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    GPFConversion

    Uploaded by

    DVET India
    1. The document is an application form for converting a government employee's advance into a final withdrawal from their General Provident Fund (GPF) or Contributory Provident Fund (CPF) account. 2. It requests details of the employee such as name, designation, account number, balance, advance amount, interest, and service details. 3. Once completed, it requires signatures of the employee and their departmental head to verify details before being sent to the administrative office for comments and a final order on conversion of the advance into a withdrawal.

    Copyright:

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

    GPFConversion

    Uploaded by

    DVET India
    6 views2 pages
    1. The document is an application form for converting a government employee's advance into a final withdrawal from their General Provident Fund (GPF) or Contributory Provident Fund (CPF) account. 2. It requests details of the employee such as name, designation, account number, balance, advance amount, interest, and service details. 3. Once completed, it requires signatures of the employee and their departmental head to verify details before being sent to the administrative office for comments and a final order on conversion of the advance into a withdrawal.

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    © © All Rights Reserved

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    1. The document is an application form for converting a government employee's advance into a final withdrawal from their General Provident Fund (GPF) or Contributory Provident Fund (CPF) account. 2. It requests details of the employee such as name, designation, account number, balance, advance amount, interest, and service details. 3. Once completed, it requires signatures of the employee and their departmental head to verify details before being sent to the administrative office for comments and a final order on conversion of the advance into a withdrawal.

    Copyright:

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

    GPFConversion

    Uploaded by

    DVET India
    1. The document is an application form for converting a government employee's advance into a final withdrawal from their General Provident Fund (GPF) or Contributory Provident Fund (CPF) account. 2. It requests details of the employee such as name, designation, account number, balance, advance amount, interest, and service details. 3. Once completed, it requires signatures of the employee and their departmental head to verify details before being sent to the administrative office for comments and a final order on conversion of the advance into a withdrawal.

    Copyright:

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

    Form 5

    Pro Forma of Application for conversion of an advance into a final withdrawal

    1. Name of the subscriber .

    2. Designation and office to which attached

    3 Pay in Pay Band with Grade Pay

    4, General Provident Fund (GPF)/Contributory


    Provident Fund (CPF) Account Number

    es Balance at credit on the date of application


    (amount actually subscribed by him along with
    interest due thereon in the case of GPF subscriber)

    6. (a) Purpose for which advance taken


    (b) Date of payment of the advance
    (c) Amount of advance sanctioned
    (d) Amount of advance recovered
    (e) Amount of advance outstanding
    (f) Interest due on the amount of advance taken
    (g) Amount of advance to be converted into a withdrawal

    ie Particulars of communication under which advance


    was sanctioned (Copy of sanction to be enclosed)

    8. Whether any advance or final withdrawal has been


    drawn previouslyfor the purpose mentioned above.
    If so, particulars thereof

    9. (a) Total service, including broken periods, if any, on date of this application
    (b) The date of superannuation

    Place: Signature of the Applicant


    Date:
    Part II

    The above particulars have been verified to be correct.

    (Signature and designation of DDO)

    Part II
    (To be filled by the Administrative Office) =
    Comments/recommendations/orders on the application for withdrawal from Provident Fund

    (Signature)

    Pay ard Accounts Officer /


    Form 5-A

    ORDER

    No.

    POUCA OF vccssisanemawndscatinmenane is hereby conveyed/accorded under rule 16 of the


    General Provident Fund (Central Services) Rules/rule 17 of the Contributory Provident Fund
    Rules (India), 1962 for the conversion into final withdrawal of an amount of %
    (Rupees ... 0. cece ee eeee only) being the outstanding balance out of the GPF/CPF advance of
    © chvnivsceasemmmen SANCUORGd G0. |. .s.2lealeapeeeniegen and drawn in Bill No. .................. of
    Aimee 854 gage for the (purpose) .................. to Shri / Shrimathi/ Kumari
    chpganag Ls tenquamecunia Of To GHGs OF The: ...... ..nnnnseuatead iyi omadhond wiveinnmeniedeRcdeabesse
    (GPF/CPF Account NO. ..........cccccccceee eee ee sues )

    SIGHADUTS (1 ies. 1A Wie cee a.


    . Designation <..1.aul, gupta, ek:
    Dated 2. vanes to dae es

    No.

    Copy forwarded to:

    (1) PAO ¢
    Gi) —s Individual
    Gil) Service Book
    1) reer
    Signature
    Designation

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