SMT. S.A.

VELANKAR

Date: /12/2020.

To,
Asst. Administrative Manager
Provident Fund.

Through - DEHVC

Sir,

Sub: Provident Fund Refund Bill of Smt. S.A. Velankar Check

No. 214794 PS No. 125/03 of HVC Department Resigned
w.e.f. 28/02/2020.

This has reference to form No. 67 date 24/11/2020 received from AAM provident Fund
in to the matter I the undersigned Smt. S.A Velankar check No. 214794 P/s. 125/03 of
HVC Department resigned w.e.f. 28/02/2020 hereby request you to process / authorise
for the claming the provident fund dues to me.

My saving Bank account details are as under :-

Name of Bank :
IFSC Code :
Number Saving Account Number :

I also enclosed herewith cancel cheque for your information as consideration please.

Yours Faithfully

Smt. S.A. Velankar