Scribd Logo
Upload

Welcome to Scribd!

  • 116 views

    The Employees' Pension Scheme

    Uploaded by

    shubham chutke
    This document contains Alima Elyas Shaikh's declaration and nomination forms under the Employees' Provident Fund Scheme and Employees' Pension Scheme. [1] She nominates her sister Raziya Khaja Kamarshah to receive the full amount standing in her EPF account in the event of her death. [2] Under the EPS, she certifies having no eligible family members for a pension and nominates her sister to receive any widow pension. [3] The forms are submitted digitally without a physical signature on August 31, 2021.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    The Employees' Pension Scheme

    Uploaded by

    shubham chutke
    116 views2 pages
    This document contains Alima Elyas Shaikh's declaration and nomination forms under the Employees' Provident Fund Scheme and Employees' Pension Scheme. [1] She nominates her sister Raziya Khaja Kamarshah to receive the full amount standing in her EPF account in the event of her death. [2] Under the EPS, she certifies having no eligible family members for a pension and nominates her sister to receive any widow pension. [3] The forms are submitted digitally without a physical signature on August 31, 2021.

    Original Title

    epfo

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document contains Alima Elyas Shaikh's declaration and nomination forms under the Employees' Provident Fund Scheme and Employees' Pension Scheme. [1] She nominates her sister Raziya Khaja Kamarshah to receive the full amount standing in her EPF account in the event of her death. [2] Under the EPS, she certifies having no eligible family members for a pension and nominates her sister to receive any widow pension. [3] The forms are submitted digitally without a physical signature on August 31, 2021.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    116 views2 pages

    The Employees' Pension Scheme

    Uploaded by

    shubham chutke
    This document contains Alima Elyas Shaikh's declaration and nomination forms under the Employees' Provident Fund Scheme and Employees' Pension Scheme. [1] She nominates her sister Raziya Khaja Kamarshah to receive the full amount standing in her EPF account in the event of her death. [2] Under the EPS, she certifies having no eligible family members for a pension and nominates her sister to receive any widow pension. [3] The forms are submitted digitally without a physical signature on August 31, 2021.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    The Employees' Pension Scheme,

    FORM 2
    EMPLOYEES' PROVIDENT FUNDS SCHEME, 1952
    [Paragraphs 33 AND 61(1)]
    EMPLOYEES' PENSION SCHEME, 1995
    [Paragraphs 18]

    DECLARATION AND NOMINATION FORM UNDER THE EMPLOYEES' PROVIDENT FUNDS


    SCHEME AND EMPLOYEES' PENSION SCHEME

    1. UAN : 101373929657
    2. Name (in block letters) : ALIMA ELYAS SHAIKH
    3. Father's / Husband's Name : ELYAS SHAIKH
    4. Date of Birth : 21/04/1986
    5. Gender : FEMALE
    6. Marital Status : MARRIED

    7. Address (Permanent) : b/701 STAR TOWER, NEAR SITARA BAKERY, NALASOPARA, PALGHAR,
    MAHARASHTRA, 401209
    8. Address (Temporary) : b/701 STAR TOWER, NEAR SITARA BAKERY, NALASOPARA, PALGHAR,
    MAHARASHTRA, 401209
    9. (A) Date of Joining of EPF Scheme, : 01/10/2018
    (B) Date of Joining of EPF Scheme, : --
    (C) Date of Joining of EPF Scheme, : 01/10/2018

    PART A (EPF)
    I hereby nominate person(s) / cancel the nomination made by me previously and nominate the person
    (s) mentioned below to receive the amount standing to my credit in the Employees' Provident Fund, in the

    If the Nominee is
    Total amount or minor, name and
    Nominees's share of relationship and
    Name of the
    relationship with accumulations in address of the
    Nominee / Nominees Address Date of Birth
    the Member Provident Fund to guardian who may
    be paid to each receive the amont
    nominee during the minority of
    nominee
    (1) (2) (3) (4) (5) (6)

    B/101 SAI PRERNA SISTER 27/10/1984 100% --


    APT, NEAR LAXMI
    RAZIYA KHAJA
    NAGAR, NALASOPARA,
    KAMARSHAH
    THANE,
    AADHAAR: XXXX
    MAHARASHTRA,
    XXXX 9288
    401209
    Bank A/c:
    01710010002XXXX
    IFSC:
    BACB0000017

    1. *Certified that I have no family as defined in Para 2(g) of the Employees' Provident Funds Scheme, 1952 and should I
    acquire a family hereafter the above nomination should be deemed as cancelled.

    2. *Certified that my father/mother is/are dependant upon me.

    (Signature is not required as the document is to be digitally signed)


    The Employees' Pension Scheme,

    PART B (EPS)
    (Para 18)

    I hereby furnish below particulars of the members of my family who would be eligible to receive
    widow / children pension in the event of my death:

    Relationship with
    Sl. No. Name of the Family members Address Date of Birth
    the member
    (1) (2) (3) (4) (5)

    1 -- -- --
    --

    *Certified that I have no family as defined in Para 2(vii) of the Employees' Pension Scheme, 1995 and
    should I acquire a family hereafter I shall furnish particulars thereon in the above form.

    I hereby nominate the following person for receiving the monthly widow pension admissible under
    para 16(2)(a)(i) and (ii) in the event of my death without leaving any eligible family member for receiving

    Relationship with the member


    Name and Address of the Nominee Date of Birth

    RAZIYA KHAJA KAMARSHAH 27/10/1984 SISTER


    AADHAAR: XXXX XXXX 9288
    Bank A/c: 01710010002XXXX
    IFSC: BACB0000017

    Date : 31-Aug-2021

    (Signature is not required as the document is to be digitally signed)

    You might also like