For transferring the Provident Fund account of a member from one establishment to another establishment covered under the act / scheme.
To be submitted by a member to withdraw his Provident Fund dues on leaving service/retirement/termination.
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.
For the use of Provident Fund members to avail advances / withdrawals as provided in the scheme.
For claiming :
- Refund of Employer share.
- Withdrawl benefit
- Scheme certificate for retention of membership
To be submitted by the first claimant i.e.
- member or
- widow/widower or
- orphan or
- nominee as the case may be
To be preferred by the person eligible to receive the Employees' Provident Fund dues of the deceased member who died while in services.
Advance Stamped Receipt