FORM G [See rules 20 & 37 (1)] APPLICATION FOR NON-REFUNDABLE WITHDRAWAL FROM THE GENERAL PROVIDENT FUND (KERALA) 1. Name and designation of the subscriber and full official and residential address with PIN code.

: : :

2. Basic Pay 3. (a) Provident Fund Account Number (b) Permanent Employee Number (PEN) (c) Reference Number of Annual Statement received from the Accountant General indicating Section number and Branch 4. Date of retirement 5. Total service (in years) under Government as on this date 6. Object of the withdrawal

: : : :

: : :

(a)If the withdrawal is required for meeting the expenditure in connection with the :– (i) higher education of any child or department of the subscriber (ii)marriage of a son or daughter or any other female relative dependant of the subscriber; if he has no daughter. (iii)illness of the subscriber or any person actually dependant on him: (iv)(a) acquisition of land or acquisition of house site (b)acquisition of house or acquisition of ready built flat (v)(a) construction of a house (b) addition, alteration or reconstruction of house: (c) maintenance/repair or upkeep of house (vi) purchase of car, motorcycles/scooter (b)Whether the withdrawal is required for repayment of loan taken for any of the above purposes 7.

Amount of the withdrawal proposed (both in figures and words)

www.rajeevanpv.blogspot.com

:

8.

Name of the Treasury at which payment is desired 9. (a) whether any non-refundable withdrawal was made by him from the fund previously for the same or different object and, if so, furnish the details thereof (b) If any withdrawal was made as mentioned above, state whether he had submitted the utilization certificate in respect of that withdrawal to the appropriate authority within the prescribed time limit. If the certificate was not submitted within the said period, furnish the reasons therefore

: :

:

:

DECLARATION I, do hereby declare that the above statements furnished by me are trueand that I agree to abide by the General Provident Fund (Kerala) Rule as amended fromtime to time. I do hereby further declare that I shall accept the amount as admissible andauthorized by the Accountant General (A&E), Kerala. Place : Date :

Dated signature of the subscriber with full official address

(To be filled in by the Head of Office/Department) I recommend for sancƟon the withdrawal of  ………………..(Rupees…………… only) Rupees by the subscriber.

CERTIFICATE 1. It is certified that I have verified the particulars furnished by the subscriber against column 2,3,4,5 and 9 with reference to the relevant records in my office and that they are found to correct. 2. It is also certified that I have caused enquiries to be made about the statement contained in the application regarding the object of the proposed withdrawal and that I am satisfied that it is bona fide. Station : Date :

www.rajeevanpv.blogspot.com

Dated signature of the Head of Office/Department

VERIFICATION REPORT 1. Total amount at the credit of the subscriber in the Fund. 2. Amount admissible under the rules. 3. Rules(s) under which the sanction permitting the withdrawal by the subscriber is to beaccorded. 4. Any other facts, which require special consideration.

Head of Office/Department Endt. No…………….. To The

dated

In respect of a subscriber who is non-gazetted the verification report shall be furnished by the Head of Office with reference to the latest annual account slip issued by the Accountant General and the Office copies of the pay bills, etc., relating to the subsequent period. In the case of Gazetted Officer, the Head of Office/Department shall furnish theverification report in the application with the help of the latest annual account slip issued from the Office of the Accountant General and certificate from the Gazetted Officer, showing subsequent deductions from his pay and advances/withdrawals, if any, taken from his account.

www.rajeevanpv.blogspot.com

GPF CALCULATOR_ Version 11.16.1

It is certified that I have verified the particulars furnished by the subscriber against ... the Accountant General and certificate from the Gazetted Officer, showing ...

42KB Sizes 0 Downloads 187 Views

Recommend Documents

GPF CALCULATOR_ Version 11.16.1
STATEMENT OF DEPOSITS AND WITHDRAWLS FOR THE PERIOD AFTER THE. LAST CREDIT CARD TILL THE DATE OF APPLICATION. TOTAL. SL. No which arrears relate. Amount credited to. GPF encashme nt of the bill. Gross amount of the bill. Net amount of the bill. Name

GPF CALCULATOR_ Version 11.16.1
15. Number of instalments of repayments : 16. Any other fact requiring consideration : (Head of Office or Department) w w w .rajeevan p. v.b lo gsp o t.co m.

GPF Closure
i) Date of birth ii) Whether the applicant is a surrendered school teacher iii) Whether the applicant had opted to subscribe to the Fund after his/her 55th year. 3.

GPF-conversion.pdf
(a) Total service, including broken periods, if any, on : date of this application. (b) Period of ... GPF-conversion.pdf. GPF-conversion.pdf. Open. Extract. Open with.

GPF Jan 2014 Newsletter.pdf
In conjunction to cleansing your intestinal track, don't forget to donate blood every 60 days or more as part of keeping healthy. Your. bone marrow will make new ...

ACT CALCULATOR POLICY.pdf
HP Prime. HP 48GII. All model numbers that begin with HP 40G, HP 49G, or HP 50G. Casio: ... Main menu. Displaying ACT CALCULATOR POLICY.pdf.

GPF Dec 2013 Newsletter .pdf
Great Incentives and prizes for getting Healthy and in Shape! Join or Nation ... Probiotics. Thanks Dr. Oz ... My favorite comfort food...delicious & nutritious and super easy & quick: Coconut Miso Soup. EXERCISE OF ... Get Physically Fit, LLC.

go.2142 apgli gpf ewf interest rate -
Apr 25, 2013 - ABSTRACT. Provident Fund – Rate of interest for the Financial Year 2013-14 on the .... Information Technology, Hyderabad, GITAM University, ...

Lesson 4.3: Conversions and Calculator
Page 1. Lesson 4.3: Conversions and Calculator. To convert from UNIT to UNIT: [ number units in units ]. Examples: [ 212F in C ]. [ 400 yards in miles ]. [ 32C in F ]. [ 23 bushels in quarts ]. [ 2 inches in Angstroms ]. Caution: It won't tell you wh

Calculator App copy.pdf
Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item. Calculator App copy.pdf. Calculator App copy.pdf. Open. Extract.

Wabbit online calculator instructions Wabbitemu.pdf
Page 1 of 76. Wabbit TI-84 Plus Silver Edition Emulator Instructions. Go to this website http://wabbit.codeplex.com. Download Wabbitemu. Run Wabbitemu.exe. Select “Create a ROM image Select Calculator Type TI-84 Plus SE. using open source software.

AMP Calculator Guidelines_CM2.pdf
devices with alpha keypads and are NOT allowed. Graphing calculators and phones of any kind,. even with calculator functionality, are STRICTLY. PROHIBITED. Examples of calculators which are NOT acceptable: Rev. 8/28/2012. Page 1 of 1. AMP Calculator

Graphing Calculator Guide.pdf
Use the arrows to move the cursor: △▽◅ ▻. 5. LISTS IN THE ... Step 3: 4:List... Step 4: Press DEL for each existing List. ... ALPHABETICAL CHARACTERS. 9.1.

ALT Repayment Calculator
but you can pay less and enjoy the savings provided in the Full Data Table. 2. ... WORKS BEST FOR YOU! Monthly. Payment. Interest. Paid. Total $. Savings***.

GPF Nov 2013 NewsLetter.pdf
DIETARY EATING HABITS. 30% OF YOUR GOALS ... Blood type eating is a key element. in a healthy ... “The Blood Type Diet” APP this is the. original app by ...

Zakat-Calculator-in-Malayalam.pdf
There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item. Zakat-Calculator-in-Malayalam.pdf. Zakat-Calculator-in-Malayalam.pdf. Open. Extract. Open with. Sign In. Mai

Zakat-Calculator-in-Malayalam.pdf
( إجمالي الزكاة مستحق الدفع ). Acrobat Reader KeSulzj&ln[ Tf[ fky'sf(jH rj*xksm tYmjdX Sci[ sv$lR clPUa# t'lH YejRy[ tmk)lik'fk;. Primo PDF, Acrobat Distiller Seshuk= PDF dNSiGMG KeSulzj&[ asËlgk PDF Euhluj Sci[ sv$lik'fkaln[.

GPF Interest Rate GO.72.PDF
//FORWARDED:: BY ORDER//. SECTION OFFICER. Page 3 of 3. GPF Interest Rate GO.72.PDF. GPF Interest Rate GO.72.PDF. Open. Extract. Open with. Sign In.

pdf-11161\melons-and-emeralds-the-green-eyes ...
pdf-11161\melons-and-emeralds-the-green-eyes-series-by-d-brown.pdf. pdf-11161\melons-and-emeralds-the-green-eyes-series-by-d-brown.pdf. Open. Extract.