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1 UAN Based FORM 19 and 10C (Application form for withdrawing

Employees Provident fund)

Form 19
1. Mention Your Mobile No registered under UAN site
2. Mention Your UAN No with Accenture. Please refer your Payslip
to check your UAN with Accenture.
3. Mention Your Name In capital as registered under UAN site
4. Mention Your Date of Leaving with Accenture
5. Tick Mark om Reason of Leaving Service from Give List
6. Mention your PAN Card No. Also mention whether you are
submitting Form 15G/15H, if applicable (YES/NO)
7. Mention your Full Postal Address with Pin code
8. You have to Sign above Signature of the Member

Form 10C
1. Mention Your Mobile No registered under UAN site
2. Mention Your UAN No with Accenture. Please refer your Payslip
to check your UAN with Accenture.
3. Mention Your Name In capital as registered under UAN site
4. Mention Your Date of Joining with Accenture
5. Mention Your Date of Leaving with Accenture
6. Mention your Full Postal Address with Pin code
7. You have to Sign above Signature of the Member

If your Aadhaar Number and Bank Account details are already seeded
with the UAN and subsequently the UAN has been activated, you can
submit these UAN based forms directly to the respective jurisdictional PF
office without attestation of the employer. This is applicable for
withdrawals and loans only. For this purpose the format of the claim forms
has been provided herewith.

Key Note: You are requested to check your KYC details such as Aadhaar
Number, PAN and Bank Account Number with IFSC code by logging into
the EPFO portal using your credentials before applying for such claims. In
case there are corrections need to be made to the information on the portal,
you should reach out to India.Finance.Center@accenture.com for updating
the same before exercising this option.

2
As per the recent amendments, provident fund settlements would be taxed
if withdrawal accumulations are over Rs. 30,000 and the employee has less
than five years of provident fund membership.

If tax payable on the total income is nil and when the premature withdrawal
of provident fund is above Rs 30,000/-, to provide 15H / 15G. (In case you
would like to file Form 15G/H, you are hereby requested to consult your
tax advisor as may be applicable.)

Signature Require 1 signature


3 Form 15G is meant for non-senior citizens whereas Form
15H is meant for senior citizens only.

Signature Require 1 signature

Send the duly filled forms to the below address:

The Regional Provident Fund Commissioner,


341, Bhavishya Nidhi Bhavan,
Bandra (E),
Mumbai - 400 051
KEY POINTS TO BE CONSIDER FOR PF WITHDRAWAL:-

Need to submit UAN-Based Form 19, Form 10 C.

Need to submit Form 15H/15G if applicable

Copy of Pan Card

A cancelled cheque (for bank account mentioned in the UAN portal containing
members name, bank account number and IFS Code)

As per Employees' Provident Fund Scheme 1952 - Para 69, for withdrawing Provident
fund there is minimum 2 months (60 days) waiting period from date of leaving
Accenture The PF Withdrawal application can be submitted only after 60 days from
the date of Resignation.

Employee can check PF Withdrawal Status online on RPFC official website after
submission of Form : http://www.epfindia.gov.in/site_en/KYCS.php - Select State
Maharashtra - Select your EPFO Office Bandra (Mumbai-I)

Please find the required details for online tracking (http://www.epfindia.gov.in)

State MH (Maharashtra)
Office BAN (Bandra)
Establishment code - 45665
Extension Code is not required for Accenture.
Employee No Should be youre PF A/c. No. after 45665 E.g.: MH/BAN/45665/ XXXXX

Please note Accenture is not responsible for any delays in crediting your amount from
the Provident Fund office, any queries post your forms submitted to the PF office are
to be directly clarified with the PF office. The PF office details are mentioned below
for your reference.

The Regional Provident Fund Commissioner,


341, Bhavishya Nidhi Bhavan,
Bandra (E),
Mumbai - 400 051
Contact No. 022-26475912/10/15
Fax No. 022 - 26470030/31
E-mail: ro.bandra@epfindia.gov.in

URL: http://www.epfindia.gov.in

In case if you wish to clarify any further clarification you may write to
India.finance.center@accenture.com with the subject line as Provident Fund and
your 8 digit Emp Code.

Note: As per the PF office circular the employees whose service is less than 6 months will
not be paid the Pension Fund amount. However this provision will not apply for PF Transfer.
Please mention your Contact numbers/ E-mail ID/ EMP ID in the forms or in separate sheet.
Also note that PF office requires a letter from the PF member explaining the reason for not
transferring or withdrawing the PF account, if the PF account is inactive for more than 3
years along with copy of Passport or Pan Card or Election Identity Card for identification
purpose. You can ignore this requirement if it is not applicable in your case.