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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)


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

 

 

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.

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 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.

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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.

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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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