Anx B

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

ANNEXURE-B

JOINT OPTION UNDER THE EMPLOYEES' PENSION SCHEME, 1995


(For Sepa,adEmployees on or after 1• September 2014)

To

The Regional PF Commissioner,


EPFO, Bengaluru (Central)
Bhavishya Nldhl Bhavan,
No. 13, Raja Ram Mohan Roy Road,
Bengaluru - 560025.

Sublfcti Joint Option under the Para 11(3) and Para 11(4) of Employ. . .• Pen1lon Scheme,
1995, baaed upon the Hon'ble Supreme Court Order dated 04.11.2022 In SLP (C) No,. 8658-
8151 of 2019 and EPFO Circular vlde No. PenI1on/2022/51259/11541 dated 20.02.2023

In line with Paras 43 & 44(11) & 44(Iv) of the Judgment dated 04.11.2022 of the Hon'ble
Supreme Court of India and EPFO Circular vlde No. Pension/2022/56259/16541 dated
20.02.2023, eligible employees are required to submit Joint Option under erstwhlle Para 11 (3) &
11 (4) of EPS, 1995 within a period of 4 months from the date of Judgement.

2. Considering that no Format for Joint declaration has yet been finalized by EPFO, In
pursuance of Formats issued by various ROs/EPFO in the years 2017 & 2018 while Implementing
the RC Gupta Judgment. we (Ex-employee and employer) are hereby submitting Joint Option
Form as required under erstwhile Para 11(3) & 11(4) ofEPS, 1995, for claiming pension on actual
salary Instead of the wage/salary ceiling limit as prescribed under the EPF Act, 1952 from time
to time. However, currently the celling limit Is Rs 15,000/- p.m .

3. Partfcyff[I pf th• troRIRYU " ' " yndt[j


1 Name

2 Employee Number (E. No.)

3 UAN

4 EPFAC. No.

5 EPS AC. No. (Optional)

6 Date of Joining

7 Date of Leaving

8 Aadhaar No.

9 Mobile No.
10 E-mail Id.

11 Full Postal Address

Pension Payment Order No.


12
(PPO No)
Date of attaining the age of 58
13
years

14 Date of Actual Superannuation

Name of Pension disbursing


15
Bank & Branch
Bank AC. No. with IFSC code &
16 MICR No. where pension is
being credited

Ptclf[ltlon by EroP!om
It Is certified that from the date of Joining Bosch Limited, I have been contributing towards
the Provident Fund on my actual wage/salary and an equal amount used to be contributed to my
PF by the employer also as provided under Para 26(6) of EPF Scheme, 1952. It Is to further
certify that an amount @8.33% of the statutory celling limit i.e., Rs. 15,000/- pm (earlier Rs. 5,000
/ 6500) out of the Employer's Contribution has been remitted by my employer every month towards
EPS, 1995 since 16.11 .1995 or from the date of my Joining, whichever is later.

2. Since I have already withdrawn the entire amount of Provident Fund on my retirement/
resignation / EVRS, etc. I am ready to return / pay back the due differential amount (after
adjusting the amount already transferred to the Pension fund up to the prescribed wage celling
under the Act) from the date of Joining EPS, 1995 till my attaining the age or 58 years I resignation
etc. with due interest and additional 1.16% to make me eligible for drawing pension based on
actual salary/wages instead of on the salary/wages fixed as per prevailing ceiling under the Act,
In accordance with the aforesaid judgment.

3. I also undertake that in case my corpus/balance in PF Account (employer's) is Insufficient


to meet the aforesaid requirement, I am ready to pay the differential amount thus making me
eligible for drawing pension based on actual salary/wages instead of on the salary/wages as per
prevailing ceiling under the Act, in accordance with the aforesaid judgment.

4. I understand that the Joint Option Form submitted by me shall be subject to acceptance
by EPFO. I further understand that the Option exercised is Irrevocable at any later date, and no
claim for change of Option shall be entertained or considered under any circumstances.

5. I undertake that the Option exercised herein is subject to the EPFO instructions /
guidelines / directives / amendments of the scheme that may be issued from time to time.

Place:
Date: Employee Signature

You might also like