FORM OF NOMINATION FOR GENERAL PROVIDENT FUND

¼tc vfHknkrk ds ifjokj gks vkSj o mlds ,d lnL; dks ukfer djuk pkgrk gks rks ½-

eSa ,rn~}kjk fuEufyf[kr O;fDr tks lkekU; Hkfo"; fuf/k¼m0iz0½ fu;ekoyh ds fu;e&2 esa nh x;h ifjHkk"kk ds vuqlkj esjs
ifjokj dk lnL; gS] dks og /kujkf’k] tks esjh fuf/k esa tek gks] ml n’kk esa izkfIr ds fy, ukfer djrk gWwa] ftlds ns; gksus ls iwoZ
esjh e``R;q gks tk;s] ;k ns; gksus ij ftldk Hkqxrku eq>s u gks vkSj esjh e``R;q gks tk;sA
Ø- ukfer vfHknkrk ls vk;q uke vkdfLedrk;s ml O;fDr dk iw j k uke@ irk vkS j la c a /k] ftldks
la - O;fDr dk lEcU/k fufnZ "V ftuds gks us ij vfHknkrk ls igys ] ukfer dh e` ` R;q gks tkus dh n’kk es a
uke o O;fDr dk ukeka du voS /k ukfer dk vf/kdkj fey tk;s xkA
iw j k irk va ’k¼’ks ;j½ gks vk,xk

1 2 3 4 5 6 7

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nks lk{kh ds gLrk{kj vfHknkrk ds gLrk{kj

¼uke o inuke½
1 uke irk

izfrgLrk{kfjr

2 uke irk
dk;kZy;k/;{k dk uke o irk

fnukad