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PF Withdrawal

The document is a request from an employee to withdraw the amount in their Provident Fund account. It provides their personal details like name, address, dates of employment, PAN number, and bank account information. It also includes a certificate from the employer confirming the employee's particulars are correct and approving the settlement of the PF account.

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Ram Shukla
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275 views1 page

PF Withdrawal

The document is a request from an employee to withdraw the amount in their Provident Fund account. It provides their personal details like name, address, dates of employment, PAN number, and bank account information. It also includes a certificate from the employer confirming the employee's particulars are correct and approving the settlement of the PF account.

Uploaded by

Ram Shukla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Date :

From :

To
The Trustees
EIT Services India Private Limted.,
Employees' Provident Fund Trust
Bangalore – 560 100.

Dear Sir,

I would like to withdraw the amount in my Provident Fund Account with you.

I hereby declare that, I have not been employed in any establishment which is covered under the EPF Scheme. The
brief particulars of my employment with EIT Services India Private Limted. Ltd are given below:

1. Name in Full : _______________________________________________________

2. Father’s Name : _______________________________________________________

3. Address for
Correspondence : _______________________________________________________

_______________________________________________________

4. Present Address : _______________________________________________________

_______________________________________________________

5. Date of Joining : _______________________________________________________

6. Date of Leaving : _______________________________________________________

7. Badge No. : _______________________________________________________

8. P.F. Number : ______________________________________________________

9. Reason for leaving : ______________________________________________________

10. PAN : ______________________________________________________

11. Personal Mail ID : ______________________________________________________

12. Contact No. : _______________________________________________________

13. Bank Account No. : ________________________________________________________

14. Bank Name : ________________________________________________________

15. IFSC Code : ________________________________________________________

16. MICR Code : ________________________________________________________


( Two cancelled Cheque leaf of the bank to be attached )

Signature

Certificate by the Employer


The above particulars are correct. You can settle the PF Account.

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