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    Lalita Joshi Pansion

    Uploaded by

    Deepak Pandey Deeps
    This document is a UAN-based combined claim form submitted online for pension fund withdrawal. It provides details of the applicant such as name, UAN number, date of joining and leaving service, PAN, and bank account details. The applicant certifies that the data on the UAN portal including form 11, bank account details, and Aadhaar number are correct.

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

    Lalita Joshi Pansion

    Uploaded by

    Deepak Pandey Deeps
    21 views2 pages
    This document is a UAN-based combined claim form submitted online for pension fund withdrawal. It provides details of the applicant such as name, UAN number, date of joining and leaving service, PAN, and bank account details. The applicant certifies that the data on the UAN portal including form 11, bank account details, and Aadhaar number are correct.

    Original Title

    10090302041204001 lalita joshi pansion

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    This document is a UAN-based combined claim form submitted online for pension fund withdrawal. It provides details of the applicant such as name, UAN number, date of joining and leaving service, PAN, and bank account details. The applicant certifies that the data on the UAN portal including form 11, bank account details, and Aadhaar number are correct.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    21 views2 pages

    Lalita Joshi Pansion

    Uploaded by

    Deepak Pandey Deeps
    This document is a UAN-based combined claim form submitted online for pension fund withdrawal. It provides details of the applicant such as name, UAN number, date of joining and leaving service, PAN, and bank account details. The applicant certifies that the data on the UAN portal including form 11, bank account details, and Aadhaar number are correct.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Submitted online at UAN e-seva portal on 2023-08-26 20:19:26 (IP Address:27.60.81.32) www.epfindia.gov.

    in

    deZpkjh Hkfo"; fuf/k ;kstuk] 1952


    EMPLOYEES' PROVIDENT FUND SCHEME,1952
    EMPLOYEES' Pension Scheme,1995
    UAN Based Combined Claim Form 19/10C WB/31 for Advances/PF Final Settlement/Pension Fund Withdrawal
    (mu ekeyksa esa ykxw tgka QkeZ 11(u;k)esa deZpkjh dk iwjk fooj.k] vk/kkj la[;k vkSj cSad [kkrk la[;k ;w-,-,u- iksVZy vkSj ij
    miyC/k gS rFkk ;w-,-,u- esa lfØ; gSA)
    (Applicable in cases where employee's complete details in Form 11(New),Aadhaar Number and Bank
    Accounts details are available on UAN Portal and UAN has been activated.)
    Mobile Number / eksckby uacj - 8960297740
    1. I want to apply for Pension Fund Withdrawal
    2. Universal Account Number(UAN) / ;wfuolZy [kkrk la[;k 100903020412
    3. Name of the member LALITA JOSHI

    4. Date of Joining 01-Nov-2015


    5. Date of Leaving Service/ NksM+us dk fnukad 21-Jun-2021
    6. Reason of Leaving Service/ lsok NksM+us dk dkj.k CESSATION (SHORT SERVICE) - Any other
    reason

    7. Permanent Account number / LFkk;h [kkrk la[;k AUHPJ2772M

    8. Payee Address 548/267 surya nagar manak


    nagar,lucknow,LUCKNOW,UTTAR
    PRADESH-226011

    * eSa çekf.kr djrk gw¡ fd eSaus ;w , ,u iksVZy ij lhM MkVk dks Hkyh Hkk¡fr ns[k fy;k gS rFkk QkeZ u- 11( u;k ) cSad [kkrk fooj.k vkSj vk/kkj
    la[;k lfgr lHkh MkVk lgh ik;k x;k gSA
    * I certify that I have gone through the data seeded in UAN Portal and found all data including Form No.11
    (New) , bank account details and Aadhar Number to be correct
    Father/Husband/Spouse Name: PRAKASH JOSHI Date Of Birth: 07-May-1979
    Bank Account Number 302202010708090 Bank IFSC Code UBIN0577111
    Bank Details UNION BANK OF INDIA,ANORA
    Aadhaar 42XXXXXXXX77
    Member ID UPLKO14504120000000053
    * —i;k ;w-,-,u-iksVZy ij n'kkZ, x, cSad [kkrs esa Hkqxrku djsaA
    * Please make payment in the bank account mentioned in the UAN portal .
    UAN - 100903020412 Tracking ID - 10090302041204001

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