Wednesday, 28 December 2011

GPF Withdrawal form

FORM-III

PROFORMA FOR APPLICATION FOR WITHDRAWAL FROM   GPF.


1.Name of the Applicant            :-

2.Account Number                     :-

3.Designation                              :-

4.Pay                                           :-

5.Date of joining in the service ,
   and Date of superannuation      :-

6.Balance at credit  of the
   subscriber  on the date of
   application as below .
   i. Closing balance as per
   statement for the year               :-
   ii. Credits from    
        to             on a/c of
   monthly subscriptions               :-
   iii. Refunds made to the
   fund after closing
    balance  vide (i) above              :-

   iv. Total                                       :-

   v. Withdrawal during the
       period from                             :-

   vi. Net balance as credited
        on date of application            :-
7. Amount of withdrawal required :-

8. a. Purpose for which the
        withdrawal required                 :-
     b. Rule under which the
         request is covered                     :-
9. Whether any withdrawal was
     taken for the same purpose
     earlier., If so indicate
     the amount and the year               :-
10. Name of the Accounts officer          The  Director of the Accounts
      maintaining the PF account         :-   ( Postal), Hyderabad.
                                                           

                                                                       

                                                                         Signature of the Applicant

                                                                         Name & Designation.
                                                                         Section/ Branch,
             
         Certified that the above particulars have been verified and found correct.

                                                                                               Postmaster,
                                                                                                    





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