EPFO Higher Pension Option Form 10 (3) - Compressed
EPFO Higher Pension Option Form 10 (3) - Compressed
EPFO Higher Pension Option Form 10 (3) - Compressed
1 Name of Employees
2 UAN No.
EPF A/c No.
3
Name of
Establishment
4
5 PF Code No.
Mobile No.
6
Email :
7 Aadhaar No.
--2--
Declaration by the Employee
I, …………………………………………………………………, being an employee of the
establishment ( unexampled establishment / exempted establishment)
as well as member of the EPFS,1952 & EPS,1995, hereby opt to
contribute the Pension Fund on higher /actual basic wages , and
exercising option as per paragraph 10(3) of the Employees’ Pension
Scheme,1995 read along with paragraph 10(4) of the EPS,2014.
I further hereby authorize the EPFO / exempted establishment that for
the previous period of my employment (member of the fund), the PF
Contribution which was deducted for earlier period on actual basic
wages/salary and subsequently, the same was remitted in Account
No.01 and Account No.010 ( up to the statutory limit i.e. Rs.6500 or
Rs.15000 ) , be adjusted by debit /credit system i.e. from Account
No.01 to Account No.10.
Place
Date:
Signature of Employee
Name and Address:
I hereby certify that the particulars furnished are correct as per the
records of the personal file, and the documents presented by the
employees , and declared thereof for verification.
Place
Date: