GPF LOAN FORM
APPLICATION FOR GPF PART FINAL WITHDRAWEL
1. Name of the Applicant : ………………………………………………………
2. Designation & Office : ………………………………………………………
3. (a) Date of Birth : ………………………………………………………
(b) Date of Entry into Govt. Service : ………………………………………………………
4. Subscriber’s Probable date of retirement : ………………………………………………………
5. Subscriber’s Pay : ………………………………………………………
6. Name of the GPF or PF : ………………………………………………………
7. Account No. : ………………………………………………………
8. Balance of Credit of the Subscriber
of the on the Date of application : ………………………………………………………
9. Objections of the withdrawal : ………………………………………………………
10. Amount of withdrawals sanctioned : ………………………………………………………
11. G.O under which the advance is sanctioned : ………………………………………………………
12. No and date of the letter if any of the A.G.
Intimating the eligibility(This is to be quoted
in the case of Gazetted subscribers) : ………………………………………………………
13. Whether all condition prescribed by Govt.
For the sanction of such withdrawals have
Satisfied by the subscribers : ………………………………………………………
14. Designation of the authority competent to
sanction on advance to be subscribers from
his A.E accounts for special reasons. : ………………………………………………………
15. D.D to be issued in favour of
( DDO Designation & Adress) : ………………………………………………………
Station:
Dated : Signature of the Applicant
|| Attested by the DDO||
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