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कर्मचारी भविष्य निधि योजना के तहत लाभ का दावा करने के लिए प्रपत्र / FORMS FOR CLAIMING BENEFITS UNDER THE EMPLOYEES' PROVIDENT FUND SCHEME


फार्म संख्या

FORM NO.

उद्देश्य / PURPOSE

   
13
(संशोधित / revised)

एक सदस्य के भविष्य निधि खाते को अधिनियम / स्कीम में शामिल एक संस्थान से दूसरे संस्थान में स्थानांतरित करने के लिए / For transferring the Provident Fund account of a member from one establishment to another establishment covered under the act / scheme.

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14.

भविष्य निधि खाते से एक जीवन बीमा पॉलिसी के वित्तपोषण के लिए आवेदन / Application for financing a life insurance policy out of Provident Fund account.

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19.

सेवा छोड़ने / सेवानिवृत्ति / समाप्ति पर भविष्य निधि बकाया राशि को वापस लेने के एक सदस्य द्वारा प्रस्तुत किया जाना / To be submitted by a member to withdraw his Provident Fund dues on leaving service/retirement/termination.

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20.

सदस्य की मृत्यु होने की दशा में सदस्य की भविष्य निधि संचय का दावा करने के लिये नामांकित व्यक्ति / परिवार के किसी सदस्य द्वारा इस्तेमाल किया जाने वाला फार्म / 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.

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31.

योजना में प्रावधान के अनुसार भविष्य निधि के सदस्यों के उपयोग के अग्रिम / आहरण लाभ उठाने के लिए/ For the use of Provident Fund members to avail advances / withdrawals as provided in the scheme.

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फार्म 31 के साथ पेश घोषणापत्र / Declaration to be submitted along with Form 31



कर्मचारी पेंशन योजना '95 के तहत लाभ का दावा करने के लिए प्रपत्र / FORMS FOR CLAIMING BENEFITS UNDER THE EMPLOYEES' PENSION SCHEME '95


फार्म संख्या

FORM NO.

उद्देश्य / PURPOSE

   
10-C

दावा करने के लिए:

- नियोक्ता के हिस्से की वापसी.
- वापसी लाभ
- सदस्यता की अवधारण के लिए योजना प्रमाण पत्र

 

For claiming :
- Refund of Employer share.
- Withdrawl benefit
- Scheme certificate for retention of membership

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10-D

पहला दावेदार द्वारा प्रस्तुत किए जाने वाले
- सदस्य या
- विधवा / विधुर या
- अनाथ या
- नामांकित व्यक्ति यथास्थति

 

To be submitted by the first claimant i.e.
- member or
- widow/widower or
- orphan or
- nominee as the case may be

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पेंशनर द्वारा प्रस्तुत किए जाने वाले प्रमाणपत्र
(जीवन प्रमाण पत्र / गैर पुनः विवाह प्रमाणपत्र)

Certificate to be submitted by pensioner
(Life Certificate/Non Re-Marriage Certificate)

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कर्मचारी निक्षेप सहबद्ध बीमा योजना, 1976 के तहत बीमा फंड फायदे की वापसी के लिए फार्म / FORMS FOR WITHDRAWAL OF INSURANCE FUNDS BENEFITS UNDER EMPLOYEES' DEPOSIT LINKED INSURANCE SCHEME, 1976


फार्म संख्या

FORM NO.

उद्देश्य / PURPOSE

   

5(I.F.)

उस व्यक्ति द्वारा भरा जाए जो मृतक सदस्य की कर्मचारी भविष्य निधि बकाया राशि प्राप्त करने के लिए पात्र है / To be preferred by the person eligible to receive the Employees' Provident Fund dues of the deceased member who died while in services.

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सामान्य / GENERAL


फार्म संख्या

FORM NO.

उद्देश्य / PURPOSE

   
विवरण आइ. डब्ल्यू.-1 / Statement IW - 1

अंतर्राष्ट्रीय श्रमिक के रूप में सदस्यता की योग्यता वाले कर्मचारियों का विवरण / Statement of Employees qualifying for membership as International Workers

 

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अग्रिम टिकटयुक्त रसीद / Advance Stamped Receipt

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SUBMISSION OF RETURNS BY UN-EXEMPTED ESTABLISHMENTS


FORM NO. DESCRIPTION 

PURPOSE

  
 One time Returns on Coverage 
1
(Revised)

Nomination form of EPF Scheme.

This is given by PF members and utilised for releasing  PF dues to the nominees. It also contains the details of the family members.

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9
(Revised)

The Employees' Provident Funds Scheme , 1952 [para 36(1)] and the Employees' Pension Scheme 1995[para 20] .

Return of employees who are entitled and required to become members of the Employees' Provident Fund and Pension Fund. (Within 15 Days of coverage).

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5A

The Employees' Provident Funds Scheme , 1952 [para 36(a)] and the Employees' Pension Scheme 1995[para 21]  

Return of ownership to be sent to the Regional Commissioner. (in duplicate) Within 15 Days of coverage.

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 Monthly 

12A

The Employees' Provident Funds Scheme , 1952 [para 36(1)] and the Employees' Pension Scheme 1995[para 20(4)]  and The Employees' Deposit Linked Insurance Scheme, 1976.

Consolidated Statement of dues and remittance By 25th of the following month to which the dues relate.

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5

The Employees' Provident Funds Scheme , 1952 [para 36 (2)(a)] 

Return of Employees qualifying for membership to the Employees' Provident Fund for the first time during every month.  Within 15 Days of the following month.

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10

The Employees' Provident Funds Scheme , 1952 [para 36 (2)(a) & (b)

Return of members leaving service during the month.

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 Annual  

3A

The Employees' Provident Funds Scheme , 1952 [para 35 & 42] and the Employees' Pension Scheme 1995 (Para 19)

Member's annual Contribution card  : Form showing month wise recoveries towards E.P.F and Pension Fund in respect of a member for one financial year. To be furnished by the employer before 30th April of the following year.

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6A

The Employees' Provident Funds Scheme , 1952 [para 43] and the Employees' Pension Scheme 1975[para 20] 

Consolidated annual contribution statement : This form provides annual contributions of each member of the establishment . A vital form for compiling the annual Provident Fund statement of a subscriber. To be submitted by 30th April. 

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 Occasional 

2      
11

The Employees' Provident Funds Scheme , 1952 [para 34].

Declaration by a person taking up employment in an establishment in which the Employees' Provident Funds & Family Pension Fund Scheme are in force.

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Contribution Challans . .


SUBMISSION OF RETURNS BY EXEMPTED ESTABLISHMENTS


FORM NO. DESCRIPTION 

PURPOSE

  
 One time Returns on Coverage 

Pension

3(PS)

The  Employees' Pension Scheme 1995[para 20 (i)].

Consolidated Return of employees who are entitled and required to become members of the Pension Fund on the date the Pension comes into force. Within 15 days of coverage.

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Employees' Deposit Linked Insurance Scheme
F1 (IF)

The  Employees' Deposit Linked Insurance Scheme, 1976[para 10] .

Consolidated Return of employees who are entitled and required to become members of the Insurance Fund on the date the Scheme comes into force. Within 15 days of coverage.

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 Monthly Returns  

Pension
F4 (PS)

The  Employees' Deposit Linked - Insurance Scheme, 1976 [para 10] . A return of members joining service during the month.

Within 15 days of close of every month.

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F5 (PS)

The  Employees' Pension Scheme 1995[para 20 (2)]. (leaving)

Return of Members Leaving Service During the Month. Within 15 days of close of every month.

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Employees' Deposit Linked Insurance Scheme
F2 (IF) The  Employees' Deposit Linked Insurance Scheme, 1976 [para 10] .

Return of employees entitled for membership of Insurance Fund. Within 15 days of close of every month.

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F3 (IF) The  Employees' Deposit Linked Insurance Scheme, 1976 [para 10] .

Return of members of Insurance Fund Leaving service during the month. Within 15 days of close of every month.

Print Now

 Annual Returns   

Pension
F7 (PS)

The  Employees' Pension Scheme 1995[para19] .

Contribution card for members for the year : Form showing month wise recoveries towards Pension Fund in respect of a member for one financial . To be furnished by the employer before 30th April of the following year.

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F8 (PS)

The  Employees' Pension Scheme 1995[para 20].

Consolidated annual contribution statement : This form provides annual contributions of each member of the establishment . A vital form for compiling the annual PS statement of a subscriber
to be submitted by 30th April of the following years.

Print Now

Employees' Deposit Linked - Insurance Scheme
F4 (IF)

The  Employees' Deposit Linked - Insurance Scheme, 1976 [para 10] .

Consolidated annual contribution statement : This form provides annual contributions of each member of the establishment. A vital form for compiling the annual Insurance statement of a subscriber.

Print Now

F4 (IF)  No. of employees and amount of inspection charges paid (.005%) of wages.    

 Occasional Returns  

Pension
F9

The  Employees' Pension Scheme 1995[para 24] .

Declaration by a person taking up employment in an establishment in which the Employees' Pension Scheme is in force.

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