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PF Release Form

The document is a provident fund release application form for BCCI-FAST Employees. It requires information from the applicant such as name, designation, employee number and signature. It also requires confirmation from various offices such as HR, Accounts, Director/Registrar regarding employment details, financial liabilities, and approval for release of funds. The final sections are for recording payment details like total balance, amounts deducted and released, cheque number and date, and signatures of the Trustees authorizing the release.

Uploaded by

Faruk Hossain
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
148 views

PF Release Form

The document is a provident fund release application form for BCCI-FAST Employees. It requires information from the applicant such as name, designation, employee number and signature. It also requires confirmation from various offices such as HR, Accounts, Director/Registrar regarding employment details, financial liabilities, and approval for release of funds. The final sections are for recording payment details like total balance, amounts deducted and released, cheque number and date, and signatures of the Trustees authorizing the release.

Uploaded by

Faruk Hossain
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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BCCI-FAST Employees’ Provident Fund Attachment Checklist:

1. Copy of approval of resignation letter


Provident Fund Release Application Form 2. Copy of completed clearance certificate
3. Copy of last salary slip
(EPF-Form-02) 4. Copy of PF member account statement

1. To be filled by Applicant
I declare that I have fulfilled all the official requirements and that I have no financial liability against me. I
hereby request the Trustees to release my provident fund.
Campus: __________________ Designation: _______________ Emp. No: _______________

Name: ____________________ Signature: _________________ Date: ___________________

2. To be filled by Admin/HR Office


Total service period excluding Leave Without Pay is (tick one) Proper Notice Served (tick one)
Less than 5 years Equal to/More than 5 years Yes No

Name: ____________________ Signature: __________________ Date: ___________________

3. To be filled by Accounts Office


Financial Liability outstanding on part of the applicant is Rs. _____________________________________

Name: ____________________ Signature: __________________ Date: ___________________

4. To be filled by Director/Registrar
The applicant has fulfilled all the official requirements. His/Her provident fund may be released.

Name: ____________________ Signature: __________________ Date: ___________________

5. To be filled by Data Entry Staff


Total Balance: Zakat Deducted: Reserve Amount (if applicable)
___________________________ ___________________________ ___________________________
Amount Released Cheque No. Cheque Date
___________________________ ___________________________ ___________________________

6. To be filled by Trustees
Trustee 1 Trustee 2
Name:____________________________________ Name:____________________________________

Signature and Date:__________________________ Signature and Date:__________________________

(Ver. 2015-Jan 22)

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