Annexure-III

SALARY PARTICULAR

1. Name of employee:
2. FPS No:
3. CPF No:
4. UAN No:

Month Basic CPF FPS Amount Amount Interest Total

/Year Pay+DA contribution contribution already to be amount
(12%) on (8.33%) on remitted paid due
actual salary actual salary to EPFO (6+7)
1 2 3 4 5 6 7 8

Manager (Personnel) Manager (Accounts)

Signature with official seal Signature with official seal

Note:
1. Column No. 1 to 4 to be filled by respective unit offices where member was posted
and salary prepared
2. Column No. 5 to 8 to be filled by respective Zonal Offices/FCI Hqrs.