Additional Information Required in COSA As per 13th Finance Commission Template Employees Data Base Format ANNEXURE-12.

15 Department Establishment/Bill PF Account Number Employees Name Present Designation Father’s Name Salutation First Name Middle Name Last Name Salutation First Name Middle Name Last Name

Mother’s Name Spouse’s Name Date of Birth Category Date of Appointment Designation at First Appointment PAN

Salutation

First Name

Middle Name

Last Name

Salutation

First Name

Middle Name

Last Name

GEN/SC/ST/OBC/PH/Ex-Service Man/Others(Pls. Specify)

Address Residential Address

:

Police Station : PIN Code : Mobile No. : PBX No. Office No. :

Contact Number Entitlement to Pension

1. Defined Benefit, 2. NPS, 3. None Of the two