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Gpf Nra Form

Gpf Nra Form

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Published by satee7596

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Published by: satee7596 on Jan 05, 2010
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(See Rules 28(A) and 40)
Application for non-refundable withdrawal from theGeneral Provident Fund (Kerala)
1.Name and Designation of thesubscriber and full official andresidential address with Pin Code:2.Pay and Dearness Pay:3.Provident Fund Account Numbe(The guide letters allotted to theDepartment, viz. Mdl for Medical,Edn for Education, etc. should also be furnished) and the referencenumber of the Annual Statementreceived from the AccountantGeneral, indicating Section number,Unit number, Volume number andPage number :4.Whether the subscriber had optedfor the GPF (Kerala) Rules withinthe prescribed time limit:5.Date of retirement onsuperannuation:6.Total service (in years) under theGovernment as on this date:7.Object of the withdrawal(a) If the withdrawal is required for meeting the expenditure inconnection with the :-(i) higher education of any child or dependent of the subscriber,specify the nature and durationof the course, (in the case of adependent, also specify whether the subscriber has any child):(ii) marriage of a son or daughter or any other female relativedependent of the subscriber :indicate also the month in whichthe marriage takes place (in thecase of a dependent, specify also:
whether the subscriber has anydaughter)(iii) illness of the subscriber or any person actually dependent onhim,mention the nature of illness also:(iv) acquisition of a house and/or site, furnish in whose name(s)(subscriber’s and/or his wife’s) itwill be acquired and whether itis for the actual residence of thesubscriber and/or his family:(v) construction, reconstruction,repair, etc. of house,state whether the site on whichthe house is proposed to beconstructed, or the site on whichthe house proposed to bereconstructed, repaired, altered,etc. is situated, is owned by thesubscriber and/or his wife, andwhether the house is for theactual residence of thesubscriber and/or his family:(b) If the withdrawal is required for repayment of a loan taken for the:-(i) marriage of a son or daughter or any female relative dependent onhim,specify the amount of loan takenon account of the marriage, the balance outstanding against itand the date on which themarriage has been celebrated:(ii) construction of a house or allied purpose, state the amount of loanexpressly taken for the purpose,the balance outstanding againstit and in whose name(subscriber’s and / or his wife’sthe ownership of the houseand/or site is vested):2
8.Amount of the loan, if any, taken bythe subscriber and/or his wifefrom the Government under anyscheme sponsored by them for the grant of house constructionloans, and the number and dateof the orders/proceedings inwhich sanction was issuedtherefore.
(This column need be filled inonly if the subscriber proposesto make a withdrawal for houseconstruction or allied purpose)
:9.Amount of the withdrawal proposed(both) in figures and words):10.Name of the treasury at which payment is desired:11.(a) Whether any non-returnablewithdrawal was made by himfrom the Fund previously for thesame or a different object and, if so, furnish the details thereof.:(b) If any withdrawal was made asmentioned in (a) above, statewhether he had submitted theUtilization Certificate in respectof that withdrawal to theappropriate authority within the prescribed time-limit. If thecertificate was not submittedwithin the said period, furnishthe reasons therefor.:12.Special circumstances whichnecessitate the withdrawal (Thiscolumn need be filled in only if theamount proposed to be withdrawnexceeds half the amount at the creditof the subscriber in the Fund or sixmonths pay, whichever is less, or if the withdrawal requires sanction inrelaxation of any of the provisions inthe rules)3

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