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GPF Withdrawal Form

This document is an application for withdrawal from a GPF (General Provident Fund) account. It provides details of the applicant such as name, account number, date of joining service, current balance, and amount of withdrawal requested. It also certifies that the withdrawal conditions are met under the relevant rules.

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Senior Postmaster Howrah Head Post Office
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2K views2 pages

GPF Withdrawal Form

This document is an application for withdrawal from a GPF (General Provident Fund) account. It provides details of the applicant such as name, account number, date of joining service, current balance, and amount of withdrawal requested. It also certifies that the withdrawal conditions are met under the relevant rules.

Uploaded by

Senior Postmaster Howrah Head Post Office
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

FORM III

fund : GPF
Application forwithdrawalform

1. Name of the Subscriber:

AccountNumber (With deptl'


suffx):
2.

4. PaY:
date of superannuation:
5. Date of joining service and
on the date qf application :
6. Balance at the credit of the subscriber

DClosingbalanceasperstatementforttreyear..................Rg.'.........:.........
monfirlysub€cfhtion Rs""""'
ii) creditfrom :....to...................ontheamountof
vlde (i) above tu
iii) Refunds made to the tund afterthe closing'balane

-r---r!-iftan ? - Rg...........
v)Netbalanceatcreditonthedateofapplicaton?.fro
7. Amount of withdrawalwanted
is required'
a) Purpose for which the withdrawal
covered
b) Rule underwhich the request is
lf soindicatetheamountandthe
L whether any withdrawar wastakenforthesamepurposeearrier.
yesr

the Provident Fund Account'


10. Name of the Accounts officer maintaining

Signature of the APplicant

Date: Designation
Section /Branch
t

:
O/O THE SENIOR POSTMASTER,
HOWRAH H.P.O., HOWRAH
-711 101
No g1/GpF/FWl......,. ............:......,...,,...dared
at Howrah- 711 101the.........,..

Rule"""""'
accord under
....or the cpF (cs) Rures 1e60 as the
,;;::t' l: :utuo' """"";"""
ny $ri withdrawar
......,...(here enter name
of Rs '..'..,..,"".............(Rupees........
& designation) of a
sum

from the centralprovidentAccount


," *"ro n;;rr.;to;"",,n" No'............
" "ro"ru,rr" ..'o'''
2. The amount of withdrawal does
not exceed six months pay
or harf of the amount at
his credit/subscription
theGPFaccountwhicheverisless/three-fourthsoftheFundAccount.HisbasicpayisRs..'.'...'. in
r-' 'v r \e""""""""
3. It is certified that sri/ smt.........
of his retirement on superan"r.,,o.ro, within 10 years
";;r;.;;r*r""r, ni, cor"rr"r; ,";;"'is
4. It is also certified that the "r
amount drawn from allGovt.
sourcgs by Sri/Smt................
inclirding withdrawalirom :................."
GPF does not exceed
Rs. 1,00,000/: or his seventy
fi ff:::ilding. five months

5. The balance at the credit


of Sri/ Smt...........
...a.................as on.
is detailed betow :
i) Balance as peraccountslip year........... ....,........:....
ii) Subsequent deposit from.............................j............to.., .....Rs.

:l *::::::i*:1"1*vancerrbm - ;-- X:

vi) Balance on the date of


sanction
6.
-Rs
tnrsofficeforanamountof
Rs.,.......
, O.n"r,n";-;.,=-r;;
.,....dated... .....fortheyear.....

Sanctiorring Auihority
Senior postmast6p, Howrah
Copy to 1) APM Acctts, H.O.
How H.O.
2) The DA(p), Kotkata_12

Senior posirnaster,
Howrah H. p.O.,How rah_T 1 11 0 1

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