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EPF & MP Act 1952
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NOMINATION AND DECLARATION FORM

Form No Purpose
Nomination Form - 2 (Revised)

NOMINATION FORM FOR TRAINING PROGRAMME, EMPLOYERS

Form No Purpose
Nomination For participating in training programme for employers at ZTI, South Zone, Chennai.

FORMS FOR CLAIMING BENEFITS UNDER  THE EMPLOYEES' PROVIDENT FUND SCHEME
Form No. Purpose
13
(revised)
For transferring the Provident Fund account of a member from one establishment to another establishment covered under the act / scheme.
19 To be submitted by a member to withdraw his Provident Fund dues on leaving service/retirement/termination.
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.
31 For the use of Provident Fund members to avail advances / withdrawals as provided in the scheme.

FORMS FOR CLAIMING BENEFITS UNDER THE EMPLOYEES' PENSION SCHEME '95
Form No. Purpose
10 - C For claiming - Refund of Employer share /  Withdrawl benefit / Scheme certificate for retention of membership
10 - D To be submitted by the first claimant i.e. - member or  widow/widower or  orphan or nominee as the case may be

FORMS FOR WITHDRAWAL OF INSURANCE FUNDS BENEFITS UNDER EMPLOYEES' DEPOSIT LINKED INSURANCE SCHEME, 1976
Form No. Purpose
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.

 

DOWNLOAD FORM FOR COVERAGE REQUIREMENT                                 PROFORMA FOR COVERAGE

 

 
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