Form - 10 Employees Provident Fund Organisation: Date: Place Authorised Signatory For VHPL

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Form - 10

Employees Provident Fund Organisation

THE EMPLOYEES' PROVIDENT FUND SCHEME, 1952 [Paragraph 36 (2)(A) & (B)] THE EMPLOYEES' PENSION SCHEME, [Paragraph 20(2)]

Returns of members leaving service during the month of : Jun-2018

Code No :

Sl Account No. Name of the Member Father's Name (Or Husband 's Date Of Reasons for Leaving
No Name in case of married leaving service Remarks
women) Service

Date : : For vhpl

Place :

Authorised Signatory

You might also like