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    Form10D Aadhar

    Uploaded by

    Bharath
    This document is a pension claim form for employees where details are available in the UAN portal including Aadhaar number and bank account. The form collects information like universal account number, Aadhaar number, name, address, date of superannuation, pension option, bank account details, and self attested documents.

    Copyright:

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

    Form10D Aadhar

    Uploaded by

    Bharath
    15 views1 page
    This document is a pension claim form for employees where details are available in the UAN portal including Aadhaar number and bank account. The form collects information like universal account number, Aadhaar number, name, address, date of superannuation, pension option, bank account details, and self attested documents.

    Original Title

    Form10D_aadhar

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    © © All Rights Reserved

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    This document is a pension claim form for employees where details are available in the UAN portal including Aadhaar number and bank account. The form collects information like universal account number, Aadhaar number, name, address, date of superannuation, pension option, bank account details, and self attested documents.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    15 views1 page

    Form10D Aadhar

    Uploaded by

    Bharath
    This document is a pension claim form for employees where details are available in the UAN portal including Aadhaar number and bank account. The form collects information like universal account number, Aadhaar number, name, address, date of superannuation, pension option, bank account details, and self attested documents.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    E~PLOYEES' PROVIDENT FCND ORGANIZATIO~

    Pension Claim Form (Aadhaar)


    (Form 10 D)

    (To be used only by Employees/members where complete details in Form I !(New), Aadhaar Number, ;-..omination details and
    Pension Bank Account are anilable in l 'A~ Portal and LAN has been activated!

    Mobile Number:

    I. Universal Account Number

    2. Aadhaar umber

    3. Full ame (in capital letters) :

    4. Full Postal Address

    5. Date of superannuation (58 ycars)/Exit


    (DD/MM/Y EAR)
    6. Option for Drawing Pension
    Superannuation (on attaining 58 years)

    Short Service/Reduced pension (before 58 years)

    Date of commencement of Pension for Short Service Pension


    Date of claim

    Date attained 50 years

    From the Date :


    I I I I I I I I I I I

    7. cow. Th'1s account has bccn secdcd .In thC UAN Porta
    Pleasc sanction re case o f pension to my pension bank account mcnt1oncdbl
    Name of Bank Branch Bank Postal Address Account Number IFSC code

    8. I certify that I have filed my nomination form with Aadhaar details of all family members onlinc through member portal. It is also
    certified that I have verified the data seeded in UAN Portal and found all data including Form 11 (new), pension bank account details and
    ...
    Aadhaar number of myself and my fam'iTY" mbcrs and found them to be correct.

    9. I am enclosing scif attested copies of the following documents (in duplicate)

    Passport size photograph of sci f and spouse(in duplicate)

    Copies of Aadhaar Card for each member of family (in duplicate)

    Copy of first page of Bank passbook having details of pension bank account

    One cancclted cheque containing member's name, bank account number and IFSC code

    Date: (Signature of Member)

    Place:

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