrawals of Insurance Funds Benefits under Employees' Deposit Linked Insurance Scheme,1976
15(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 / Download Preview / Download
General
1Statement IW - 1Statement of Employees qualifying for membership as International Workers Preview / Download Preview / Download
2Advance Stamped Receipt Preview / Download Preview / Download
3Employees' Deposit Linked Insurance Scheme, 1976 Preview / Download Preview / Download
4Certificate to be submitted by Pensioner Preview / Download Preview / Download
5Declaration and Undertaking Form Preview / Download Preview / Download
6Application for Monthly Pension Preview / Download Preview / Download
7Statement of Non-Reckonable Service Preview / Download Preview / Download
83A (revised)For unexmpted establishment only Preview / Download Preview / Download
95The Emplyees' Providedend Fund Scheme,1952 (Paragraph 36(2),(A)), Emplyees' Deposit Linked Insurance Scheme, 1976 Para(10),(IA) and The Employees' Pension Scheme,1995 (Para 20 4) Preview / Download Preview / Download