FORM OF APPLICATION FOR CONVERSION OF AN ADVANCE ...
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FORM OF APPLICATION FOR CONVERSION OF AN ADVANCE ...
FORM OF APPLICATION FOR CONVERSION OF AN ADVANCE INTO A ... is
hereby conveyed/is accorded under Rule 26 of the General Provident Fund.
FORM – 1 (See Rule 26) FORM OF APPLICATION FOR CONVERSION OF AN ADVANCE INTO A NON-REFUNDABLE WITHDRAWAL 1
Name of the Subscriber
:
2
Designation and Office to which attached
:
3
pay and Permanent Employee Number (PEN)
:
4
Name of the P.F. Account No.
:
5
Balance at credit on the date of application
6
Balance outstanding to be converted in to a non- : returnable withdrawal
7
(a)
Purpose for which advance taken
:
(b) Date of payment of the advance (c)
Particulars of communication under which Advance was sanctioned. Whether any advance or non-refundable withdrawal has been drawn previously for the purpose mentioned above, if so, particulars thereof. Total service including broken periods, if any, on the date of this application
:
(b) Period of service left on the date of application for attaining the age of superannuation (c) The date of superannuation
:
8 9
10
Amount of advance sanctioned
(a)
:
:
:
Place : Date:
Signature of the applicant Dated : The above particulars have been verified and found correct.
Signature and Designation of Recommending Authority
No.
dated: Sanction is hereby conveyed/is accorded under Rule 26 of the General Provident Fund
(Kerala) rules for the conversion in to non-refundable withdrawal of an amount of Rs……….
(
Rupees……………………………………………) being the outstanding balance out of the GPF advance of Rs.
………. Sanctioned on ………………..(20………) ……………… and drawn
in Bill No.
……………. of ………………… for the (purposes) ……………. to
Shri/Smt……………………….……………….. of the office of ………………(GPF Account No. ………………)
Signature (office seal)
Designation Dated:
Copy forwarded to: i. ii. iii. iv.
The accountant General, Kerala, Thiruvananthapuram. The Sub Treasury Officer The ……………….
