Guidelines for filling PF withdrawal FORMS (Form No. 19 & 10!

FORM 19 (Application form for withdrawing Employees Provident fund)

1. Mention your Name as per pay slip (In loc! letters).
". Mention your #ather$s Name or %us&and$s Name in case of married women.
'. Mention this address( )
*. P# account no. (Please refer your Pay +lip).
,. Mention the date of -eaving
.. /eason for leaving service ) 0ou can mention the reason )1 /esigned.
2. Mention your Permanent Address
3. Mode of /emittance should only &e through your an! A4c.
Mention your active +avings an! A45 details which should &e in your name6 you can also mention your
+alary A45 &ut !eep transacting with your salary account so that it can &e maintained.
0ou can ignore 7 5ontri&ution for the current financial year #orm No. , and #orm no. 18
ac! to the same page should have ' signatures of yours (as per cross mar!s 9:;)
FORM 10 (Application form for Employees Pension +cheme)
1. a) Name of the Mem&er (as per payslip) (In loc! letters).
&) Name of the 5laimant (<his is applica&le only in death case)
". Mention your =ate of irth
'. Mention your #ather$s Name 4 (or %us&and$s name in case of married woman).
*. Mention this address(
.
,. /egion M%6 +/> 5ode(
Estt. 5ode No.
P# account num&er (will &e on your Pay +lip after Estt code )).
.. /eason for leaving service ) 0ou can mention the reason )1 /esigned.
2. Mention your Permanent Address
3. +elect option 9N>;
?. Mention your family details.
18. Ignore this point (N4A)
11. Mode of /emittance should only &e through your an! A4c.
Mention your active +avings an! A45 details which should &e in your name6 you can also mention your
+alary A45 &ut !eep transacting with your salary account so that it can &e maintained.
1". @rite 9No;
elow point no. 1" employee should sign the form (as per cross mar!s 9:;)
+econd signature on advance stamp receipt (as per cross mar!s 9:;)
Employee can ignore the remaining part of the form.
AE0 P>IN<+ <> E 5>N+I=E/ #>/ P# @I<%=/A@A-()
Need to su&mit #orm 1?6 #orm 18 5 B 5ancelled 5heCue leaf (only 1).
5ancelled 5hC leaf should &e of same &an! of which you have mentioned the &an! details in P#
@ithdrawal #orm otherwise P# Authority will not accept the P# @ithdrawal #orm.
Please mentioned your EMP code and contact No on the &ac! side of the 5ancelled chC leaf.
As per EmployeesD Provident #und +cheme 1?," ) Para .?6 for withdrawing Provident fund there is
minimum " months (.8 days) waiting period from date of leaving <he P# @ithdrawal application can &e
su&mitted only after .8 days from the date of /esignation.
0ou will receive Ac!nowledgement copy for su&mission of P# @ithdrawal Application6 once we su&mit the
same to /P#5 office.
Employee can chec! P# @ithdrawal +tatus online on /P#5 official we&site after su&mission of #orm
www.epf&andra.org
Please find the reCuired details for online trac!ing (www.epf&andra.org)
State 7 Maharashtra
Offi"e ) andra
#sta$lishment "ode )
EEtension 5ode is not reCuired for.
#m%lo&ee No 7 +hould &e you$re P# A4c. No. after Eg( M%4AN4::::4 '''''
Please note is not responsi&le for any delays in crediting your amount from the Provident #und office6
any Cueries post your forms su&mitted to the P# office are to &e directly clarified with the P# office. <he
P# office details are mentioned &elow for your reference.
<he /egional Provident #und 5ommissioner6
'*16 havishya Nidhi havan6
andra (E)6
Mum&ai ) *88 8,1
5ontact No. 8"" 7 ".*28888414"4'4*4,4.424",4"?
EEt. "'83 #aE No. 7 8"" ) ".*288'84'1
E)mail( ro.&andraFepfindia.gov.in
G/-( http(44www.epf&andra.org