FORM: 601 PW

NATIONAL PENSION SYSTEM (NPS)

(Under Regulations 8 of PFRDA(Exits & Withdrawals under NPS) Regulations 2015 and amendments thereto)
Partial Withdrawal form for Tier I account under NPS
(Please fill all the details in CAPITAL LETTERS & in BLACK INK only.)
For Nodal Office use
PAO/DTO/POP/POP-SP Reg No. 2 0 0 3 4 5 5          
Receipt No.:                                  
PRAN: 1 1 0 0 2 1 9 5 3 0 8 9
Ack No.: 1 0 0 0 0 6 7 6 9 4        
(Generated by CRA System)
Entered By:    110021953089                                                             Date: 1 9 / 0 5 / 2 0 2 0

Verified By:                                                                 Date:                    

Please select your Category(please tick ✓)

Government Sector   Corporate Sector
All Citizen of India   NPS Lite/Swavalamban
To,
NPS Trust
Sir/Madam,

I   KANDASAMY G holding a Permanent Retirement Account Number under National Pension System, hereby submit partial withdrawal request for withdrawal from my Tier
I account under NPS and give below the necessary details:

Section A - Subscriber's Personal Details:

PRAN* 1 1 0 0 2 1 9 5 3 0 8 9

Name of the Subscriber* KANDASAMY G

Mobile No.# 9843900220
Email ID#
# Subscribers Mobile No. and Email ID provided here will not be updated in CRA records. For updation of Mobile No. and Email ID in CRA
records, subscriber is required to submit S2 Form.
a. % of Partial Withdrawal* 2 5 %
  (Maximum of 25% of own contribution (without accrued income earned thereon)only)
b. Purpose of Withdrawal*(please tick ✓ on box below with reason applicable )
  1. for Higher education of children including a legally adopted child
  2. for the marriage of children, including a legally adopted child
  3. for the purchase or construction of a residential house or flat in own name or in a joint name with legally wedded spouse
  4. for treatment of specified illness(please tick ✓)
   a. Cancer b. Kidney Failure(End Stage Renal Failure)
   c. Primary Pulmonary Arterial Hypertension d. Multiple Sclerosis
   e. Major Organ Transplant f. Coronary Artery Bypass Graft
   g. Aorta Graft Surgery h. Heart Valve Surgery
   i. Stroke j. Myocardial Infarction
   k. Coma l. Total Blindness
   m. Paralysis n. Accident of serious/Life Threatening nature
   p. COVID-19
  5.To meet medical & incidental expenses due to disability/incapacitation
  6. For skill development/re-skilling or any other self-development activities (Please refer instruction no 11)
    Enter course fee:* Rs 0.0
    *mandatory if subscriber opts for withdrawal under skill development
  7. For establishment of own venture or any start-up (Please refer instruction no 12)

c. Bank account details of the subscriber (please provide details of the bank where the withdrawal amount shall be credited, tick ✓ as applicable)
  same bank account already registered under NPS   another Bank account, please provide the details below
Bank Account
  6 6 4 8 1 5 5 0 5 8                                        
Number
  Bank Name INDIAN BANK
Type of Bank
  Saving Account   Current Account
Account
  Branch Name & COONOOR
  Address P B NO 22 CASH BAZAAR COONOORNILGIRI DISTRICT643102
  IFSC Code I D I B 0 0 0 C 0 3 3
Section B - Declarations
Declaration by the Subscriber *:
 
1. I hereby declare that information stated above is true and correct to the best of my knowledge & belief and that I have completed minimum of three years in to the NPS
as required for partial withdrawal and eligible to withdraw the amount requested avove due to the urgent need of funds to support the reason mentioned above.
2. I KANDASAMY G name with PRAN 110021953089 agree that in case of any failure of Direct Credit, for any reason whatsoever, NPS Trust /CRA shall not be responsible. I
also agree that NPS Trust / CRA shall not be responsibe/liable for any losses that may arise due to incorrect bank details provided herein above.

Date 1 9 / 0 5 / 2 0 2 0
 
Place :  

Signature/Thumb Impression of the Subscriber**

** Left thumb Impression in case of illiterate male claimant and Right thumb Impression in case of illiterate female
Declaration by Nodal office(for government sector subscribers):*
 
I/We hereby declare that the subscriber Shri/Smt./Kum KANDASAMY G name with PRAN 110021953089 is employed with us and I have verified the genuineness of the
reasons for his/her withdrawal request and bank details submitted by him/her in respect of his/her request for partial withdrawal are correct.

Date 1 9 / 0 5 / 2 0 2 0  
Registration No. of DDO C G V 0 0 8 1 9 9 C    

Signature & Stamp of the DDO

Date 1 9 / 0 5 / 2 0 2 0  
Registration No. of PAO/CDDO/DTO 2 0 0 3 4 5 5        

Signature & stamp of the DTO/PAO/CDDO

ACKNOWLEDGEMENT RECEIPT
 
Acknowledgement slip to the NPS Subscriber on receipt of partial withdrawal application form
(to be filled by DDO/CDDO/PAO/DTO/POP/Aggregator)
 
Received from PRAN: 1 1 0 0 2 1 9 5 3 0 8 9
 
DDO/POP-SP/NL-CC Registration Number: C G V 0 0 8 1 9 9 C     Date : 1 9 / 0 5 / 2 0 2 0
 
PAO/CDDO/DTO/POP/NL-AO Registration Number: 2 0 0 3 4 5 5           Received at                
 
Acknowledgement Number 1 0 0 0 0 6 7 6 9 4        
 
 FORM 601 - PW
(Under Regulations 8 of PFRDA(Exits & Withdrawals under NPS) Regulations 2015 and amendments thereto)
Instructions
 
Instructions for filling up the form:
1. All fields marked with * are mandatory. All dates should be in DD/MM/YYYY format.
2. The Subscriber shall submit the application to the respective Nodal Office/POP/Aggregator for processing of request.
3. Before submitting the withdrawal form, subscriber should ensure that the bank account details are matched form the bank passbook/ bank statement or cheque etc
to ensure that the details are correct. Subscriber should also attach the bank proof(cancelled cheque/copy of bank passbook/bank certificate) with the partial
Withdrawal Form submitted.
4. Subscriber should specify the purpose of Partial Withdrawal and a proof need to be submitted for the same.
5. Subscriber should be in the NPS atleast for a period of 3 years.
A subscriber shall be permitted to withdraw not exceeding 25% of the contributions made by such subscriber to his/her individual pension account.
6. The Nodal officer/POP/Aggregator must verify the details of the bank account subscriber.
7. Withdrawal amount received after the execution of the withdrawal request can be different from the requested amount to the extent of difference in NAV of two
different days.
8. The withdrawal amount shall directly be credited to the bank account of the subscriber as mentioned in the withdrawal form.
9. In case, the subscriber already owns either individually or in the joint name a residential house or flat, other than ancestral property, no withdrawal under PFRDA
regulations is permitted.
10. Treatment of specific illness covers the subscriber, his legally wedded spouse, children, including a legally adopted child or dependent parents suffer from the
specified illness, which shall compromise of hospitalization and treatment.
11. Withdrawal under skill development/re-skilling is applicable as per following conditions:

Skill Development program/activities sponsored by employer for employees is not eligible for partial withdrawal
Amount which can be released under Skill Development option shall be subject to the actual fee of the course/training, subject to the maximum ceiling of 25%
of employees own contribution without considering returns thereto.
Duration of the course should be of 3 months or more
The course should be either a regular program or distance education program or a skill development program

12. Withdrawal under establishment of own venture or any start up is applicable to subscribers registered under All India Citizen (UOS) sector only
13. For further details regarding point no 11 & 12 kindly refer PFRDA Circular No: PFRDA/2018/55/Exit/5 dated August 06, 2018.
14. The permitted withdrawal shall be allowed only if the eligibility criteria and limit for availing the benefit are compiled with by the subscriber.
15. Frequency: the subscriber shall be allowed to withdraw only a maximum of three times during the entire tenure of subscription under the National Pension System.
16. For more detailed description of Partial Withdrawal option under NPS, please refer Regulation 8 of PFRDA (Exits & Withdrawals under NPS) Regulations 2015 and
amendments thereto
17. The Nodal office/POP/Aggregator shall capture the details of the subscriber mentioned on the form and forward the same to NPS Claims Processing Cell (NPS CPC)
at address mentioned below:
NPS Claim Processing Cell,
Central Record Keeping Agency, NSDL,
10h Floor, Times Tower, Kamala Mills Compund,
Senapati Bapat Marg,Lower Parel West, Mumbai-400013
18. Document to be submitted for availing partial withdrawal.
Sr.
Type of Withdrawal Documents Required
No
1. For Higher education Copy of admission letter of the Institute along with Fees schedule
2. For marriage of his or her children Self-Declaration
3. For purchase or construction of a residential house or flat in his Photocopy of Title Documents of the Property. Approved Plan and self-declaration OR Loan offer
or her own name or in a joint name with his or her legally wedded letter from a housing finance company or a Bank and self-declaration
spouse
4. For treatment of specified illnesses: if the subscriber, his legally Certificate from Doctor
wedded spouse, children, including a legally adopted child or
dependent parents.
5. to meet medical and incidental expenses arising out of the Disability certificate from a Government surgeon or Doctor (treating such disability or
disability or incapacitation suffered by the subscriber invalidation of subscriber) stating the nature and extent of disability and
6. For Skill development/re-skilling or any other self-development a) Admission/Sanctions letter from university in India/abroad with fee detail)
activities
b) For distance learning programs, copy/s of invoice/s which confirm the payment of required
fee for desired course
c) For other skill development programmes, copy of invoices confirming payment of fee for the
desired course
d) study leave sanction letter/NOC provided by the organisation/department/ministry, if
required in terms of the employee's service conditions (not applicable where employee-
employer relationship does not exists)
7. For Establishment of own venture or any start-up a) Registration Certificate of entity
b) Proof of ownership of the entity (it should be in the name of the subscriber)
c) Registration number issued by Government Authorities like GST/ Income Tax/Govt.
Departments