Are you familiar with the NPS Form 102 GP? This form is an essential component of any indoor-air quality standards program. It helps ensure oxygen levels in the workplace remain safe and compliant according to National Fire Protection Association (NFPA) guidelines. That's why it's so important for businesses, schools, hospitals and other organizations to understand how this document works, potential pitfalls associated with its use, as well as best practices when submitting a completed NPS Form 102 GP. In this blog post, we'll dive deeper into what this form covers and why it’s given such high importance to maintain air quality in your building or facility.
| Question | Answer |
|---|---|
| Form Name | Nps Form 102 Gp |
| Form Length | 6 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min 30 sec |
| Other names | nps filled form sample for government employees, gp fund form for nps employees, canmore gp 102 gps software, nps superannuation withdrawal form pdf |
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ANNEXURE A1 |
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Form |
Page 1 |
National Pension System (NPS)
Withdrawal Form for Claim of Accumulated Pension Wealth on exiting before the age of normal
superannuation for Government Employees
(To be filled in by Subscriber - Please fill all the details in CAPITAL LETTERS & in BLACK INK only.)
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(FOR OFFICE PURPOSE |
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Date : |
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Acknowledgement Number : |
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Self attested |
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photograph of the |
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(DD/MM/YYYY) |
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(Generated by CRA) |
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subscriber |
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DDO Registration No.:___________________ |
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Receipt Number issued by receiving office: |
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Entered By: ___________________ Date: ________________ Verified By: ______________Date: ___________ |
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Sir/Madam,
I hereby submit a request for withdrawal under NPS for both
Section A – Subscriber’s Personal Details:
1. PRAN *:
2.Full Name (As in PRAN Card) *: First Name*
Middle Name
Last Name
3.Father’s/Spouse name*: First Name*
Middle Name
Last Name
4. Address*:
Flat/Unit No, Block no.*
Name of Premise/Building/Village
Area/Locality/Taluka
District/Town/City*
State / Union Territory*
Country*
Pin Code* |
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5. Mobile No. |
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6. Date of Birth*(As in PRAN Card): |
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7. Email ID: |
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7. Date of resignation*: |
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Form |
Page 2 |
Section B – Subscriber’s Withdrawal Details:
Tier – I Account:
1.The
General Instruction no.4)
Description |
Amount to purchase life annuity |
Total |
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(Maximum of 20%) |
(Minimum of 80%) |
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% share |
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100% |
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Note: A separate form needs to be filled in for purchase of Annuity and for arranging the monthly pension/annuity. The subscriber is required to follow the procedure laid down by Annuity Service Provider (ASP)
Tier – II Account:
The entire accumulated pension wealth would be paid out in single lump sum along with the withdrawal/payment of the
Section C – Subscriber’s Bank Details:
1. For Electronic transfer or Direct Credit through ECS/NEFT/RTGS, Proof attached for Bank Details*:
Cancelled Cheque
Bank Certificate
(Please note that Mode of remittance of funds would be through ECS/NEFT/RTGS/Electronic Transfer only and bank charges, if any, for direct credit would be deducted from pension wealth)
2.Type of Bank Account*: Savings A/c
3.Bank A/c Number*
Current A/c
4.Bank Name*
5.Bank Branch*
6.Bank Address*
7. Pin Code*
8. Bank IFS Code*
9. Bank MICR Code (Wherever applicable)
Section D – Subscriber’s Annuity Details:
1. Annuity Service Provider (ASP) Name *:
2. ASP ID *:
3. ASP Scheme Name *:
4. ASP Scheme ID *:
Declaration:
I_______________________________________, NPS Subscriber, my PRAN is ______________________
do hereby declare that the information provided above is true to the best of my knowledge and belief.
Date :
D D M M Y YYY
Signature/Left Thumb
Impression of the Subscriber
*Note: Left thumb impression in case of illiterate male claimants and Right thumb impression in case of illiterate female claimants must be obtained.
Form |
Page 3 |
|
Annexure for Nomination Details |
INSTRUCTIONS FOR FILLING IN THE FORM
The details of nominees to whom the outstanding pension wealth of the subscriber is payable in case of the demise of the subscriber before entire proceeds are withdrawn (Please refer general instruction no: 6) is to be provided hereunder. Also, please note that in case of demise of the subscriber after opting for phased withdrawal, all the outstanding pension wealth out of the phased lump sum withdrawal in the account of the subscriber will be paid to the nominee(s) as mentioned in this form and the same would be treated as full and final discharge of the obligation. In case, if you wish to appoint multiple nominees, please fill in the form
I, ____________________________________ hereby nominate the person(s) mentioned below who is/are member(s)/non -
member(s) of my family to receive the amount that may stand to my credit in the National Pension System as indicated below, in the event of my death before that eligible accumulated pension wealth amount has become payable or having become payable or having become payable has not been paid.
1. Name of the Nominee:
First Name*
Middle Name
Surname/last name
2.Nominee’s current communication Address*:
Flat/Unit No, Block no*_____________________________________________________________________
Name of Premise/Building/Village ____________________________________________________________
Area/Locality/Taluka___________________________ ____________________________________________
District/Town/City*________________________________________________________________________
State / Union Territory*_____________________________________________________________________
Country*______________ Pin Code*____________ Email ID:________________________________________ Mobile No.:___________
3. Date of Birth of the Nominee* (Only in case of a minor):
4. Relationship of the nominee with the Subscriber*:
(e.g. If nominee is son, subscriber should fill the relationship as ‘Son’)
5. Nominee’s Guardian Details*(only in case of a minor):
First Name*
Middle Name
Last Name
Dated this ______________day of____________20 |
at ______________. |
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in the presence of the following witnesses: |
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Particulars |
1st Witness |
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2nd Witness |
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Name |
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Address |
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Signature |
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Signature/Left Thumb
Impression of the Subscriber
*Note: Left thumb impression in case of illiterate male Subscriber and Right thumb impression in case of illiterate female subscriber must be obtained.
Form
TO BE FILLED/ATTESTED BY
Certified that the above declaration and nomination details have been signed / thumb impressed before me by Sh/Smt/Ms________________
____________________________after he / she have read the entries / entries have been read over to him / her by me and got confirmed by him /
her. Also certify that the date of relieving is as per employee records available with the Department. The date of subscriber as per government/employer record is as given below:
D D M M Y Y Y Y
Rubber Stamp of the
Signature of the Authorised Person
Designation of the Authorised Person : _______________________ |
(Allotted by CRA)
Date :
D D M M Y YYY
TO BE FILLED/ATTESTED BY
___________________________________________________________
Rubber Stamp of the
Signature of the Authorised Person
Form |
Page 5 |
CLAIM FOR THE WITHDRAWAL OF ACCUMULATED PENSION WEALTH OF THE
SUBSCRIBER UNDER NATIONAL PENSION SYSTEM
Advanced Stamped Receipt
_________________________________covered under the National Pension System with Permanent Retirement Account
Number (PRAN) _____________________ has received a sum of Rs.________________/-
(Rupees________________________________________________________________only) from National Pension System /
National Pension System Trust by deposit in my Saving Bank / Current Account towards the settlement of my National Pension System (NPS) account.
Affix 1 Rupee Revenue Stamp and sign across
Signature or Left/ Right hand thumb impression of the NPS Subscriber*
(*Note: Left thumb impression in case of illiterate male claimants and Right thumb impression in case of illiterate female claimants must be obtained.)
ACKNOWLEDGMENT RECEIPT
Acknowledgment slip to the NPS Subscriber on receipt of completed application form for Withdrawal on
exiting before the age of normal superannuation
(To be filled by
Received from PRAN :
DDO Registration Number : _____________________
Received at: _________________________ Date : ____________________________ |
Time: __________________ |
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Acknowledgement Number : |
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(Generated by CRA) |
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Form |
Page 6 |
INSTRUCTIONS FOR FILLING UP THE FORM
This application should be filled by the Subscriber seeking to withdraw pension wealth benefits before
attaining the age of normal superannuation from Government Service
Documents to be enclosed along with this application:-
1.PRAN card in original. In case PRAN card is not available, the subscriber needs to submit a duly notarized Affidavit as to the reasons of
2.Cancelled cheque (containing Subscriber Name, Bank Account Number and IFS Code) or Bank Certificate Containing Name, Bank Account Number and IFSC code, for direct credit or electronic transfer.
3.A
4.In addition to the PRAN card any other Identification and address proof of the subscriber. The photocopies of documents (Sr. No. a to i) and original document (Sr. No. j) that can be provided as identification and address proof are as mentioned below:
a)Ration Card with photograph of the subscriber and residential address
b)Bank Passbook with photograph and residential address
c)Credit Card with photograph, any other address proof like latest telephone bill, electricity bill in the name of the subscriber.
d)Passport
e)Aadhar Card issued by UIAD
f)Voter’s Photo Identity Card with residential address
g)Driving license with photograph and residential address
h)PAN card and any other address proof like latest telephone bill, electricity bill in the name of the subscriber.
i)Final relieving certificate from government service on superannuation, if the application for withdrawal is submitted through the Points of Presence (POP).
j)Certificate of identity with photograph signed by a Member of Parliament or Member of Legislative Assembly or Municipal Councilor or a Gazetted Officer and any other address proof like latest telephone bill, electricity bill in the name of the subscriber (to be provided original)
In case if the address is not present on any of the above documents or differs with address provided in this form, proof in respect of current residential address like latest telephone bill, electricity bill in the name of the subscriber should be submitted.
GENERAL INSTRUCTIONS:
1.All the columns in the form should be filled with black ink pen without any overwriting.
2.Fields marked with (*) are mandatory.
3.Correct postal address, including the pin code should be provided.
4.Percentage of allocation for amount to be withdrawn as
5.Instructions for nomination
Subscriber can nominate maximum of three nominees. Subscriber cannot fill the same nominee details more than once.
Percentage share value for all the nominees must be integer. Fractional value will not be accepted.
Sum of percentage share across all the nominees must be equal to 100. If sum of percentage is not equal to 100, entire nomination will be rejected.
If a nominee is a minor, then nominee’s guardian details will be mandatory
For the purpose of this document Pension Wealth means: The total amount of contributions made by the subscriber in the scheme plus the investment income derived from the investment of the contributions made by the subscriber from the date of joining of National Pension System till the date of execution of withdrawal request in the CRA System.