Form : WR1 This form should be filled in English Block Letters - Please see instructions overleaf before filling the form. Employees' Provident Fund...
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EMPLOYEES PROVIDENT FUND ACT 1991 EMPLOYEES PROVIDENT FUND (AMENDMENT OF THIRD SCHEDULE) ORDER 2004 IN exercise of the powers conferred by section 74 of the
his/her career between India and another country with whom India ... Employees’ Provident Fund ... All the columns shall be filled in legibly without leaving any
p FORM NO.13 (Revised) The Employees Provident Fund Scheme, 1952
autoworkers pension fund autoworkers provident fund motor industry provident fund unclaimed death / surplus death application form brs ref
Download 3 or 4 Digit Security Code:______ Credit Card Billing Zip Code:______. EVENT REGISTRATION FORM. PROGRAM TITLE. EVENT CODE. EVENT DATE. PRICE *. TOTAL. If you need more space please duplicate this form. Please fax this completed form wit
lists the name and address of everyone who is registered. By law, certain public organisations and people, including politicians, can receive the full register
Download Event Registration Form (previously the Liquor Permit Form). Event Manager Details. Name: Mobile: Email: Staff/student number: Event Details. Event name: Event location: Event start date: Event end date: Event start time: Event end time:
scheme of another country. Early Provident Fund withdrawal permitted for ... India - Early Provident Fund withdrawal permitted for International Workers.doc
Title: L&T Mutual Fund Nomination Registration Form - L&T Mutual Fund Author: L&T Mutual Fund Subject: Download L&T Mutual Fund Nomination Form to register Nominee\(s
Download ADULT REGISTRATION ($25) - PLEASE ENCLOSE PAYMENT WITH REGISTRATION FORM. CHILD CARE (BIRTH - 5 YEARS) - MUST SUBMIT HEALTH FORM - CHILD'S AGE: KIDS ASSEMBLY (K - 5th GRADE) - MUST SUBMIT HEALTH FORM - CHILD'S GRADE: YOUTH ASSE
Download Event Registration Form. This form is to be used to register all Student Life supported programs, activities and meetings. Worksheets must be submitted to the Office of Student Life, two (2) weeks in advance of the event. If you have any
Download UNE LIFE EVENT ADMINISTRATION, MADGWICK HALL. P: 02 6773 5705 E: [email protected]. UNE EVENT REGISTRATION FORM. *Must be lodged with the UNE Life Event Administration at least 7 days prior to event for events 100 people. Th
Download Event Registration Form. This form is to be used to register all Student Life supported programs, activities and meetings. Worksheets must be submitted to the Office of Student Life, two (2) weeks in advance of the event. If you have any
Download UNE LIFE EVENT ADMINISTRATION, MADGWICK HALL. P: 02 6773 5705 E: [email protected]. UNE EVENT REGISTRATION FORM. *Must be lodged with the UNE Life Event Administration at least 7 days prior to event for events 100 people. Th
Download 3 or 4 Digit Security Code:______ Credit Card Billing Zip Code:______. EVENT REGISTRATION FORM. PROGRAM TITLE. EVENT CODE. EVENT DATE. PRICE *. TOTAL. If you need more space please duplicate this form. Please fax this completed form wit
Download facility, AAS will refund to attendee his/her paid registration fee minus a portion of the event costs acquired by AAS. This refund will be the attendees' exclusive remedy and AAS' only liability for cancellation of the event for
1, Rockledge,. FL 32955. MEMBER PORTAL: myFHCA.org/myportal. For further assistance, please call Customer Service toll-free at 1.844.522.5279 (TTY/TDD relay: 1.800.955.8771) Monday through Friday from 8 a.m. to 6 p.m.. Health First Commercial Plans,
Download facility, AAS will refund to attendee his/her paid registration fee minus a portion of the event costs acquired by AAS. This refund will be the attendees' exclusive remedy and AAS' only liability for cancellation of the event for
Download ADULT REGISTRATION ($25) - PLEASE ENCLOSE PAYMENT WITH REGISTRATION FORM. CHILD CARE (BIRTH - 5 YEARS) - MUST SUBMIT HEALTH FORM - CHILD'S AGE: KIDS ASSEMBLY (K - 5th GRADE) - MUST SUBMIT HEALTH FORM - CHILD'S GRADE: YOUTH ASSE
Download Event Registration Form (previously the Liquor Permit Form). Event Manager Details. Name: Mobile: Email: Staff/student number: Event Details. Event name: Event location: Event start date: Event end date: Event start time: Event end time:
NEW APPLICATION NEW DEPENDANT Name of company Name of individual Date of commencement Membership number: D D M M Y Y Option (please tick the appropriate box)
Download Parent/Guardian Name: Address: City: State: Zip: Primary Contact Number: Email : Secondary Contact Number: Email: Please select all sessions that your child ...
Download Parent/Guardian Name: Address: City: State: Zip: Primary Contact Number: Email : Secondary Contact Number: Email: Please select all sessions that your child ...
Form : WR1 This form should be filled in English Block Letters - Please see instructions overleaf before filling the form.
Employees' Provident Fund MEMBER REGISTRATION FORM FOR ONLINE EPF ACCOUNT ENQUIRY FACILITY
1.
Employee’s Full Name as Appearing in the National Identity Card (NIC) (Attach a copy of the NIC certified by the Current Employer)
2.
Name with Initials
Initials Last Name D
3.
NIC No
M
M
Y
Y
Y
Y
Date of Issue D
4.
D
D
M
M
Y
Y
Y
Y
Date of Birth
5.
Sex
Male
Female
6. Contact Details Address in Sri Lanka City Postal Code 7.
Phone
Online Services
( the services that you wish to register)
Internet
Email (for Internet facility)
SMS
Mobile Phone Number (for SMS facility)
8.
Current Employment Details
Employer Certification (To be filled by your current employer) I Certify that the information stated in Cage No.’s 1 to 6 and 8 are correct. (Please sign with office stamp)
Zone
Employer Number
Member Number
Name of the certifying officer Signature D
D
M
M
Y
Y
Y
Y
Date 9.
Previous Employment Details
Provide your previous employer’s EPF registration number and your EPF membership number. (Attach photo copy of relevant ‘B’ card)
Zone
Employer Number
Member Number
Zone
Employer Number
Member Number
10. Member’s Certification I do hereby certify that the above information is true and correct. Further, I am aware that the information obtained from this service is not a proof of legal entitlement.
Date
D
D
M
M
Y
Y
Y
Y
Signature
Form : WR1
Instructions to fill the Form WR1 Upon registration at the EPF Department, Central Bank, you will be informed of your password/PIN to enable you to obtain this online facility (Internet /SMS). Duly filled application should be sent to the : SUPERINTENDENT, EMPLOYEES’ PROVIDENT FUND P O Box 1299 JANADHIPATI MAWATHA COLOMBO (Indicate “Internet /SMS Registration” on the left side of the envelop) For details Contact EPF Help Desk, 0112206642, 0112206690, 0112206691, 0112206692 and 0112206693
Cage No.
Instructions
Cage 1.
Cage 2.
Write your full name as given in the NIC. Use one cage for one letter. Keep one cage blank in between two names. Attach a copy of the NIC certified by the current employer. Write your Last Name with Initials. Use one cage for one letter.
Cage 3.
Write the NIC number and the Date of Issue.
Cage 4
Date of birth Eg. 21st of March 1967 should be indicated as; D 2
D 1
M 0
M 3
Y 1
Y 9
Y 6
Y 7
Cage 5
Indicate your sex with a cross ‘X’ sign.
Cage 6
Write your current residence address and contact number during office hours. The address you provide here will be used to mail you the details of this service.
Cage 7
For Internet Services, your NIC number will be used as your logon id. Provide your email address. For SMS Services, you are required to include your Mobile Phone number for registration.
Cage 8.
Provide your current employment detail. If you are not employed at present provide your most recent employment details and the certification by the most recent employer. The information provided in Cages (1) to (6) and 8 should be certified by the member’s current employer. Provide your previous employment details to have the access to those account details. Provide your signature. This should match with your signature that has already been placed in your ‘B’card
