Pf Nomination Declaration Form PDF Details

The Pf Nomination Declaration form, known formally as Form 2 Revised, serves a critical function within the framework of employee welfare in India, specifically under the Employees Provident Funds and Employees Pension Schemes. A meticulous document, it delineates the procedure for employees in both exempted and unexempted establishments to declare their nominations for the receipt of funds and pension posthumously. The form facilitates employees in earmarking nominees for two distinct benefits: the Employees Provident Fund (EPF) under Paragraph 33 and 61 (1) of the Employees Provident Fund Scheme 1952, and the Employees Pension Scheme (EPS) under Paragraph 18 of the Employees Pension Scheme 1995. Essential employee details such as name, date of birth, account number, and marital status form the preliminary section. Following this, the form bifurcates into Part A for EPF, where employees can nominate individuals to receive the accumulative provident fund in the event of the employee's demise, detailing the nominee's relation, share, and guardian details for minor nominees. In contrast, Part B focuses on EPS, allowing employees to list family members eligible for a widow/children pension or nominate a person for receiving a monthly widow pension, should there not be any family member qualified. The form underscores the importance of updating nominations upon the acquisition of a family or changes in the beneficiary circumstances, highlighted through certifications. An employer's certification at the conclusion verifies the employee's declarations, ensuring the form's authenticity and compliance.

QuestionAnswer
Form NamePf Nomination Declaration Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesnomination declaration form, pf form 2 word format, form 2 pf, form 2 pf in word

Form Preview Example

(FORM 2 REVISED)

NOMINATION AND DECLARATION FORM FOR UNEXEMPTED/EXEMPTED ESTABLISHMENTS

Declaration and Nomination Form under the Employees Provident Funds and Employees Pension Schemes

(Paragraph 33 and 61 (1) of the Employees Provident Fund Scheme 1952 and Paragraph 18 of the Employees

Pension Scheme 1995)

1. Name (IN BLOCK LETTERS) : _______________________________________________________________________________

 

Name

Father’s / Husband’s Name

Surname

2.

Date of Birth : ___________________

3. Account No. ___________________

 

4.

*Sex : MALE/FEMALE: ______________________ 5. Marital Status ________________________________________

6.Address Permanent / Temporary : _____________________________________________________________________________

________________________________________________________________________________

PART – A (EPF)

I hereby nominate the person(s)/cancel the nomination made by me previously and nominate the person(s) mentioned below to receive the amount standing to my credit in the Employees Provident Fund, in the event of my death.

Name of the Nominee (s)

Address

Nominee’s

relationship with

the member

Date of

Birth

Total amount or share of

accumulations in

Provident Funds to be paid to each nominee

If the nominee is minor name and address of the guardian who may receive the amount during the minority of the nominee

1

2

3

4

5

6

1*Certified that I have no family as defined in para 2 (g) of the Employees Provident Fund Scheme 1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled.

2.* Certified that my father/mother is/are dependent upon me.

Strike out whichever is not applicable

Signature/or thumb impression

 

of the subscriber

PART – (EPS)

Para 18

I hereby furnish below particulars of the members of my family who would be eligible to receive Widow/Children Pension in the event of my premature death in service.

Sr. No

Name & Address of the Family Member

Age

Relationship with the member

(1)

(2)

(3)

(4)

Certified that I have no family as defined in para 2 (vii) of the Employees’s Family Pension Scheme 1995 and should I acquire a family hereafter I shall furnish Particulars there on in the above form.

I hereby nominate the following person for receiving the monthly widow pension (admissible under para 16 2 (a) (i) & (ii) in the event of my death without leaving any eligible family member for receiving pension.

Name and Address of

the nominee

Date of Birth

Relationship with member

Date ___________________

Signature or thumb impression of the subscriber

____________________________________________________________________________________________________________

CERTIFICATE BY EMPLOYER

Certified that the above declaration and nomination has been signed / thumb impressed before me by Shri / Smt./ Miss_________________________________________________________________ employed in my establishment after he/she has

read the entries / the entries have been read over to him/her by me and got confirmed by him/her.

Date : _____________________

Signature of the employer or other authorised officer of the

 

establishment

Place :

Name & address of the Factory /Establishment

Date :

How to Edit Pf Nomination Declaration Form Online for Free

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This PDF form requires particular information to be filled in, hence you should definitely take some time to type in precisely what is asked:

1. Whenever filling out the pf form 2 word format, ensure to incorporate all essential blanks within the associated area. This will help facilitate the work, making it possible for your details to be processed efficiently and correctly.

Step # 1 of submitting nomination and declaration form 2 filled sample

2. Now that the last segment is complete, you're ready include the essential particulars in Certified that I have no family as, Certified that my fathermother, Strike out whichever is not, Signatureor thumb impression, of the subscriber, I hereby furnish below particulars, PART EPS, Para, Sr No, Name Address of the Family Member, Age, and Relationship with the member so you're able to move on to the next step.

Filling in section 2 of nomination and declaration form 2 filled sample

As to Relationship with the member and of the subscriber, ensure that you review things here. These could be the key fields in this PDF.

3. This next step is relatively uncomplicated, Name and Address of, the nominee, Date of Birth, Relationship with member, and Date - each one of these fields will have to be filled in here.

Date, the nominee, and Relationship with member in nomination and declaration form 2 filled sample

4. Completing Certified that the above, Miss employed in my establishment, read the entries the entries have, Date, Name address of the Factory, Signature of the employer or other, Place, and Date is essential in this part - be sure to take your time and fill in each blank!

Step no. 4 for filling in nomination and declaration form 2 filled sample

Step 3: Spell-check the information you have typed into the blanks and then press the "Done" button. Try a free trial plan with us and obtain immediate access to pf form 2 word format - accessible inside your personal cabinet. We don't share or sell any details that you type in whenever filling out forms at our website.

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