Sample Application to Withdraw PF

June 28, 2012

I have attached sample application to PF withdraw PF.

Application for withdrawal-(Self employed/not employed for a period of

not less then 60 days from the date of  leaving

(To be applied 2 months after the date of leaving)

The Trustees,

Dear Sirs,

Sub: Application for PF Withdrawal

This is to bring to your notice that I joined the services of the company on __________

and I was relieved from the services from the services of  (name of company) with effect from ______________ . I have not been employed anywhere since then/I have been self employed and hence request you to settle the PF dues lying to my credit as on date as per the Trust rules.

The relevant Form 16s for the total period of service at (company name) are enclosed.

Thanking you,

Yours sincerely,

Name:_______________________

(Signature of the Employee)________________

Emp #:_________

Address:

Encl: Form 16s: for the Financial Years:__________,__________,__________

Note: 1. Please mention your correct address for correspondence.

2. Your PF account will not be settled unless we receive the necessary documents.

Please click on the EPFO and click the Download option on Form 10C and Form 19. Take the print out. Fill it up as per the instruction available in the same. and Submit the same to your ex office.

Click Here To Download Sample Application to Withdraw PF

Other Related Application Letter

Application Letter For Leaving Certificate
Apprenticeship Confirmation Letter
Application Letter for Apprenticeship Training
Universal Account Number of EPF

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10 Comments

  1. Sir
    Nagendra kumar mai security and intelligence services India limited me working kiya 8 year mera name and date of birth wrong hai mai update kiya online lekin abhi bhi epfo field office patna pending kar ke rakha 1 month se attested photocopy documents sent kiya eske baad me approved nahi kiya my oliginal name Nagendra kumar dob.08/08/1988 hai uan hai 100818611034 please check sir

  2. Sir mai kyc bhi apply online kiya hai ye bhi epfo field office patna pending me rakha ab kiya karna parega sir adhar pan bank details full pending me hai uan no 100818611034 please sir approved kare

  3. i have worked in the company fr 26.06.2013 to 31.12.2017, Last month (ie DEC 17) contribution not showing in the PF portal, thats why pf authority not accepting the PF withdrawal form.
    can i ask them to refund/withdraw my PF amount Upto NOV 2017 & pending dec month amount after resolving issue. pl suggest

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