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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