Pf All Forms In Excel (challan Monthly Return Annual Return) 674v73
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The Employees' Provident Fund Scheme, 1952
Form - 5
Paragarph 36 (2) (a) and (b)
Employees' Pension Scheme, 1995 Paragarph 20 (4) Return of Employees' qualifying for hip of the Employees' Provident Fund, Employees' Pension Scheme & Employees' Deposit Linked Insurance Fund for the first time during the month of To be sent to the Commissioner with Form 2 Name & Address of the Factory/ Establishment : Code No. of Factory/ Establishment :
S. No No.
Name of the Member (in BLOCK letters)
Father's Name or Husband's Name in case of married women
Age/ Date of Birth
Total Period of Previous Service Date of (excluding period Sex Eligibility for of breaks) as on the Service date of ing the Fund
Remarks
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Signature of the employer or other authorised officer and stamp of the Factory / Establishment Note: Please furnish details of the hip in remarks column if the employee was a member of Employees' Provident Fund and Employees' Family Pension scheme before ing yourself/ factory. i.e. No. and/ or the name and particulars of the last employer.
Form - 5
r the first
emarks
lishment
scheme
The Employees' Provident Fund Scheme, 1952
Form - 10
Paragarph 36 (2) (a) and (b)
Employees' Pension Scheme, 1995 Paragarph 20 (4) Return of leaving service during the month of : Name & Address of the Factory/ Establishment : Code No. of Factory/ Establishment :
S. No No.
Name of the Member (in BLOCK letters)
Father's Name or Husband's Name in case of married women
Date of Leaving Service
Reason for Leaving Service
Remarks
1 2 3 4 5 6 7 8 9 10 11 12
Signature of the employer or other authorised officer and stamp of the Factory / Establishment Please state whether the member is (a) retiring according to para 69 (1) (a) or (b) of the scheme; (b) leaving India for permanent settlement abroad; (c) retrenched; (d) ordinarily dismissed for serious and willful misconduct; (e) discharged; (f) reg from or leaving service; (g) taking up employment elsewhere (the name and address of the new employer should be stated) ; (h) dead. (1) A request for deduction from the of a member dismissed for serious and willful misconduct should be reported by the following “certified that the member mentioned at Sr. No. Shri. was dismissed from the service for willful misconduct. I recommend that the employer's contribution for should be forfeited from his in the fund. A copy of order of dismissal is enclosed. (2) In case of discharge from service, the following certificate should be filled. Certified that the member mentioned in Sr. No. Shri.
was paid/ unpaid retrenchment compensation of Rs.
under the Industrial Disputes Act, 1947
Form - 10
emarks
lishment
(d) ordinarily e new
er
FORM 12-A (REVISED)
THE EMPLOYEES' PROVIDENT FUNDS & MISC. PROVISION ACT, 1952 EMPLOYEES' PENSION SCHEME [PRARGRAPH 20(4)] Only for Un-Exempted Establishments
Name and address of the Establishment
(To be filled in by EPFO) Currency period from 1st April
to 31st March
Establishment Status
Statement of Contributions for the month of Code No.
Statutory Rate of Contribution Particulars
Wages on which Contributions are Payable
1
Amount of Contribution 3 Recovered Payable by the from the Employer Worker
%
Amount of Contributions Remitted 4 Worker's Employer's Share Share
2
Group Code Amount of Charges Due
Amount of Charges Due
5
6
NIL
NIL
E.P.F. A/c No. 01 Pension Fund A/c No. 10
NIL
NIL
D.L.I. A/c No. 21
NIL
NIL
Total No. of Employees (a) Contract (b) Rest (c) Total Details of Subscribers Number as per last month's return +) Number of Subscribers vide Form No. 5 -) Number of Subscribers vide Form No. 10
Name and address of the Bank in which amount is remitted:
E.P.F.
Pension Scheme
E.D.L.I.
Date of Remittace (Enclose Triplicate Copies of Challan)
Net total
Signature of Employer with Office Seal
COMBINED CHALLAN - A/C. NO. 1, 2, 10, 21 & 22
ORIGINAL DUPLICATE
EMPLOYER'S PROVIDENT FUND ORGANIZATION
TRIPLICATE
(USE SEPARATE CHALLANS FOR EACH MONTH) ESTABLISHMENT CODE NO.:
GROUP NO.: M
DUES FOR THE MONTH OF :
QUADRUPICATE
PAID BY CHEQUE/ CASH M
Y
Y
Y
Y
Employee Share
D
D
M
M
Y
Y
Y
Y
DATE OF PAYMENT Employer Share
Total No. of Subscribers: A/c 1
A/c 10
A/c 21
Total Wages Due: S. NO.
A/C NO. 1
PARTICULARS
1
EMPLOYER'S SHARE OF CONTRIBUTION
2
EMPLOYEE'S SHARE OF CONTRIBUTION
3
ISTRATIVE CHARGES
4
INSPECTION CHARGES
5
PENAL DAMAGES
6
MISCELLANEOUS PAYMENT TOTAL
A/C NO. 2
0.00
A/C NO. 10 A/C NO. 21 AMOUNT (in Rupees)
0.00
0.00
0.00
(Amount in words Rupees NAME OF THE ESTABLISHMENT ADDRESS
SIGNAGURE OF THE DEPOSITOR
(TO BE FILLED IN BY EMPLOYER) Name of the Bank :
Cheque No. :
0.00
TOTAL
0.00 Only)
(For Bank use Only) Amount Received Rs. For Cheques Only: Date of Presentation: Date of Realisation: Branch Name: Branch Code No.
NAME OF THE DEPOSITOR
A/C NO. 22
Date :
CATE
Y
nly)
The Employees' Provident Fund Scheme, 1952
Form - 3A
Paragarph 35 & 42
Employees' Pension Scheme, 1995 Paragarph 19 Contribution card for currency period from 1st April 1 2
No. Name/ Surname
3
Father's/ Husband's Name
to 31st March
1 April May June July August September October November December January February March Other Total
Amount of Wages
EPF
2
3
0.00
Name & Address of the Factory/ Establishment
5 6
Statutory rate of contribution Voluntary higher rate of employee's contribution if any
CONTRIBUTIONS Employer's Share
Worker's Share Month
4
EPF Difference Pension Fund (EPS) between 12% & 10% Contribution 8-1/3% (if any) 4a
0.00
4b
0.00
0.00
Total
Refund of Wages
4c
5
0.00
Period of non contributing service From
To
6a
6b
Remarks 7
0.00
Certified that the total difference between the total of the contributin shown under col (3) and (4) of the table of reverse and that arrived at on the total wages shown in col (2) at the prescribed rate is solely due to the rounding off contribution to the nearest rupees under the rules. (a) Date of Leaving Service (b) Reason for leaving service Certified that the total amount of contribution (both shares) indicated in this card i.e. Rs. has already been remitted in full in EPF A/c No. 1 and Pension Fund A/c No. 10 Certified that the difference between the total of the contribution shown under cols. 3, 4a and 4b of the above table and that arrived at on the total wages shown in col. 2 at the prescribed rate is solely due to rounding off of contribution to the nearest rupee under the rules.
Signature of the employer or other authorised officer and stamp of the Factory / Establishment
Form - 3A
emarks 7
in col (2) at
Only
ol. 2 at the
lishment
The Employees' Provident Fund Scheme, 1952
Form - 6A
Paragarph 43
Employees' Pension Scheme, 1995 Annual statement of contribution for the currency period 1st April
to 31st March Statutory rate of contribution
Name & Address of the Establishment
12.00 %
No. of voluntarily contributing at a higher rate: Code No. of Establishment
Sr. No.
1
No.
2
Name of the Member (in BLOCK letters)
3
Grand Total Rs.
Wages retaining Amount of allowances (if any) & Workers DA including cash EPF between contribution value of food 10% & deducted concession paid 8-1/3% from the during the currency wages period. 4
5
0.00
6
0.00
Pension Fund 8-1/3%
Refund of Advance
Total
Remarks
contribution
(if any) 7
0.00
Rate of higher voluntary
8
0.00
0.00
9
10
Form - 6A
Remarks
10
Form - 5
Paragarph 36 (2) (a) and (b)
Employees' Pension Scheme, 1995 Paragarph 20 (4) Return of Employees' qualifying for hip of the Employees' Provident Fund, Employees' Pension Scheme & Employees' Deposit Linked Insurance Fund for the first time during the month of To be sent to the Commissioner with Form 2 Name & Address of the Factory/ Establishment : Code No. of Factory/ Establishment :
S. No No.
Name of the Member (in BLOCK letters)
Father's Name or Husband's Name in case of married women
Age/ Date of Birth
Total Period of Previous Service Date of (excluding period Sex Eligibility for of breaks) as on the Service date of ing the Fund
Remarks
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Signature of the employer or other authorised officer and stamp of the Factory / Establishment Note: Please furnish details of the hip in remarks column if the employee was a member of Employees' Provident Fund and Employees' Family Pension scheme before ing yourself/ factory. i.e. No. and/ or the name and particulars of the last employer.
Form - 5
r the first
emarks
lishment
scheme
The Employees' Provident Fund Scheme, 1952
Form - 10
Paragarph 36 (2) (a) and (b)
Employees' Pension Scheme, 1995 Paragarph 20 (4) Return of leaving service during the month of : Name & Address of the Factory/ Establishment : Code No. of Factory/ Establishment :
S. No No.
Name of the Member (in BLOCK letters)
Father's Name or Husband's Name in case of married women
Date of Leaving Service
Reason for Leaving Service
Remarks
1 2 3 4 5 6 7 8 9 10 11 12
Signature of the employer or other authorised officer and stamp of the Factory / Establishment Please state whether the member is (a) retiring according to para 69 (1) (a) or (b) of the scheme; (b) leaving India for permanent settlement abroad; (c) retrenched; (d) ordinarily dismissed for serious and willful misconduct; (e) discharged; (f) reg from or leaving service; (g) taking up employment elsewhere (the name and address of the new employer should be stated) ; (h) dead. (1) A request for deduction from the of a member dismissed for serious and willful misconduct should be reported by the following “certified that the member mentioned at Sr. No. Shri. was dismissed from the service for willful misconduct. I recommend that the employer's contribution for should be forfeited from his in the fund. A copy of order of dismissal is enclosed. (2) In case of discharge from service, the following certificate should be filled. Certified that the member mentioned in Sr. No. Shri.
was paid/ unpaid retrenchment compensation of Rs.
under the Industrial Disputes Act, 1947
Form - 10
emarks
lishment
(d) ordinarily e new
er
FORM 12-A (REVISED)
THE EMPLOYEES' PROVIDENT FUNDS & MISC. PROVISION ACT, 1952 EMPLOYEES' PENSION SCHEME [PRARGRAPH 20(4)] Only for Un-Exempted Establishments
Name and address of the Establishment
(To be filled in by EPFO) Currency period from 1st April
to 31st March
Establishment Status
Statement of Contributions for the month of Code No.
Statutory Rate of Contribution Particulars
Wages on which Contributions are Payable
1
Amount of Contribution 3 Recovered Payable by the from the Employer Worker
%
Amount of Contributions Remitted 4 Worker's Employer's Share Share
2
Group Code Amount of Charges Due
Amount of Charges Due
5
6
NIL
NIL
E.P.F. A/c No. 01 Pension Fund A/c No. 10
NIL
NIL
D.L.I. A/c No. 21
NIL
NIL
Total No. of Employees (a) Contract (b) Rest (c) Total Details of Subscribers Number as per last month's return +) Number of Subscribers vide Form No. 5 -) Number of Subscribers vide Form No. 10
Name and address of the Bank in which amount is remitted:
E.P.F.
Pension Scheme
E.D.L.I.
Date of Remittace (Enclose Triplicate Copies of Challan)
Net total
Signature of Employer with Office Seal
COMBINED CHALLAN - A/C. NO. 1, 2, 10, 21 & 22
ORIGINAL DUPLICATE
EMPLOYER'S PROVIDENT FUND ORGANIZATION
TRIPLICATE
(USE SEPARATE CHALLANS FOR EACH MONTH) ESTABLISHMENT CODE NO.:
GROUP NO.: M
DUES FOR THE MONTH OF :
QUADRUPICATE
PAID BY CHEQUE/ CASH M
Y
Y
Y
Y
Employee Share
D
D
M
M
Y
Y
Y
Y
DATE OF PAYMENT Employer Share
Total No. of Subscribers: A/c 1
A/c 10
A/c 21
Total Wages Due: S. NO.
A/C NO. 1
PARTICULARS
1
EMPLOYER'S SHARE OF CONTRIBUTION
2
EMPLOYEE'S SHARE OF CONTRIBUTION
3
ISTRATIVE CHARGES
4
INSPECTION CHARGES
5
PENAL DAMAGES
6
MISCELLANEOUS PAYMENT TOTAL
A/C NO. 2
0.00
A/C NO. 10 A/C NO. 21 AMOUNT (in Rupees)
0.00
0.00
0.00
(Amount in words Rupees NAME OF THE ESTABLISHMENT ADDRESS
SIGNAGURE OF THE DEPOSITOR
(TO BE FILLED IN BY EMPLOYER) Name of the Bank :
Cheque No. :
0.00
TOTAL
0.00 Only)
(For Bank use Only) Amount Received Rs. For Cheques Only: Date of Presentation: Date of Realisation: Branch Name: Branch Code No.
NAME OF THE DEPOSITOR
A/C NO. 22
Date :
CATE
Y
nly)
The Employees' Provident Fund Scheme, 1952
Form - 3A
Paragarph 35 & 42
Employees' Pension Scheme, 1995 Paragarph 19 Contribution card for currency period from 1st April 1 2
No. Name/ Surname
3
Father's/ Husband's Name
to 31st March
1 April May June July August September October November December January February March Other Total
Amount of Wages
EPF
2
3
0.00
Name & Address of the Factory/ Establishment
5 6
Statutory rate of contribution Voluntary higher rate of employee's contribution if any
CONTRIBUTIONS Employer's Share
Worker's Share Month
4
EPF Difference Pension Fund (EPS) between 12% & 10% Contribution 8-1/3% (if any) 4a
0.00
4b
0.00
0.00
Total
Refund of Wages
4c
5
0.00
Period of non contributing service From
To
6a
6b
Remarks 7
0.00
Certified that the total difference between the total of the contributin shown under col (3) and (4) of the table of reverse and that arrived at on the total wages shown in col (2) at the prescribed rate is solely due to the rounding off contribution to the nearest rupees under the rules. (a) Date of Leaving Service (b) Reason for leaving service Certified that the total amount of contribution (both shares) indicated in this card i.e. Rs. has already been remitted in full in EPF A/c No. 1 and Pension Fund A/c No. 10 Certified that the difference between the total of the contribution shown under cols. 3, 4a and 4b of the above table and that arrived at on the total wages shown in col. 2 at the prescribed rate is solely due to rounding off of contribution to the nearest rupee under the rules.
Signature of the employer or other authorised officer and stamp of the Factory / Establishment
Form - 3A
emarks 7
in col (2) at
Only
ol. 2 at the
lishment
The Employees' Provident Fund Scheme, 1952
Form - 6A
Paragarph 43
Employees' Pension Scheme, 1995 Annual statement of contribution for the currency period 1st April
to 31st March Statutory rate of contribution
Name & Address of the Establishment
12.00 %
No. of voluntarily contributing at a higher rate: Code No. of Establishment
Sr. No.
1
No.
2
Name of the Member (in BLOCK letters)
3
Grand Total Rs.
Wages retaining Amount of allowances (if any) & Workers DA including cash EPF between contribution value of food 10% & deducted concession paid 8-1/3% from the during the currency wages period. 4
5
0.00
6
0.00
Pension Fund 8-1/3%
Refund of Advance
Total
Remarks
contribution
(if any) 7
0.00
Rate of higher voluntary
8
0.00
0.00
9
10
Form - 6A
Remarks
10
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