{"id":4329,"date":"2011-12-26T09:31:35","date_gmt":"2011-12-26T09:31:35","guid":{"rendered":"http:\/\/www.yourhrworld.com\/formats\/?p=4329"},"modified":"2011-12-26T12:50:16","modified_gmt":"2011-12-26T12:50:16","slug":"epf-from-20-and-10-sample-filled-needed","status":"publish","type":"post","link":"https:\/\/www.yourhrworld.com\/formats\/hr\/epf-from-20-and-10-sample-filled-needed\/","title":{"rendered":"Sample Filled EPF Form 10c"},"content":{"rendered":"<p><strong><\/strong><strong>Please find attached Forms 10D and 20 with another file of Form 20 with instructions to filled up.<\/strong><\/p><div class=\"69eb924294c115e6505da44099e8df92\" data-index=\"1\" style=\"float: none; margin:10px 0 10px 0; text-align:center;\">\n<script type=\"text\/javascript\"><!--\r\ngoogle_ad_client = \"pub-0867779017855679\";\r\n\/* 300x250, created 4\/20\/11 *\/\r\ngoogle_ad_slot = \"1035864135\";\r\ngoogle_ad_width = 300;\r\ngoogle_ad_height = 250;\r\n\/\/-->\r\n<\/script>\r\n<script type=\"text\/javascript\"\r\nsrc=\"http:\/\/pagead2.googlesyndication.com\/pagead\/show_ads.js\">\r\n<\/script>\n<\/div>\n\n<p align=\"center\">Employees Provident Fund Scheme<\/p>\n<p align=\"center\">Form 20<\/p>\n<p align=\"center\">Employees\u2019 Provident Funds Scheme, 1952<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p>Form to be used\u00a0 :<\/p>\n<p>(1)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 by guardian of minor\/lunatic member.<\/p>\n<p>(2)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 By a nominee or legal heir of the deceased member.<\/p>\n<p>Or,<\/p>\n<p>(3)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 By the guardian of the minor\/lunatic nominee or heir.<\/p>\n<p>For claiming the Provident Fund accumulation of minor\/deceased member.<\/p>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p>Particulars of Member<\/p>\n<p>&nbsp;<\/p>\n<p>(a)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Name of the member (in Block Letters)<\/p>\n<p>(b)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Father\u2019s \/ Husband\u2019s Name<\/p>\n<p>(c)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Name &amp; address of the Factory\/Establishment<\/p>\n<p>in which the member was last employed<\/p>\n<p>(d)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Account No.<\/p>\n<p>(e)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Date of leaving service<\/p>\n<p>(f)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Reason for leaving service (in case of deceased member)<\/p>\n<p>(g)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Date of death of the member<\/p>\n<p>(h)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Marital status of the member on the day of death<\/p>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p>Particulars of the claimant<\/p>\n<p>&nbsp;<\/p>\n<p>1.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (to be filled in by a Major\/Nominee\/Legal Heir\/Member of the family of the Deceased Member)<\/p>\n<p>(a)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Name of the claimant (in Block Letters)<\/p>\n<p>(b)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Father\u2019s\/Husband\u2019s Name<\/p>\n<p>(c)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Sex<\/p>\n<p>(d)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Age (as on the date of death of the member)<\/p>\n<p>(e)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Marital status (as on the date of death of the member)<\/p>\n<p>(Whether unmarried, married, widow, widower)<\/p>\n<p>(f)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Relationship with the deceased member.<\/p>\n<p>&nbsp;<\/p>\n<p>* 3 To be filled by the Guardian\/Manager of Minor\/Lunatic Member or Lunatic Minor<\/p>\n<p>&nbsp;<\/p>\n<p>{Nominee[s]\/Legal Heir[s]\/Family member[s] }<\/p>\n<p>&nbsp;<\/p>\n<p>of the deceased member<\/p>\n<p>&nbsp;<\/p>\n<p>(a)\u00a0\u00a0 Name of the claimant [i.e. Guardian]<\/p>\n<p>(b)\u00a0\u00a0 Father\u2019s \/ Husband\u2019s Name<\/p>\n<div>\n<p>(c)\u00a0\u00a0 Relationship with the member\/deceased member<\/p>\n<p>&nbsp;<\/p>\n<p>*3 Particulars of the minor\/Lunatic Nominee(s) Legal Heir(s) \/ Family Member(s) on whose behalf the Provident Fund Amount claimed.<\/p>\n<\/div>\n<table border=\"1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td rowspan=\"2\" valign=\"top\" width=\"37\">Sl. No.<\/td>\n<td rowspan=\"2\" valign=\"top\" width=\"131\">Name<\/td>\n<td rowspan=\"2\" valign=\"top\" width=\"84\">Sex<\/td>\n<td rowspan=\"2\" valign=\"top\" width=\"84\">Age<\/td>\n<td rowspan=\"2\" valign=\"top\" width=\"84\">Religion<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"169\">Relationship<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"84\">With the member<\/td>\n<td valign=\"top\" width=\"84\">With the guardian<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"37\">1<\/td>\n<td valign=\"top\" width=\"131\">2<\/td>\n<td valign=\"top\" width=\"84\">3<\/td>\n<td valign=\"top\" width=\"84\">4<\/td>\n<td valign=\"top\" width=\"84\">5<\/td>\n<td valign=\"top\" width=\"84\">6<\/td>\n<td valign=\"top\" width=\"84\">7<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"37\">1<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>2<\/p>\n<p>&nbsp;<\/p>\n<p>3<\/p>\n<p>&nbsp;<\/p>\n<p>4<\/p>\n<p>* Delete, if not applicable<\/p>\n<p>&nbsp;<\/p>\n<p>2.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Claimant\u2019s Full Postal Address (in Block Letters)<\/p>\n<p>Shri\/Smt\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.<\/p>\n<p>S\/o\u00a0 \/\u00a0 W\/o\u00a0 \/\u00a0 H\/o\u00a0 \/\u00a0 D\/o \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.<\/p>\n<p>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.<\/p>\n<p>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n<p>PIN\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..<\/p>\n<p>&nbsp;<\/p>\n<p>3.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 MODE OF REMITTANCE<\/p>\n<p>(a)\u00a0\u00a0 by postal money order at my cost, or<\/p>\n<p>(b)\u00a0\u00a0 by account payee cheque sent direct for credit to my S.B. A\/c (Sch. Bank\/Post Office ) under intimation to me (Advance Stamped Receipt) furnished below :<\/p>\n<p>&nbsp;<\/p>\n<p>Put a \u2018tick in the box against the one opted [ 3]<\/p>\n<p>* to the address given in Item No. 4<\/p>\n<p>* S.B. Account No. \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.<\/p>\n<p>Bank\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..<\/p>\n<p>Branch\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..<\/p>\n<p>Full address of Bank\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n<p>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p align=\"center\">Certificate<\/p>\n<p>&nbsp;<\/p>\n<p>*To the best of my knowledge no posthumous child will be born to the deceased member.<\/p>\n<p>&nbsp;<\/p>\n<p>I certify that the minor(s) lunatic Shri\/Smt.\/\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026 is living with me and is being supported and looked after by myself and the Provident fund money claimed on behalf of minor\/lunatic will be spent in his\/her best interests and benefit.<\/p>\n<p>&nbsp;<\/p>\n<p>I certify that the minor member has not been employed in any Factory\/Establishment to which the Act applies for a continuous period of not less than 6 months immediately preceding the date of the application.<\/p>\n<p>&nbsp;<\/p>\n<p>Enclosure<\/p>\n<p>&nbsp;<\/p>\n<p>Signature of left\/right hand thumb impression of the claimant<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Date<\/p>\n<p>&nbsp;<\/p>\n<div>\n<p>Delete if not applicable.<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p>Advance Stamped Receipt<\/p>\n<p>&nbsp;<\/p>\n<p>[To be furnished only in case of 5(b) above]<\/p>\n<p>&nbsp;<\/p>\n<p>Received a sum of Rs. \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026. [Rupees\u2026\u2026\u2026\u2026.] from Regional Provident fund Commissioner\/Officer-in-Charge of Sub-Regional Office\u2026\u2026\u2026\u2026. By deposit in my Saving Bank Account towards the settlement of Provident fund Account of Shri\/Smt\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n<p>&nbsp;<\/p>\n<p>* The space should be left blank which \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Affix<\/p>\n<p>shall be filled in by RPFC\/Office-in-Charge \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 1 Rypee<\/p>\n<p>of S.R.O.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Revenue<\/p>\n<p>Stamp<\/p>\n<p>&nbsp;<\/p>\n<p>Signature of left\/right hand thumb impression of the claimant<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Certificate of the attesting authrority<\/p>\n<p>Contribution for the Current period<\/p>\n<table border=\"1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td rowspan=\"3\" valign=\"top\" width=\"59\">\n<p align=\"center\">Month<\/p>\n<\/td>\n<td colspan=\"3\" valign=\"top\" width=\"177\">\n<p align=\"center\">Contribution<\/p>\n<\/td>\n<td rowspan=\"3\" valign=\"top\" width=\"59\">\n<p align=\"center\">Period of break if any<\/p>\n<\/td>\n<td rowspan=\"3\" valign=\"top\" width=\"59\">\n<p align=\"center\">Month<\/p>\n<\/td>\n<td colspan=\"3\" valign=\"top\" width=\"177\">\n<p align=\"center\">Contribution<\/p>\n<\/td>\n<td rowspan=\"3\" valign=\"top\" width=\"59\">Period of break if any<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"59\">\n<p align=\"center\">Employee<\/p>\n<\/td>\n<td valign=\"top\" width=\"59\">\n<p align=\"center\">Employer<\/p>\n<\/td>\n<td valign=\"top\" width=\"59\">\n<p align=\"center\">Total<\/p>\n<\/td>\n<td valign=\"top\" width=\"59\"><\/td>\n<td valign=\"top\" width=\"59\"><\/td>\n<td valign=\"top\" width=\"59\"><\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"59\">\n<p align=\"center\">EPF\u00a0\u00a0 FP<\/p>\n<\/td>\n<td valign=\"top\" width=\"59\">\n<p align=\"center\">EPF\u00a0\u00a0 FP<\/p>\n<\/td>\n<td valign=\"top\" width=\"59\">\n<p align=\"center\">EPF\u00a0\u00a0 FP<\/p>\n<\/td>\n<td valign=\"top\" width=\"59\">\n<p align=\"center\">EPF\u00a0\u00a0 FP<\/p>\n<\/td>\n<td valign=\"top\" width=\"59\">\n<p align=\"center\">EPF\u00a0\u00a0 FP<\/p>\n<\/td>\n<td valign=\"top\" width=\"59\">\n<p align=\"center\">EPF\u00a0\u00a0 FP<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"5\" valign=\"top\" width=\"295\"><\/td>\n<td colspan=\"5\" valign=\"top\" width=\"295\"><\/td>\n<\/tr>\n<tr>\n<td colspan=\"5\" valign=\"top\" width=\"295\"><\/td>\n<td colspan=\"5\" valign=\"top\" width=\"295\"><\/td>\n<\/tr>\n<tr>\n<td colspan=\"5\" valign=\"top\" width=\"295\"><\/td>\n<td colspan=\"5\" valign=\"top\" width=\"295\"><\/td>\n<\/tr>\n<tr>\n<td colspan=\"5\" valign=\"top\" width=\"295\"><\/td>\n<td colspan=\"5\" valign=\"top\" width=\"295\"><\/td>\n<\/tr>\n<tr>\n<td colspan=\"10\" valign=\"top\" width=\"590\">Certified that the above contributions have been included in the regular monthly remittances.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>Certified that the facts stated above are correct.<\/p>\n<p>Certified that the claimant Shri\/Smt.\/Kumari\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.. is known to me and has signed\/thumb impressed before me.<\/p>\n<p>&nbsp;<\/p>\n<p>Signature of the employer or authorised officer Designation &amp; Office Seal<\/p>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p>For the use of Commissioner\u2019s Office<\/p>\n<p>Account settled entered in Form 21-A\/24\/2\/9 (Revised) &amp; Withdrawal Register.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<div>\n<p>Clerk\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Head Clerk<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p>P.I. No. \u2026\u2026\u2026\u2026\u2026\u2026\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 M.O. Cheque\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Account No\u2026\u2026\u2026\u2026\u2026.<\/p>\n<p>Section\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.<\/p>\n<p>Passed for Payment Rs\u2026\u2026\u2026\u2026\u2026\u2026.<\/p>\n<p>(In words)\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..<\/p>\n<p>&nbsp;<\/p>\n<p>M.O. Commission (if any)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Accounts Officer<\/p>\n<p>Net amount to be paid by M.O.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Date<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Under Rupees\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..<\/p>\n<p>&nbsp;<\/p>\n<p>For use in Cash Section<\/p>\n<p>Paid by inclusion in Cheque No. \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026. Vide Cash Book (Bank Account No. 3 Debit Item No. \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Head Clerk\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Assistant Commissioner\/Regional Commissioner<\/p>\n<p>&nbsp;<\/p>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p>Remarks<\/p>\n<p>&nbsp;<\/p>\n<p align=\"center\">ACKNOWLEDGEMENT CARD<\/p>\n<p>&nbsp;<\/p>\n<p>Account No. \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Office of the RPFC\/Officer-in<\/p>\n<p>EPFO\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Charge of Sub-Regional Office<\/p>\n<p>&nbsp;<\/p>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p align=\"center\">ACKNOWLEDGEMENT CARD<\/p>\n<p>&nbsp;<\/p>\n<p>Received the following claims.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Registration No\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n<p>Date Office Seal\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026..<\/p>\n<p>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.<\/p>\n<p>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>POST CARD\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Postage<\/p>\n<p>Prepaid<\/p>\n<p>&nbsp;<\/p>\n<p>In case, no intimation is received within a month, you may write to the Compliants Officer, Employees\u2019 Provident Fund duly quoting the Registration Number and your Provident Fund Account Number.<\/p>\n<p>&nbsp;<\/p>\n<p>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n<p>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n<p>\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n<p>PIN\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026.<\/p>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<p align=\"center\">EMPLOYEES\u2019 PROVIDENT FUND ORGANISATION<\/p>\n<p>&nbsp;<\/p>\n<p>Office of the Regional Provident Fund Commissioner \/ S.R.O\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n<p>Full Address\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026&#8230;<\/p>\n<p>&nbsp;<\/p>\n<p align=\"center\"><strong>Instruction<\/strong><\/p>\n<p align=\"center\">(For the guidance of applicant only, not to be sent along with the claim)<\/p>\n<p>&nbsp;<\/p>\n<p>The following instruction should be carefully read before completing the form.<\/p>\n<p>1.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Employees\u2019 Provident Fund Scheme, 1952 : Form 20: Claim for the withdrawal of Provident Fund Accumulation of minor\/deceased member.<\/p>\n<p>By whom the claim application should be preferred?<\/p>\n<p>&nbsp;<\/p>\n<p>2.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 If the member is a minor by the guardian.<\/p>\n<p>&nbsp;<\/p>\n<p>Or<\/p>\n<p>On death of the member :<\/p>\n<p>(a)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 If nomination subsists : by the nominee(s) if the nominee(s)\/are minor by the guardian of minor(s).<\/p>\n<p>(b)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 If no nomination subsists : &#8211; by the family member\u2019s (family includes posthumous child if any, except major sons, and married daughters whose husbands are alive, of the deceased member duly supported by list of surviving family members (as on the date of the death of the member) furnished by the last employer or mamlatdar\/Tehsildar or Executive Magistrate indicating complete particulars such as name, relationship with deceased member (in the case of parents whether dependant or not) age, marital status. If any family member is a minor by the guardian of minor.<\/p>\n<p>If both (a) &amp; (b) above are not applicable : &#8211; by legal heir(s) duly supported by a legal heirship certificate (from the appropriate State Normally Revenue authorities).<\/p>\n<p>3.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Documents to be enclosed :<\/p>\n<p>(a)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 If the application is preferred by a guardian other than the natural guardian or minor member\/nominee\/family member\/legal heir a guardianship certificate issued by competent court of law should be enclosed.<\/p>\n<p>(b)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Death certificate.<\/p>\n<p>(c)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 If the amount receivable exceeds Rs. 5000 but less than 25,000 an affidavit-cum-indemnity bond (From may be obtained from the ex-employer of Regional Provident Fund Commissioner or Officer-in-Charge of Sub-Regional Office \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026) or Estate Duty Clearance Certificate.<\/p>\n<p>(d)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 If the amount receivable exceeds Rs. 25,000 on Estate Duty Clearance Certificate.<\/p>\n<p>&nbsp;<\/p>\n<p>Form 11 (FPF) : Claim for benefits as admissible under the Employee\u2019s Pension Scheme, 1971. By whom claim application should be preferred ?<\/p>\n<p>&nbsp;<\/p>\n<p>(1)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 If the member is minor by his guardian.<\/p>\n<p>Or<\/p>\n<p>(2)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 On death of the member :<\/p>\n<p>(i)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 If the deceased had \u2018family\u2019 on the day of death the claim should be preferred by.<\/p>\n<p>(a)\u00a0\u00a0 the widow or widower.<\/p>\n<p>(b)\u00a0\u00a0 Failing (a) above, by the guardian or eldest surviving minor son.<\/p>\n<p>(c)\u00a0\u00a0 Failing (a) and (b) above by the guardian or eldest surviving minor, unmarried, daughter.<\/p>\n<p>(i)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 If the deceased member had no family on the day of death, the Family Pension Fund benefit should be claimed by the person(s) eligible to receive the Provident Fund accumulation of the dece3ased member and if such member is a minor by the guardian. *(If the claimant being other than the natural guardian a guardianship certificate issued by the court of law should be enclosed.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Important Note <\/strong>: &#8211; In case the member died while in service after contributing to the Family Pension Fund for a period of not less than two years, an application in Form 10-A should also be preferred for claiming monthly Family Pension.<\/p>\n<p>(iii) Form 5(F) \u2018Benefit under Employees\u2019 Deposit-Linked Insurance Scheme, 1976.<\/p>\n<p>The benefit under Employees\u2019 Deposit-Linked Insurance Scheme, 1976 is admissible to the person(s) entitled to receive the Provident Fund accumulation of the deceased member only under the following conditions.<\/p>\n<p>(1) The death should have occurred while in service and.<\/p>\n<p>(2) The average balance in the accounts of the deceased employees should not be below the sum of Rs. 1000 during the preceding three years of during the period of his membership, whichever is less.<\/p>\n<p>An affidavit-cum-indemnity bond in the prescribed form should be furnished wherever the payment under Employees\u2019 Deposit-Linked Insurance exceeds Rs. 5000 (if amount receivable under Employees\u2019 Provident Fund and Employees\u2019 Deposit-Linked Insurance does not exceed Rs. 25,000 one affidavit-cum-indemnity bond is sufficient).<\/p>\n<p>&nbsp;<\/p>\n<p>GENERAL<\/p>\n<p>(1)\u00a0\u00a0 All the columns in the form should be filled in, in ink, without any overwriting.<\/p>\n<p>(2)\u00a0\u00a0 Correct postal address, including PIN CODE will enable to make prompt payment to the correct payee.<\/p>\n<p>(3)\u00a0\u00a0 The claimant should also furnished the address in the acknowledgement attached to the claims.<\/p>\n<p>(4)\u00a0\u00a0 \u00a0The literate claimant should sign the application form.<\/p>\n<p>In case of illiterate : &#8211; Left hand thumb impression by illiterate male claimant and right hand thumb impression by illiterate female should be affixed in the claim form.<\/p>\n<p>(5)\u00a0\u00a0 Attestation of claim application : &#8211; The application should be submitted through the employer under whom the member was last employed if for any reason the claimant is unable to submit through the employer, the claim may be got attested with official seal by any one of the following officials. (I) Magistrate; (ii) A gazetted officer; (iii) Post\/Sub-Postmaster; (iv) President of Village Union; (v) President of the Village Panchayat where there is no Union Board; (vi) Chairman\/Secretary\/Member of the Municipal\/District\/Local Board; (vii) Member of Parliament\/Legislative Assembly; (viii) Member of C.B.T. Regional Committee of the E.P.F.; (ix) Manager of the Bank where claimant has account; (x) Head of any recognised educational institution or ; (xi) Head of any recognised educational institution or; (xi) Any other official as may be approved by the Commissioner.<\/p>\n<p><strong>(6)\u00a0\u00a0 <\/strong><strong>Instruction to employers : <\/strong><\/p>\n<p>While forwarding the claims the employer should ensure that all the information required in the claim furnished correctly and requisites documents are enclosed in support of claim under Employees\u2019 Family Pension Scheme, 1971 the period of break in reckonable service (i.e. period for EPF contribution is not payable should be furnished, If not already intimated through contribution card.<\/p>\n<p>&nbsp;<\/p>\n<p align=\"right\">For office use only<\/p>\n<p>&nbsp;<\/p>\n<p>Dated Official Seal and<\/p>\n<p>Registration No. \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026<\/p>\n<p>&nbsp;<\/p>\n<p><strong><a href=\"https:\/\/www.yourhrworld.com\/formats\/wp-content\/uploads\/2011\/12\/PFF20.doc\">Click Here to Download Format PFF20<\/a><\/strong><\/p>\n<p>&nbsp;<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Please find attached Forms 10D and 20 with another file of Form 20 with instructions to filled up. Employees Provident Fund Scheme Form 20 Employees\u2019 Provident Funds Scheme, 1952 &nbsp; \u00a0 Form to be used\u00a0 : (1)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 by guardian of minor\/lunatic member. (2)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 By a nominee or legal heir of the deceased member. Or, (3)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 By the guardian of the minor\/lunatic nominee or heir. For claiming the Provident Fund accumulation of minor\/deceased member. &nbsp; &nbsp; Particulars of Member &nbsp; (a)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Name of the member (in Block Letters) (b)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Father\u2019s \/ Husband\u2019s Name (c)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Name &amp; address of the Factory\/Establishment in<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[971,972],"class_list":["post-4329","post","type-post","status-publish","format-standard","hentry","category-hr","tag-automated-form16a-in-excel","tag-epf-from-20-and"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Sample Filled EPF Form 10c - HR Letter Formats<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.yourhrworld.com\/formats\/hr\/epf-from-20-and-10-sample-filled-needed\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sample Filled EPF Form 10c - HR Letter Formats\" \/>\n<meta property=\"og:description\" content=\"Please find attached Forms 10D and 20 with another file of Form 20 with instructions to filled up. Employees Provident Fund Scheme Form 20 Employees\u2019 Provident Funds Scheme, 1952 &nbsp; \u00a0 Form to be used\u00a0 : (1)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 by guardian of minor\/lunatic member. (2)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 By a nominee or legal heir of the deceased member. Or, (3)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 By the guardian of the minor\/lunatic nominee or heir. For claiming the Provident Fund accumulation of minor\/deceased member. &nbsp; &nbsp; Particulars of Member &nbsp; (a)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Name of the member (in Block Letters) (b)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Father\u2019s \/ Husband\u2019s Name (c)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Name &amp; address of the Factory\/Establishment in\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.yourhrworld.com\/formats\/hr\/epf-from-20-and-10-sample-filled-needed\/\" \/>\n<meta property=\"og:site_name\" content=\"HR Letter Formats\" \/>\n<meta property=\"article:published_time\" content=\"2011-12-26T09:31:35+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2011-12-26T12:50:16+00:00\" \/>\n<meta name=\"author\" content=\"Hrformats\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Hrformats\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.yourhrworld.com\\\/formats\\\/hr\\\/epf-from-20-and-10-sample-filled-needed\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.yourhrworld.com\\\/formats\\\/hr\\\/epf-from-20-and-10-sample-filled-needed\\\/\"},\"author\":{\"name\":\"Hrformats\",\"@id\":\"https:\\\/\\\/www.yourhrworld.com\\\/formats\\\/#\\\/schema\\\/person\\\/12e40c15a77b1929a013a8c83de187ee\"},\"headline\":\"Sample Filled EPF Form 10c\",\"datePublished\":\"2011-12-26T09:31:35+00:00\",\"dateModified\":\"2011-12-26T12:50:16+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.yourhrworld.com\\\/formats\\\/hr\\\/epf-from-20-and-10-sample-filled-needed\\\/\"},\"wordCount\":1799,\"commentCount\":5,\"keywords\":[\"Automated Form16A in Excel\",\"EPF from 20 and\"],\"articleSection\":[\"HR\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/www.yourhrworld.com\\\/formats\\\/hr\\\/epf-from-20-and-10-sample-filled-needed\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.yourhrworld.com\\\/formats\\\/hr\\\/epf-from-20-and-10-sample-filled-needed\\\/\",\"url\":\"https:\\\/\\\/www.yourhrworld.com\\\/formats\\\/hr\\\/epf-from-20-and-10-sample-filled-needed\\\/\",\"name\":\"Sample Filled EPF Form 10c - HR Letter Formats\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.yourhrworld.com\\\/formats\\\/#website\"},\"datePublished\":\"2011-12-26T09:31:35+00:00\",\"dateModified\":\"2011-12-26T12:50:16+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/www.yourhrworld.com\\\/formats\\\/#\\\/schema\\\/person\\\/12e40c15a77b1929a013a8c83de187ee\"},\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.yourhrworld.com\\\/formats\\\/hr\\\/epf-from-20-and-10-sample-filled-needed\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.yourhrworld.com\\\/formats\\\/hr\\\/epf-from-20-and-10-sample-filled-needed\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.yourhrworld.com\\\/formats\\\/hr\\\/epf-from-20-and-10-sample-filled-needed\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.yourhrworld.com\\\/formats\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Sample Filled EPF Form 10c\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.yourhrworld.com\\\/formats\\\/#website\",\"url\":\"https:\\\/\\\/www.yourhrworld.com\\\/formats\\\/\",\"name\":\"HR Letter Formats\",\"description\":\"Free Human Resource Forms, Formats &amp; 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Employees Provident Fund Scheme Form 20 Employees\u2019 Provident Funds Scheme, 1952 &nbsp; \u00a0 Form to be used\u00a0 : (1)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 by guardian of minor\/lunatic member. (2)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 By a nominee or legal heir of the deceased member. Or, (3)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 By the guardian of the minor\/lunatic nominee or heir. For claiming the Provident Fund accumulation of minor\/deceased member. &nbsp; &nbsp; Particulars of Member &nbsp; (a)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Name of the member (in Block Letters) (b)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Father\u2019s \/ Husband\u2019s Name (c)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Name &amp; address of the Factory\/Establishment in","og_url":"https:\/\/www.yourhrworld.com\/formats\/hr\/epf-from-20-and-10-sample-filled-needed\/","og_site_name":"HR Letter Formats","article_published_time":"2011-12-26T09:31:35+00:00","article_modified_time":"2011-12-26T12:50:16+00:00","author":"Hrformats","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Hrformats","Est. reading time":"9 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.yourhrworld.com\/formats\/hr\/epf-from-20-and-10-sample-filled-needed\/#article","isPartOf":{"@id":"https:\/\/www.yourhrworld.com\/formats\/hr\/epf-from-20-and-10-sample-filled-needed\/"},"author":{"name":"Hrformats","@id":"https:\/\/www.yourhrworld.com\/formats\/#\/schema\/person\/12e40c15a77b1929a013a8c83de187ee"},"headline":"Sample Filled EPF Form 10c","datePublished":"2011-12-26T09:31:35+00:00","dateModified":"2011-12-26T12:50:16+00:00","mainEntityOfPage":{"@id":"https:\/\/www.yourhrworld.com\/formats\/hr\/epf-from-20-and-10-sample-filled-needed\/"},"wordCount":1799,"commentCount":5,"keywords":["Automated Form16A in Excel","EPF from 20 and"],"articleSection":["HR"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.yourhrworld.com\/formats\/hr\/epf-from-20-and-10-sample-filled-needed\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.yourhrworld.com\/formats\/hr\/epf-from-20-and-10-sample-filled-needed\/","url":"https:\/\/www.yourhrworld.com\/formats\/hr\/epf-from-20-and-10-sample-filled-needed\/","name":"Sample Filled EPF Form 10c - HR Letter Formats","isPartOf":{"@id":"https:\/\/www.yourhrworld.com\/formats\/#website"},"datePublished":"2011-12-26T09:31:35+00:00","dateModified":"2011-12-26T12:50:16+00:00","author":{"@id":"https:\/\/www.yourhrworld.com\/formats\/#\/schema\/person\/12e40c15a77b1929a013a8c83de187ee"},"breadcrumb":{"@id":"https:\/\/www.yourhrworld.com\/formats\/hr\/epf-from-20-and-10-sample-filled-needed\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.yourhrworld.com\/formats\/hr\/epf-from-20-and-10-sample-filled-needed\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.yourhrworld.com\/formats\/hr\/epf-from-20-and-10-sample-filled-needed\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.yourhrworld.com\/formats\/"},{"@type":"ListItem","position":2,"name":"Sample Filled EPF Form 10c"}]},{"@type":"WebSite","@id":"https:\/\/www.yourhrworld.com\/formats\/#website","url":"https:\/\/www.yourhrworld.com\/formats\/","name":"HR Letter Formats","description":"Free Human Resource Forms, Formats &amp; 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