Employees Provident Fund 1952 PDF Details

The Employees Provident Fund (EPF) Scheme, 1952, plays an essential role in the financial planning and security of employees across various sectors. Designed to foster savings for retirement, the EPF scheme requires meticulous attention when submitting Form-19 for the withdrawal of funds. This form gathers comprehensive details about the employee, including their name, the name of their father or spouse in the case of a married woman, and the specifics of their employment such as the name and address of the establishment, account number, and the date of service termination along with the reason for leaving. Additionally, it addresses the mode of remittance opted by the employee for receiving the provident fund amount, be it by postal money order or a direct account payee cheque to their savings bank account. Employers also play a crucial part, as they must attest to the accuracy of information regarding the contributions made to the fund during the employee's tenure with the establishment. A declaration of non-employment is required under certain conditions, pointing to the scheme's preventive measures against premature withdrawal unless specific criteria are met. Furthermore, an advance stamped receipt section underscores the official nature of the transaction, creating a transparent and traceable process for both parties involved. Completing and submitting this form correctly is pivotal for employees seeking to claim their provident fund contributions, marking a critical financial step towards securing their retirement. Understanding the intricacies of Form-19 not only simplifies this process but also ensures that employees can effectively manage their contributions to the EPF scheme.

QuestionAnswer
Form NameEmployees Provident Fund 1952
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform 19 pdf download, pf form 19 download, form 19 download pdf, form 19 in epfo download

Form Preview Example

Regn. No....................................

Employees' Provident Fund Scheme, 1952

Form-19

(Refer to instruction)

1.Name of the members in Block Letters.

2.Father's Name or (husband's Name in the case of married woman)

3.Name & Address of the Factory/Establishment in which the member was employed.

4. Account No.:…………………….DL.

/

5.Date of leaving service

6.Reason for leaving service

7.

Full Postal Address (in Block Address)

Shri/Smt./Kum

 

 

...................................................

 

 

 

S/O/W/O/D/O

 

 

....................................................

 

 

 

Pin :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

Mode of remittance

Put a tick ( Ö ) in the box against the one opted

 

 

 

 

 

 

 

 

 

 

 

(a)By Postal Money Order at my cost.

(b)By account payee cheque sent Direct for credit to my S.B. A/c (Scheduled Bank/P.O.) Under intimation to me.

(

)

To the address given against item No. 7

(

)

S.B. Account No

 

 

Name of the Branch

 

 

Branch

 

 

Full address of the branch

(Advance Stamped Receipt furnished)

Certified that the particulars are true to the best of my knowledge.

Date of joining of Establishment.........................................................................

Date of Birth ......................................................................................................

Contribution for the Current Financial Year.

 

 

 

 

 

 

Period of

 

 

 

 

 

 

Period of break

 

Month

 

Contribution

break if any

 

Month

 

Contribution

 

if any

 

 

Employee

Employers

Total

 

 

 

Employee

Employers

 

Total

Month

Wages

 

 

 

 

 

 

 

Month

Wages

 

 

 

 

 

 

 

 

 

EPF

FP

EPF

FP

EPF

 

FP

 

 

EPF

FP

EPF

FP

EPF

 

FP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

( information to be furnished by the Employer if the Claim Form is Attested by the Employer)

Certified that the above contributions have been included in the regular monthly remittances.

The Applicant has signed/Thumb impressed before me.

............ .....................................................

Signature of Left/Right hand thumb impression of the member

Date......................................

Designation & Seal

Encl.

Declaration of non-employment

Note:- In the case of submission of application for settlement under clause (s) of sub-paragraph (i) and in clause (b) of sub-paragraph (2) of paragraph 69 of the EPF Scheme, 1952, the claim should be submitted after two months from the date of leaving service provided the member continues to remain unemployed in an establishment to which the Act applies.

Date

Signature or Left / Right hand thumb impression of the member

 

 

ADVANCE STAMPED RECEIPT (To be furnished only in case of 8 (b) above)

Received a sum of Rs. ....................(Rupees .......................................................... .......................... from

Regional Provident Fund Commissioner / Officer-in-Charge of Sub-Accounts Office ..........................................

by deposit in my Savings Bank account towards the settlement of my Provident Fund Account.

The space should be left blank which shall be filled in by Regional Provident Fund Commissioner/Officer in-Charge of S.A.O.

Affix 1/- Rupee

Revenue

Stamp

Signature orLeft / Right hand thumb impression of the member

(For the use of Commissioner's Office)

A/C Settled in part/Full Entered in F. 21-A/24/219 & withdrawal register.

 

Clerk

Section Supervisor

P.I.No.-------------------------------------------------------------------------

M.O./Cheque ----------------------------------

Account No. -----------------------------

Section

------------------------ passed for payment for Rs.-------------------

¼in words)-------------------------------------------------------------------------------------------------------------------------------

M.O. Commission (if any) AOC/APFC-----------------------------------

Net Amount to be paid by M.0……………………………Date………………..

 

(For use in Cash Section)

 

Paid by inclusion in Cheque No

............................

date

vide Cash Book (Bank) Account No.3 Debit Item No

HC

 

AC / RC

 

 

 

 

Remarks

 

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portion of fields in form 19 pdf

The system will expect you to submit the Certified that the particulars are, Date of joining of Establishment, Date of Birth, Contribution for the Current, Month, Contribution, Period of break if any, Month, Contribution, Period of break if any, Month, Wages, Month Wages, Employee, and Employers part.

Filling in form 19 pdf part 2

It's important to provide some data in the space ADVANCE STAMPED RECEIPT To be, Received a sum of Rs Rupees from, The space should be left blank, inCharge of SAO, Affix Rupee Revenue Stamp, Signature orLeft Right hand thumb, For the use of Commissioners Office, AC Settled in partFull Entered in, Clerk, Section Supervisor, PINo MOCheque Account No Section, and For use in Cash Section.

form 19 pdf ADVANCE STAMPED RECEIPT To be, Received a sum of Rs Rupees   from, The space should be left blank, inCharge of SAO, Affix  Rupee Revenue Stamp, Signature orLeft  Right hand thumb, For the use of Commissioners Office, AC Settled in partFull Entered in, Clerk, Section Supervisor, PINo MOCheque  Account No  Section, and For use in Cash Section blanks to fill out

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