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    PF Withdrawal Form

    Uploaded by

    Sankalp Bhardwaj
    The document is a Provident Fund withdrawal form requesting settlement of PF accumulation. It contains fields for the member to provide personal details like name, employee code, PAN, date of birth, date of joining, date of leaving, reason for leaving, address, mobile number, email, and bank account details. It notes that PF settlement will be credited to the member's HDFC bank salary account by default. It also notes that tax will be levied if membership is less than 5 years and the member's previous employment will only be considered if the PF was transferred. The member certifies that the provided details are true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    PF Withdrawal Form

    Uploaded by

    Sankalp Bhardwaj
    47 views1 page
    The document is a Provident Fund withdrawal form requesting settlement of PF accumulation. It contains fields for the member to provide personal details like name, employee code, PAN, date of birth, date of joining, date of leaving, reason for leaving, address, mobile number, email, and bank account details. It notes that PF settlement will be credited to the member's HDFC bank salary account by default. It also notes that tax will be levied if membership is less than 5 years and the member's previous employment will only be considered if the PF was transferred. The member certifies that the provided details are true.

    Original Title

    PF_Withdrawal_Form

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    The document is a Provident Fund withdrawal form requesting settlement of PF accumulation. It contains fields for the member to provide personal details like name, employee code, PAN, date of birth, date of joining, date of leaving, reason for leaving, address, mobile number, email, and bank account details. It notes that PF settlement will be credited to the member's HDFC bank salary account by default. It also notes that tax will be levied if membership is less than 5 years and the member's previous employment will only be considered if the PF was transferred. The member certifies that the provided details are true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    47 views1 page

    PF Withdrawal Form

    Uploaded by

    Sankalp Bhardwaj
    The document is a Provident Fund withdrawal form requesting settlement of PF accumulation. It contains fields for the member to provide personal details like name, employee code, PAN, date of birth, date of joining, date of leaving, reason for leaving, address, mobile number, email, and bank account details. It notes that PF settlement will be credited to the member's HDFC bank salary account by default. It also notes that tax will be levied if membership is less than 5 years and the member's previous employment will only be considered if the PF was transferred. The member certifies that the provided details are true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Provident Fund Withdrawal Form

    The Trustees, Dated: ___________


    HDFC Bank Limited Covered Employees Provident Fund Trust
    Finance – PAD, Lodha - I Think Techno Campus, Building - Alpha, 8th Floor,
    Next to Kanjur Marg Railway station (E ), Mumbai - 400042.

    Dear Sir,
    I hereby request you to settle my PF Accumulation and credit the same into my HDFC Bank Salary
    Saving Bank A/c after making deductions as may be authorized under the Income Tax Act 1961.
    Name of Member
    Father’s / Spouse Name
    Employee Code No. PF A/c No.
    Date of Birth DD/MM/YYYY Date of Joining DD/MM/YYYY
    Date of Leaving DD/MM/YYYY Reason of Leaving
    PAN No. (10 Digit) Mobile No.

    Member Address

    Email id ( Personal )

    I declare that I have not been employed in any factory or other establishment to which the
    Employees’ Provident Funds and Miscellaneous Provisions Act, 1952 applies for a continuous period
    of not less than 2 months immediately preceding the date of my application for final withdrawal of
    my provident fund money.

     Please note PF settlement will be credited to members HDFC Bank’s salary account
    by default.
     In case your salary account is closed, kindly provide alternate bank account details along
    with a copy of cancelled cheque.
    Beneficiary Name
    Bank Name
    Bank Account No IFSC Code

     There is tax levied in case your membership is less than 5 years. Membership with previous
    employer will be considered only if the same has been transferred to HDFC BANK Ltd Covered
    Employees Provident Fund Trust. Please note that as per the provisions contained in the
    Provident Fund Act, it is advisable to transfer the PF accumulations to your current employer.
    In case you wish to withdraw, the same will be settled after a break of 60 days from the date
    of separation please.

    I certify that the particulars given above are true to the best of my knowledge.

    (SIGNATURE OF MEMBER)
    Advance Stamped Receipt
    Received with thanks form HDFC Bank Ltd Covered EPF Trust a sum of Rs. ____________ (Rupees
    -----------------------------------) vide Cheque No. / Fund Transfer/ NEFT _______dated _______ towards
    full & Final Settlement of all my Provident Fund dues.

    Affix Re. 1
    Revenue
    Stamp

    (SIGNATURE OF MEMBER)

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