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    GPFCPF Form1

    Uploaded by

    ifcjmusemech

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

    GPFCPF Form1

    Uploaded by

    ifcjmusemech
    0 views1 page

    Original Title

    GPFCPF_Form1

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    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    0 views1 page

    GPFCPF Form1

    Uploaded by

    ifcjmusemech

    Copyright:

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

    FORM 1

    Form to be used by Head of Office for Final Payment/transfer of balances in the


    General/Contributory Provident Fund Account to Autonomous Bodies/Other Governments

    The General Provident Fund/Contributory Provident Fund Account Number of


    Shri/Smt./Km… .……………………….., as certified from the statements furnished to him/her
    from year to year, is ……………………

    2. He/She is due to retire from Government service/ has proceeded on leave preparatory to
    retirement for …………………. months/has been discharged/dismissed/has been permanently
    transferred to …………… /has resigned finally from Government service
    on………………………….

    3. Certified that he/she had taken the following advances in respect of which…………….
    installments of Rs…………………….. each are outstanding.

    Amount of Temporary advances Amount outstanding


    1 ……………………………. ………………………
    2. …………………………… ……………………….
    3. …………………………… ……………………….
    4. …………………………… ………………………..

    4. Details of the withdrawals granted to him/her in the current financial year are also
    indicated below-

    Amount of Final withdrawal Date of withdrawal


    1 ……………………………. ………………………
    2. …………………………… ……………………….
    3. …………………………… ……………………….
    4. …………………………… ………………………..

    5. After adjusting the above withdrawals and advances, an amount of Rs……………


    standing to the credit in his/her Provident Fund Account is appearing in the ledger account.

    6. The final payment be made after verifying the records.

    Signature
    Head of Office

    Forwarded to the Pay and Accounts Office ………………………….. for necessary action.

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