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Proforma For Application For Withdrawal From General Provident Fund/Contributory Provident Fund

GFP WITH DRAWAL FORM

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ksshiv
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17 views

Proforma For Application For Withdrawal From General Provident Fund/Contributory Provident Fund

GFP WITH DRAWAL FORM

Uploaded by

ksshiv
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PROFORMA FOR APPLICATION FOR WITHDRAWAL FROM

GENERAL PROVIDENT FUND/CONTRIBUTORY PROVIDENT FUND

1. Name of the subscriber :


2. Account Number :
3. (with Departmental suffix)

3. (a) Designation :

(b) Section/ Branch :

4. Basic Pay :
5. Date of joining service :
6. Date of superannuation :
7. Balance of credit of the subscriber :
on the date of application
8. (a) Amount required as withdrawal :
(b) Is the application made under
Rule 15(I) (C ), that is one year
before the date of superannuation?
(c )If no, purpose for which the
Withdrawal is required.
9. Whether any withdrawal was :
taken for the same purpose earlier

Dated:

Name:
Designation:
IRLA :
Office:

Part-II
(To be filled in by the Head of Office)
1) Balance at credit of the subscriber on the date of application is given below:-
(i) Closing balance as per statement for the year ___-____
(ii) Credit from ___ to ________on account of Rs.
Monthly subscription @Rs._______ Per month
(iii) Refunds Rs.
(iv) Amount of advance outstanding Rs.
(v) Withdrawals during the period Rs.
from March 2024 to July 2024
(vi) Net balance at credit Rs.

2. Purpose for which advance taken : N/A


3. It is certified that the amount of withdrawal exceeds/does not exceed six months
pay of the applicant or half the amount of his /her credit/subscription in the _______,
whichever is less/ three-fourths of the amount of the credit/subscription of the application
in the Fund account.

4. It is certified that the applicant is within 10 years of his retirement on


superannuation/ has completed _______ of his Governments service on

5. It is also certified that total amount drawn, including the withdrawal from the
Provident Fund, from all Government sources by the applicant for house building purposes
does not exceed the maximum limit prescribed from time to time under Rules 2(a) and 23(b)
of the scheme of the Ministry of Works and Housing for grant of advances for house building
purposes.

Note: strike out which is not relevant

Name & stamp of


Drawing & Disbursing officer

Part-III
(To be filled by the Administrative Office)

Comments/recommendations/ orders on the application for withdrawal from Provident


Fund.

Signature

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