| 1 |
Form 13(Revised) |
For transferring the Provident Fund account of a member from one establishment to another establishment covered under the act / scheme.
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| 2 |
Form 14 |
Application for financing a life insurance policy out of Provident Fund account. |
| 3 |
Form 19 |
To be submitted by a member to withdraw his Provident Fund dues on leaving service/retirement/termination. |
| 4 |
Form 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. |
| 5 |
Form 31 |
For the use of Provident Fund members to avail advances / withdrawals as provided in the scheme. |
| 6 |
Form 10-C |
For claiming : - Refund of Employer share. - Withdrawal benefit - Scheme certificate for retention of membership |
| 7 |
Form 10-D |
To be submitted by the first claimant i.e.
- member or widow/widower or
- orphan or - nominee as the case may be |
| 8 |
Pensioner Certificate |
Includes Life Certificate and Certificate of non remarriage |
| 9 |
Form 2 |
Nomination and declaration form for unexempted/exempted establishments |
| 10 |
Form 5(P.S.) |
The employees' provident funds scheme, 1952 (PARA 36(2) (a)) and the employees' pension scheme, 1995 (PARA 20(4)) |
| 11 |
Form 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. |
| 12 |
Statement IW - 1 |
Statement of Employees qualifying for membership as International Workers |
| 13 |
ASR |
Advance Stamped Receipt |
| 14 |
Form 3A |
The employees' provident funds scheme, 1952 (PARA 35 & 42) and employees' pension
scheme, 1995 (PARA 20) |
| 15 |
Form 5A |
The employees' provident fund scheme, 1952 (PARA 36-A). The employees' family pension scheme, 1971 (PARA 16) The employees' Deposit Linked Insurance Scheme, 1976 (PARA-1) |
| 16 |
Form 6A |
The employees' provident fund scheme, 1952 The employees' pension scheme, 1995 |
| 17 |
Form 9(Revised) |
The employees' provident funds scheme, 1952 (PARA 36(1)) and the employees' pension scheme, 1995 (PARA (20). |
| 18 |
Form 12A |
Employees' provident fund and misc. provision act, 1952 |
| 19 |
Challan |
Employees' provident fund organization combined chalan of A/C. No. 1,2,10,21 and 22 |
| 20 |
Form BN |
Form for Allotment of BN |
