Scribd Logo
Upload

Welcome to Scribd!

  • 16 views

    10013529841006012

    Uploaded by

    parmarchirag194

    Copyright:

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

    10013529841006012

    Uploaded by

    parmarchirag194
    16 views2 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

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

    10013529841006012

    Uploaded by

    parmarchirag194

    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 2024-11-21 18:02:01 (IP www.epfindia.gov.

    in
    Address:122.177.55.184)

    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 - 9909718653
    1. I want to apply for PF Advance
    2. Universal Account Number(UAN) / ;wfuolZy [kkrk la[;k 100135298410
    3. Name of the member MAKVANA DHANESHKUMAR GOVINDBHAI

    4. Date of Joining 08-Jan-2011


    5. Permanent Account number / LFkk;h [kkrk la[;k FYDPM1560B

    6.a Purpose of Advance Construction of House

    6.b Amount of Advance (In Rs) 24000


    7 In case of Advance for purpose of Site/House/Flat Not Applicable

    8 Bankers details for Electronic Payment (Only for the Advance if payable to Not Applicable
    third party)

    9. Payee Address MOTISARA


    PATAN,PATAN,PATAN,GUJARAT-384265

    Father/Husband/Spouse Name: GOVINDBHAI Date Of Birth: 15-Aug-1978


    Bank Account Number 220210110003653 Bank IFSC Code BKID0002202
    Bank Details BANK OF INDIA,PATAN
    Aadhaar 96XXXXXXXX03
    Member ID GJAHD00579980000000034
    *Certified that the particulars are true to the best of my knowledge, 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 Aadhaar number to
    be correct. Please make the payment in the bank account mentioned in the UAN Portal. A cancelled cheque
    (containing member's name, bank account number and IFS Code) is attached herewith. In case the amount is used for
    any purpose other than stated in column (6) above, I am liable to return the entire amount with penal interest.
    * —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 - 100135298410 Tracking ID - 10013529841006012

    You might also like