Instructions for Filling PF withdrawal Form

1. As per Employees Provident Fund and Miscellaneous Provisions Act 1952, you can withdraw
your PF only in case o one o the listed eventuality under !erial "o. 9. # none o the $ reasons
or withdrawin% PF applies to you, you have to compulsorily transer the PF und to the new
or%ani&ation.
2. A%ainst !erial "o. '1 to '( o the application orm, please enter the re)uired *+! speciic details.
,. # you intend to withdraw your PF, select the applica-le under !erial "o. 9 o the orm. # you
select the option as .Unemployed for 2 Months, it is mandatory or you to si%n the declaration
as per !erial "o. 9.
$. # you are selectin% the /oin% A-road 0 permanent mi%ration rom #ndia option then you need to
su-mit the 1isa, Passport or 2ourney *ic3et copy alon% with the PF application.
5. # you are selectin% the Permanent and total disa-lement 0 incapacitation option then you need to
su-mit the Medical +ertiicate rom E!# or Medical 4icer o the company should -e attached
alon% with the PF application whichever is applica-le
5. "ote that i you are currently wor3in% in an or%ani&ation that is covered -y Employees Provident
Fund and Miscellaneous Provisions Act 1952, you need to transer your accumulated PF 6 PF 7
Pension accounts. For such a transer, you are re)uested to ill in a duplicate .8evised Form 1,
issued -y your current employer and send it to ollowin% *+! address.
9. "ote that the PF amount, i withdrawn is su-2ect to applica-le ta:es ;*<!=, i your continues
service ;inclusive o service rendered in the previous employment provided the PF is transerred
to *+!= is less than ive years.
(. For the computation o *<! as per9 a-ove, the details as per Form 15 ;!alary *<! certiicate=
issued -y *+! ;or any mer%ed company= or the period o employment are re)uired. # details o
Form 15 are not availa-le in our archives, we will re)uest you to urnish the same at the time o
processin% your settlement claim.
If Form 16 / TDS certificates are not available / provided, the TDS at the rate applicable as
per highest tax slab among the years of employment period, will be dedcted from the
payable !F accmlation and TDS certificate will be issed by !F Trst to that effect"
9. Please note that the settled PF amount will -e credited to your *+! salary -an3 account. # in
case you have closed *+! salary -an3 account, you need to attach one cancelled che)ue lealet
o your active -an3 account in #ndia, alon% with application orm.
1'. #n Advanced !tamped 8eceipt section, you need to ai: a revenue stamp and si%n across the
stamp ai:ed. 11. Please send the duly illed7in orm to the ollowin% address.
Ms. Sarita Surve Ms. !rupti Munge"ar
!ata #onsultancy Services $td. %"ruti &usiness Port'(ateway Par", !a)le *o.+#2+, +th
floor, ,oad no -..MI/#, %ndheri 0ast, Mum)ai ' +11 12., Maharashtra. India. Mail to3
retiral.settlements4tcs.com