GPF PART FINAL WITHDRAWEL

APPLICATION FOR GPF PART FINAL WITHDRAWEL

 

1. Name of the Applicant                                                : ………………………………………………………
2. Designation & Office                                      : ………………………………………………………
3. (a) Date of Birth                                             : ………………………………………………………

(b) Date of Entry into Govt. Service              : ………………………………………………………

4. Subscriber’s Probable date of retirement      : ………………………………………………………
5. Subscriber’s Pay                                             : ………………………………………………………
6. Name of the GPF or PF                                  : ………………………………………………………
7. Account No.                                                    : ………………………………………………………
8. Balance of Credit of the Subscriber

of the on the Date of application                    : ………………………………………………………

9. Objections of the withdrawal                         : ………………………………………………………

10.  Amount of withdrawals sanctioned               : ………………………………………………………

11.  G.O under which the advance is sanctioned : ………………………………………………………

12.  No and date of the letter if any of the A.G.

       Intimating the eligibility(This is to be quoted

 in the case of Gazetted subscribers)             : ………………………………………………………

       13.  Whether all condition prescribed by Govt.

               For the sanction of such withdrawals have

         Satisfied by the subscribers                         : ………………………………………………………

14. Designation of the authority competent to

sanction on advance to be subscribers from

              his A.E accounts for special reasons.                       : ………………………………………………………

15. D.D to be issued in favour of

( DDO Designation & Adress)                                   : ………………………………………………………

 

 

Station:

Dated  :                                                                                   Signature of the Applicant

 

 

|| Attested by the DDO||