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NPS Contribution Instruction Slip (NCIS)

This document contains an "Annexure NCIS" form for subscribing to the New Pension System (NPS) in India. The 3-sentence summary is: The form collects subscriber details like name and PRAN (Permanent Retirement Account Number), and allows the subscriber to indicate payment details including the amount to be invested in Tier 1 and Tier 2 accounts. Upon receipt, the POP (Point of Presence) provides acknowledgement of the transaction by filling in details like receipt number, amounts received for Tiers 1 and 2, and applicable charges. The subscriber is instructed to refer to the PFRDA website for details on charges and contribution rules for the N
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0% found this document useful (0 votes)
441 views

NPS Contribution Instruction Slip (NCIS)

This document contains an "Annexure NCIS" form for subscribing to the New Pension System (NPS) in India. The 3-sentence summary is: The form collects subscriber details like name and PRAN (Permanent Retirement Account Number), and allows the subscriber to indicate payment details including the amount to be invested in Tier 1 and Tier 2 accounts. Upon receipt, the POP (Point of Presence) provides acknowledgement of the transaction by filling in details like receipt number, amounts received for Tiers 1 and 2, and applicable charges. The subscriber is instructed to refer to the PFRDA website for details on charges and contribution rules for the N
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Annexure NCIS To be used for subscribing under NPS

New Pension System (NPS)


NPS Contribution Instruction Slip (NCIS) - All fields marked with * are mandatory.
Subscriber Details:

Subscriber’s PRAN*: / New Application

Name of the Subscriber* : _____________________________________________________

Are you a Govt. Employee with date of joining pre-1-1-2004 (See instructions at Sr. No 1 & 2) Yes No
Phone No/ Mobile No.: ___________________
Payment Details*:
Cheque/ Cheque/DD Bank Name, Branch & City Amount to be Amount to be Total Amount to
DD/Cash No. (mandatory in case of invested in Tier 1 invested in Tier 2 be invested
Cheque/DD)

Amount to be invested :
Amount (in words): _______________________________________________________________________________________

Instructions:
1. Post 01.01.2004 Govt. employees can contribute only for Tier 2 vide this NCIS.
2. Pre 1st Jan, 2004 Govt. employees , can contribute for both Tier 1 and Tier 2 vide this NCIS
3. Please quote your 12 digit PRAN allotted by Central Recordkeeping Agency (CRA) also on the reverse of the
cheque/DD. In case of new application, please mentioned “New Application” on the reverse of the cheque/DD.
4. Cheque/DD should be drawn in favor of “POP (Name of the POP) Collection Account - NPS Trust” and
crossed A/c payee only. Please ensure sufficient balance is available in the bank account, before submitting the
Cheque.
Signature/Left Thumb Impression
5. Copy of PAN should be enclosed in case of cash contribution of Rs. 50,000 and above. of Subscriber
6. Each contribution i.e. contribution under Tier I and Tier II will be treated as a separate transaction and will be
charged separately. For details of the charge structure, please refer to the PFRDA offer document at
www.pfrda.org.

(To be filled by POP/POP-SP)


Received by: __________________________ POP-SP Registration Number: _______________________

Received at:____________________________ Date:______________ Time Stamp:__________________

Receipt Number
(To be provided by POP-SP)

-------------------------------------------------------------------------------------------------------------------------------------------------------------
(Perforation) - NCIS Acknowledgement to the Subscriber
(To be filled by POP/POP-SP)

POP-SP Registration Number: ______________________ PRAN:

Name of the Subscriber: __________________________________________ Date: __/__/____ Time Stamp: __________

Cheque/DD Number: ______________ Cheque/DD date: ________________ Drawn on: ___________________________

Receipt Number
(To be provided by POP-SP)

1. Amount received Tier I: Rs. 2. Amount received Tier II: Rs.

3. POP Registration Charges (one time): Rs. 4. POP Transaction Charges: Rs.

5. Service Tax (as applicable) : Rs.

6. Amount invested:
Rs.
[(1+2)-(3+4+5)] Signature/Stamp of POP/POP-SP/Place
Each contribution i.e. contribution under Tier I and Tier II will be treated as a separate transaction and will be charged separately. For details of the charge
structure, please refer to the PFRDA offer document at www.pfrda.org.

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