7
Excellent Manoj.
Good contribution. I bet this will have unlimited number of downloads.
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From India, Tiruppur
Good contribution. I bet this will have unlimited number of downloads.
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From India, Tiruppur
Hi tao all,
The file is really very useful. But can you think that it is tedious job for filling information to get results. Instead that you can use a very easy software available for this work.
Best Regards
From India, Nagpur
The file is really very useful. But can you think that it is tedious job for filling information to get results. Instead that you can use a very easy software available for this work.
Best Regards
From India, Nagpur
hi bagema
some of formate for u
manoj
FORM – 2 (REVISED)
Nomination and Declaration Form Under E.P.F. 1952 and E.P.S 1995
1 NAME (in Block Letters) : «NAME» Code. :
2 Father's/Husband's Name : «F_PRE» «FATH_NAME» 5 Marital Status :«M_STATUS»
3 Date of Birth : «DOBEMP» 6 Account No. : HR / GGN/ 25210 /
4 Address Permanent : «ADVILL» «ADPost» «ADThana» «ADDistrict» «ADstate1» 7 Sex : «SEX»
PART – A (EPF)
I hereby nominate the person(s) cancel the nomination made by the previously and nominate the person(s) mentioned below to receive the amount standing to my credit in the Employees’ Provident Fund, in the event of my death.
Name & Address of the Nominee Nominees relationship with the member Date of Birth Total amt. Of share of accumulations in PF to be paid to each Nominee If the nominee is a Minor, name & relationship & address of the guardian.
1 2 3 4 5
«NOMI_NAME» «NOMIRELA» «NOMIdob» 100 %
1. Certified that I have no family as defined in para 2 (g) of the Employees’ Provident Fund scheme, 1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled
2. Certified that my Father / Mother is / are dependent upon me.
I hereby furnish below particulars of the Members of my Family who would be eligible to receive Widow / Children Pension in the event of my death.
Sl No. Name & Address of the Family Member Address Date of Birth Relationship with the member
1
2
3
** Certified that I have no Family as defined in Para 2 (VIII) of Employees’ Pension Scheme, 1995 and should I acquire a family hereafter I shall furnish particulars thereon in the above form 2.
I hereby nominate the following person for receiving the monthly widow pension (admissible under para 16 2(a) (I) & (ii) in the event of my death without leaving any eligible family member for receiving pension.
Name & Address of the Nominee Date of Birth Relationship with the member
***Strike out whichever is not applicable
Signature or Thumb Impression of the Subscriber
CERTIFICATE BY EMPLOYER
Certified that the above declaration and nomination has been signed / thumb impressed before me by Shri. / Smt. / Kum employed in my establishment after he / she has read the entry / entries have been read to him / her by me and got confirmed by him / her.
Place: Gurgaon Date: «DOJ»
FORM – 2 (REVISED)
Nomination and Declaration Form Under E.P.F. 1952 and E.P.S 1995
1 NAME (in Block Letters) : «NAME» Code. :
2 Father's/Husband's Name : «F_PRE» «FATH_NAME» 5 Marital Status :«M_STATUS»
3 Date of Birth : «DOBEMP» 6 Account No. : HR / GGN/ 25210 /
4 Address Permanent : «ADVILL» «ADPost» «ADThana» «ADDistrict» «ADstate1» 7 Sex : «SEX»
PART – A (EPF)
I hereby nominate the person(s) cancel the nomination made by the previously and nominate the person(s) mentioned below to receive the amount standing to my credit in the Employees’ Provident Fund, in the event of my death.
Name & Address of the Nominee Nominees relationship with the member Date of Birth Total amt. Of share of accumulations in PF to be paid to each Nominee If the nominee is a Minor, name & relationship & address of the guardian.
1 2 3 4 5
«NOMI_NAME» «NOMIRELA» «NOMIdob» 100 %
1. Certified that I have no family as defined in para 2 (g) of the Employees’ Provident Fund scheme, 1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled
2. Certified that my Father / Mother is / are dependent upon me.
I hereby furnish below particulars of the Members of my Family who would be eligible to receive Widow / Children Pension in the event of my death.
Sl No. Name & Address of the Family Member Address Date of Birth Relationship with the member
1
2
3
** Certified that I have no Family as defined in Para 2 (VIII) of Employees’ Pension Scheme, 1995 and should I acquire a family hereafter I shall furnish particulars thereon in the above form 2.
I hereby nominate the following person for receiving the monthly widow pension (admissible under para 16 2(a) (I) & (ii) in the event of my death without leaving any eligible family member for receiving pension.
Name & Address of the Nominee Date of Birth Relationship with the member
***Strike out whichever is not applicable
Signature or Thumb Impression of the Subscriber
CERTIFICATE BY EMPLOYER
Certified that the above declaration and nomination has been signed / thumb impressed before me by Shri. / Smt. / Kum employed in my establishment after he / she has read the entry / entries have been read to him / her by me and got confirmed by him / her.
Place: Gurgaon Date: «DOJ»
For unexempted Establishment only
FORM 11 (Revised)
The Employee’s Provident Funds Schemes, 1952 (Paragraph 34)
&
The Employee’s Family Pension Scheme, 1971 (Para 19)
Declaration by a person taking up employment in an establishment in which the Employee’s Provident Fund and Family Pension Fund Scheme are in force
I «MR» «NAME» Son/Wife/Daughter of «F_PRE» «FATH_NAME»
Here solemnly declare that : ………………………………………………………………………………….
(a) I was last employed in (Name and full address of the establishment) M/s ………………………………………………………………………
And left service on …………………………….. (Prior to that I was employee) M/s ……………… ………………….. From ………………. To …………………….
(b) I was a member of …………………………………………….. Provident Fund and also of the Family Pension Fund from ……………………….. to ……………………………. And but not my account number(s) was / were ………………………………………………………………………..
(c) I have / have not withdrawn the amount of my Provident Fund / Family Pension Scheme.
(d) I have / have not drawn any superannuation benefits in respect of my past service from an employer.
(e) I have never been a member of any Provident Fund and / or Family Pension Scheme.
«MR» «NAME»
Date: «DOJ» Signature or right / left hand thumb impression of the employee
(To be filled by the employer only when the person employed had not already been a member of the Employee’s Provident Fund)
«MR» «NAME» is appointed as «DESIG»
in «comadd»
with effect from «DOJ»
From To No. of 60 days within a period of three months or less in the Factor or in any other Factory or esst. To which the Act applies under the same employer, or partly in one and partly in the other has been declared permanent in any such Factory or other estt. Which ever is the earlier. Date of admission as member of employee.
days worked
Provident Fund ………………………………………………………
Account No. ………………………………………………………….
for «comname»
Date: «DOJ» Authorised Signatory
(1) Strike out whichever is not applicable.
N.B. :- The Principal employer should have filled it up so in respect of employees to be employed by a through contractor.
FORM – ‘F’
«CODE»
TO, «comname» «comadd»
I «NAME» Whose particulars are given in the statement below,
1. hereby nominate the person(s) mentioned below to receive the gratuity payable after my death as also the gratuity standing to my credit in the event of my death before that amount has become payable, or having become payable has not been paid and direct that the said amount of gratuity shall be paid in proportion indicated against the name(s) of the nominee(s).
2. I hereby certify that the person (s) mentioned is a / are member(s) of my family within the meaning of clause (h) of section (2) of the Payment of Gratuity Act, 1972.
3. I hereby declare that I have no family within the meaning of clause (h) of section (2) of the said act.
4. (a) My father/mother/parents is/are not dependant on me.
(b) My husband’s father/mother/parents is/are not dependant on my husband.
5. I have excluded my husband from my family by a notice dated the …….. to the controlling authority in terms of the provision to clause (h) of section 2 of the said Act.
6. Nomination made herein invalidates my previous nomination.
NOMINEE(S)
Name in full with full address of nominee(s) Relation with the employee Age of nominee Proportion by which the gratuity will be shared
«NOMI_NAME» «NOMIRELA» «NOMIdob» 100 %
STATEMENT
1. Name of the employee in full : «NAME»
2. Sex : «SEX»
3. Religion : «RELIGION»
4. Whether unmarried/married/widow/widower : «M_STATUS»
5. Department/Branch/Section where employed : «DEPTT»
6. Post held with Ticket or Serial No, if any : «DESIG»
7. Date of appointment : «DOJ»
8. Permanent address: «ADVILL» «ADPost» «ADThana» «ADDistrict» «ADstate1»
Place: Gurgaon Date: «DOJ» Signature/Thumb impression of the employee
DECLARATION BY WITNESSES
Nomination singed/thumb impressed before me.
Name in full & full address of witnesses. Signature of witnesses
1. 1.
2. 2.
Place Gurgaon
Date «DOJ»
CERTIFICATE BY THE EMPLOYER
Certified that the particulars of the above nomination have been verified and recorded in this establishment.
Employer’s Reference No., if any.
for «comname» «comname»
Authorised Signatory «comadd»
Date «DOJ»
ACKNOWLEDGEMENT BY THE EMPLOYEE
Received the duplicate copy of nomination in Form ‘F’ filed by me and duly certified by the employer.
Date «DOJ» Signature of the employee
FORM - D
UNDER RULE 100, FACTORIES ACT 1948
I hereby declare that in the event of my death before resuming work the balance of my pay due for the period of Leave with wages not availed of shall be paid to
Sh./Smt. «NOMI_NAME» who is my «NOMIRELA»
Date: «DOJ»
«NAME»
(Signature of Declarent worker)
Witness
1. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Present Address of the legal heir:
«ADVILL» «ADPost»«ADThana» «ADDistrict» «ADstate1»
CODE :
NAME : «NAME» «M_STATUS»
DESIGNATION : «DESIG» «GRADE»
PF A/C NO. HR/ GGN / 25210 /
ESI No & Dispensary
SALARY : Rs. «SALARY» P.M. PERMANENT ADDRESS
DATE OF JOINING : «DOJ» «ADVILL» «ADPost» «ADThana» «ADDistrict» «ADstate1»
DATE OF BIRTH : «DOBEMP»
DETAILS OF PAY
YEAR INCREMENT TOTAL PAY TOTAL RAMARKS
BASIC H.R.A. CONV. MED
«DOJ» «SALARY»
CODE No.
AGE PROOF CERTIFICATE
Calcification
1. Start at birth _____ ___ 2. Crown Completed ________
________ ________
3. Eruption ________ 4. Roots Completed ________
________ ________
TO WHOM SO EVER IT MAY CONCERN
I hereby certify that I have personally examined «NAME» Son / Daughter / Wife of «F_PRE» «FATH_NAME»
who is desirous of being employed in a factory and that his / her age as nearly as can be as certained from my dental examination is ……………………… years and he / she is clinically not suffering from any acuate chronic illness. He / she is fit for employment in factory as an adult.
His / Her photograph is attested below:
Date:
lkekU; ukekadu vkSj ?kks"k.kk i=
lsok esa] «CODE»
Jheku dkfeZd izcU/kd
, ch lh ySnlZ]
m|ksx fogkj] xqM+xk¡o]
gfj;k.kkA
fo"k; & lkekU; ukekadu
eSa «NAME» iq=@ iq=h@ iRuh «FATH_NAME» fuoklh «ADVILL» «ADPost» «ADThana» «ADDistrict» «ADstate1» ,rn~ }kjk eSa igys ls ukfer O;fDr¼;ks½ dk ukekadu jnn~ djrk g¡w vkSj viuh e`R;q gks tkus dh n’kk esa uhps mfYyf[kr O;fDr¼;ksa½ dks viuh cdk;k jkf’k izkIr djus ds fy, ukfer djrk g¡wA
Ukfer @ukferksa dk uke Irk lnL; ds lkFk ukfer dk laca/k izR;sd ukfer dks vnk fd;k tkus okyk Hkkx
«NOMI_NAME» «ADVILL» «ADPost» «ADThana» «ADDistrict» «ADstate1» «CODE» 100 %
izekf.kr fd;k tkrk gS fd blds i'pkr~ ;fn esjk dksbZ ifjokj gksrk gS rks mijksDr ukekadu jnn~ le>k tk,A
deZpkjh ds gLrk{kj vFkok vaxwBk dk fu’kku
izekf.kr fd;k tkrk gS fd mijksDr ?kks"k.kk vFkok ukekadu dks Jh @ Jherh @ dqekjh «NAME» us tks esjh LFkkiuk esa dk;Zjr gS esjs le{k gLrk{kj @ vaxwBs fu’kku yxk;k gSA
LFkkiuk ds fu;ksDrk vFkok izkf/k—r vf/kdkfj;ksa ds gLrk{kj
fnukad% «DOJ»
LFkku% xqM+xk¡o
deZpkjh }kjk izkIrh jlhan
eSusa mijksDr ukekadu dh izekf.kr izfr tksfd esjs fu;ksDrk }kjk izekf.kr gS izkIr dhA
-------------------------
deZpkjh ds gLrk{kj
FULL & FINAL SETTLEMENT VOUCHER
UNIT : COMPANY NAME :
Emp No. : DEPARTMENT NAME :
NAME : DESIGNATION :
F/H NAME : DATE OF JOINING :
ESI No : DATE OF LEAVING :
P.F. No. : REASON FOR LEAVING :
SALARY : Last Salary Paid through Salary Sheet :
A. PAYMENT PARTICULARS DAYS AMOUNT (Rs.) REMARKS
(i) Attendance - Month
(ii) Attendance– Arrear if any + -
Total (A)
B. OTHER DUES
Earned Leave Encashment
Other Leave Encashment
Gratuity
Notice Pay / Exgratia
Bonus
Other
Total ( B)
C. GRAND TOTAL ( A + B )
D. DEDUCTIONS
Unserved Notice Pay
P.F.
ESI
TDS
Loan
Advances
Others
Total ( D)
E. NET PAYABLE (C – D)
Personnel Department Audit Department Accounts Department
Prepared By Authorised By Audited By Checked By Authorised By
This full & final settlement is to be treated as resignation from my services. In this case there is no need to give any resignation in writing, as I will fully accept the full & final settlement with the company. I have received full & final settlement dues and there is no claims out standing against the company.
¼ ;g iw.kZ Hkqxrku daiuh dh lsok ls eqDr@R;kx ekuk tk,xkA ,slh fLFkfr esa fyf[kr #i ls R;kx i= nsuk vo’;d ugha gSA ;g Hkqxrku eSa Lo;a fcuk fdlh ncko ds Lohdkj dj jgk@jgh gWwA eSus viuk iw.kZ Hkqxrku daiuh ls izkIr dj fy;k gSA vkSj vc daiuh ij fdlh izdkj dk dksbZ nkok ugha gSA½
WITNESS
Mr./ Mrs. ………………………………………. has received Revenue Stamp
His / her full & final settlement of Rs. ……………………….
On the before of me.
NAME: Name
DATE: Signature Date Signature
jlhn @ le>kSrk
eSus --------------------------------------------------------------------------- iq= Jh --------------------------------------------------------------------------- gky fuoklh ----------------------------------------------------------------------------------------------------------------------------------------------------- us vkt fnukad ----------------------------------------------- dks izcU/kd eSllZ ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ls vius pqdrk ,oa vfUre fglkc esa #i;s ------------------------------------------- iSls udn olwy ik fy;s gSaA mDr /kujkf’k esa esjk vkt rd dk dek;k gqvk vftZr osru] lfoZl eqvkotk] vksoj VkbZe eqvkotk] xzsT;qVh] vkt rd dk cksul -------------------------------------------- dk vkfn&vkfn tks Hkh ykxw gS] lHkh lfEefyr gSA
mDr /kujkf’k izkIr dj ysus ds i'pkr~ vc esjk mDr izcU/kdksa ls fdlh Hkh izdkj dk ysuk&nsuk vFkok fookn 'kss"k ugha jgk gSaA vkSj eSa Hkfo"; esa iqu% Lfkkiuk vFkok ukSdjh ij okfil vkus dh ekWax dks ugh mBkÅ¡xk vkSj eSaus ;g jlhn izcU/kdksa ds gd esa fcuk fdlh cgdkos ds Loa; viuh bPNk ls fy[k nh gS rkfd izcU/kdksa ds ikl lun jgs vkSj le; ij dke vk ldsaA bl le>kSrs ds }kjk Je dk;kZy; vFkok U;k;ky; esa yfEcr lHkh fookn fujLr le>s tk;sxsaA eSa ukSdjh viuh ethZ ls NksM+ jgk g¡w ] rFkk vkxs ukSdjh djus dk bPNqd ugha g¡wA
LFkku%
fnukad% gLrk{kj deZpkjh
From India, Gurgaon
some of formate for u
manoj
FORM – 2 (REVISED)
Nomination and Declaration Form Under E.P.F. 1952 and E.P.S 1995
1 NAME (in Block Letters) : «NAME» Code. :
2 Father's/Husband's Name : «F_PRE» «FATH_NAME» 5 Marital Status :«M_STATUS»
3 Date of Birth : «DOBEMP» 6 Account No. : HR / GGN/ 25210 /
4 Address Permanent : «ADVILL» «ADPost» «ADThana» «ADDistrict» «ADstate1» 7 Sex : «SEX»
PART – A (EPF)
I hereby nominate the person(s) cancel the nomination made by the previously and nominate the person(s) mentioned below to receive the amount standing to my credit in the Employees’ Provident Fund, in the event of my death.
Name & Address of the Nominee Nominees relationship with the member Date of Birth Total amt. Of share of accumulations in PF to be paid to each Nominee If the nominee is a Minor, name & relationship & address of the guardian.
1 2 3 4 5
«NOMI_NAME» «NOMIRELA» «NOMIdob» 100 %
1. Certified that I have no family as defined in para 2 (g) of the Employees’ Provident Fund scheme, 1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled
2. Certified that my Father / Mother is / are dependent upon me.
I hereby furnish below particulars of the Members of my Family who would be eligible to receive Widow / Children Pension in the event of my death.
Sl No. Name & Address of the Family Member Address Date of Birth Relationship with the member
1
2
3
** Certified that I have no Family as defined in Para 2 (VIII) of Employees’ Pension Scheme, 1995 and should I acquire a family hereafter I shall furnish particulars thereon in the above form 2.
I hereby nominate the following person for receiving the monthly widow pension (admissible under para 16 2(a) (I) & (ii) in the event of my death without leaving any eligible family member for receiving pension.
Name & Address of the Nominee Date of Birth Relationship with the member
***Strike out whichever is not applicable
Signature or Thumb Impression of the Subscriber
CERTIFICATE BY EMPLOYER
Certified that the above declaration and nomination has been signed / thumb impressed before me by Shri. / Smt. / Kum employed in my establishment after he / she has read the entry / entries have been read to him / her by me and got confirmed by him / her.
Place: Gurgaon Date: «DOJ»
FORM – 2 (REVISED)
Nomination and Declaration Form Under E.P.F. 1952 and E.P.S 1995
1 NAME (in Block Letters) : «NAME» Code. :
2 Father's/Husband's Name : «F_PRE» «FATH_NAME» 5 Marital Status :«M_STATUS»
3 Date of Birth : «DOBEMP» 6 Account No. : HR / GGN/ 25210 /
4 Address Permanent : «ADVILL» «ADPost» «ADThana» «ADDistrict» «ADstate1» 7 Sex : «SEX»
PART – A (EPF)
I hereby nominate the person(s) cancel the nomination made by the previously and nominate the person(s) mentioned below to receive the amount standing to my credit in the Employees’ Provident Fund, in the event of my death.
Name & Address of the Nominee Nominees relationship with the member Date of Birth Total amt. Of share of accumulations in PF to be paid to each Nominee If the nominee is a Minor, name & relationship & address of the guardian.
1 2 3 4 5
«NOMI_NAME» «NOMIRELA» «NOMIdob» 100 %
1. Certified that I have no family as defined in para 2 (g) of the Employees’ Provident Fund scheme, 1952 and should I acquire a family hereafter the above nomination should be deemed as cancelled
2. Certified that my Father / Mother is / are dependent upon me.
I hereby furnish below particulars of the Members of my Family who would be eligible to receive Widow / Children Pension in the event of my death.
Sl No. Name & Address of the Family Member Address Date of Birth Relationship with the member
1
2
3
** Certified that I have no Family as defined in Para 2 (VIII) of Employees’ Pension Scheme, 1995 and should I acquire a family hereafter I shall furnish particulars thereon in the above form 2.
I hereby nominate the following person for receiving the monthly widow pension (admissible under para 16 2(a) (I) & (ii) in the event of my death without leaving any eligible family member for receiving pension.
Name & Address of the Nominee Date of Birth Relationship with the member
***Strike out whichever is not applicable
Signature or Thumb Impression of the Subscriber
CERTIFICATE BY EMPLOYER
Certified that the above declaration and nomination has been signed / thumb impressed before me by Shri. / Smt. / Kum employed in my establishment after he / she has read the entry / entries have been read to him / her by me and got confirmed by him / her.
Place: Gurgaon Date: «DOJ»
For unexempted Establishment only
FORM 11 (Revised)
The Employee’s Provident Funds Schemes, 1952 (Paragraph 34)
&
The Employee’s Family Pension Scheme, 1971 (Para 19)
Declaration by a person taking up employment in an establishment in which the Employee’s Provident Fund and Family Pension Fund Scheme are in force
I «MR» «NAME» Son/Wife/Daughter of «F_PRE» «FATH_NAME»
Here solemnly declare that : ………………………………………………………………………………….
(a) I was last employed in (Name and full address of the establishment) M/s ………………………………………………………………………
And left service on …………………………….. (Prior to that I was employee) M/s ……………… ………………….. From ………………. To …………………….
(b) I was a member of …………………………………………….. Provident Fund and also of the Family Pension Fund from ……………………….. to ……………………………. And but not my account number(s) was / were ………………………………………………………………………..
(c) I have / have not withdrawn the amount of my Provident Fund / Family Pension Scheme.
(d) I have / have not drawn any superannuation benefits in respect of my past service from an employer.
(e) I have never been a member of any Provident Fund and / or Family Pension Scheme.
«MR» «NAME»
Date: «DOJ» Signature or right / left hand thumb impression of the employee
(To be filled by the employer only when the person employed had not already been a member of the Employee’s Provident Fund)
«MR» «NAME» is appointed as «DESIG»
in «comadd»
with effect from «DOJ»
From To No. of 60 days within a period of three months or less in the Factor or in any other Factory or esst. To which the Act applies under the same employer, or partly in one and partly in the other has been declared permanent in any such Factory or other estt. Which ever is the earlier. Date of admission as member of employee.
days worked
Provident Fund ………………………………………………………
Account No. ………………………………………………………….
for «comname»
Date: «DOJ» Authorised Signatory
(1) Strike out whichever is not applicable.
N.B. :- The Principal employer should have filled it up so in respect of employees to be employed by a through contractor.
FORM – ‘F’
«CODE»
TO, «comname» «comadd»
I «NAME» Whose particulars are given in the statement below,
1. hereby nominate the person(s) mentioned below to receive the gratuity payable after my death as also the gratuity standing to my credit in the event of my death before that amount has become payable, or having become payable has not been paid and direct that the said amount of gratuity shall be paid in proportion indicated against the name(s) of the nominee(s).
2. I hereby certify that the person (s) mentioned is a / are member(s) of my family within the meaning of clause (h) of section (2) of the Payment of Gratuity Act, 1972.
3. I hereby declare that I have no family within the meaning of clause (h) of section (2) of the said act.
4. (a) My father/mother/parents is/are not dependant on me.
(b) My husband’s father/mother/parents is/are not dependant on my husband.
5. I have excluded my husband from my family by a notice dated the …….. to the controlling authority in terms of the provision to clause (h) of section 2 of the said Act.
6. Nomination made herein invalidates my previous nomination.
NOMINEE(S)
Name in full with full address of nominee(s) Relation with the employee Age of nominee Proportion by which the gratuity will be shared
«NOMI_NAME» «NOMIRELA» «NOMIdob» 100 %
STATEMENT
1. Name of the employee in full : «NAME»
2. Sex : «SEX»
3. Religion : «RELIGION»
4. Whether unmarried/married/widow/widower : «M_STATUS»
5. Department/Branch/Section where employed : «DEPTT»
6. Post held with Ticket or Serial No, if any : «DESIG»
7. Date of appointment : «DOJ»
8. Permanent address: «ADVILL» «ADPost» «ADThana» «ADDistrict» «ADstate1»
Place: Gurgaon Date: «DOJ» Signature/Thumb impression of the employee
DECLARATION BY WITNESSES
Nomination singed/thumb impressed before me.
Name in full & full address of witnesses. Signature of witnesses
1. 1.
2. 2.
Place Gurgaon
Date «DOJ»
CERTIFICATE BY THE EMPLOYER
Certified that the particulars of the above nomination have been verified and recorded in this establishment.
Employer’s Reference No., if any.
for «comname» «comname»
Authorised Signatory «comadd»
Date «DOJ»
ACKNOWLEDGEMENT BY THE EMPLOYEE
Received the duplicate copy of nomination in Form ‘F’ filed by me and duly certified by the employer.
Date «DOJ» Signature of the employee
FORM - D
UNDER RULE 100, FACTORIES ACT 1948
I hereby declare that in the event of my death before resuming work the balance of my pay due for the period of Leave with wages not availed of shall be paid to
Sh./Smt. «NOMI_NAME» who is my «NOMIRELA»
Date: «DOJ»
«NAME»
(Signature of Declarent worker)
Witness
1. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Present Address of the legal heir:
«ADVILL» «ADPost»«ADThana» «ADDistrict» «ADstate1»
CODE :
NAME : «NAME» «M_STATUS»
DESIGNATION : «DESIG» «GRADE»
PF A/C NO. HR/ GGN / 25210 /
ESI No & Dispensary
SALARY : Rs. «SALARY» P.M. PERMANENT ADDRESS
DATE OF JOINING : «DOJ» «ADVILL» «ADPost» «ADThana» «ADDistrict» «ADstate1»
DATE OF BIRTH : «DOBEMP»
DETAILS OF PAY
YEAR INCREMENT TOTAL PAY TOTAL RAMARKS
BASIC H.R.A. CONV. MED
«DOJ» «SALARY»
CODE No.
AGE PROOF CERTIFICATE
Calcification
1. Start at birth _____ ___ 2. Crown Completed ________
________ ________
3. Eruption ________ 4. Roots Completed ________
________ ________
TO WHOM SO EVER IT MAY CONCERN
I hereby certify that I have personally examined «NAME» Son / Daughter / Wife of «F_PRE» «FATH_NAME»
who is desirous of being employed in a factory and that his / her age as nearly as can be as certained from my dental examination is ……………………… years and he / she is clinically not suffering from any acuate chronic illness. He / she is fit for employment in factory as an adult.
His / Her photograph is attested below:
Date:
lkekU; ukekadu vkSj ?kks"k.kk i=
lsok esa] «CODE»
Jheku dkfeZd izcU/kd
, ch lh ySnlZ]
m|ksx fogkj] xqM+xk¡o]
gfj;k.kkA
fo"k; & lkekU; ukekadu
eSa «NAME» iq=@ iq=h@ iRuh «FATH_NAME» fuoklh «ADVILL» «ADPost» «ADThana» «ADDistrict» «ADstate1» ,rn~ }kjk eSa igys ls ukfer O;fDr¼;ks½ dk ukekadu jnn~ djrk g¡w vkSj viuh e`R;q gks tkus dh n’kk esa uhps mfYyf[kr O;fDr¼;ksa½ dks viuh cdk;k jkf’k izkIr djus ds fy, ukfer djrk g¡wA
Ukfer @ukferksa dk uke Irk lnL; ds lkFk ukfer dk laca/k izR;sd ukfer dks vnk fd;k tkus okyk Hkkx
«NOMI_NAME» «ADVILL» «ADPost» «ADThana» «ADDistrict» «ADstate1» «CODE» 100 %
izekf.kr fd;k tkrk gS fd blds i'pkr~ ;fn esjk dksbZ ifjokj gksrk gS rks mijksDr ukekadu jnn~ le>k tk,A
deZpkjh ds gLrk{kj vFkok vaxwBk dk fu’kku
izekf.kr fd;k tkrk gS fd mijksDr ?kks"k.kk vFkok ukekadu dks Jh @ Jherh @ dqekjh «NAME» us tks esjh LFkkiuk esa dk;Zjr gS esjs le{k gLrk{kj @ vaxwBs fu’kku yxk;k gSA
LFkkiuk ds fu;ksDrk vFkok izkf/k—r vf/kdkfj;ksa ds gLrk{kj
fnukad% «DOJ»
LFkku% xqM+xk¡o
deZpkjh }kjk izkIrh jlhan
eSusa mijksDr ukekadu dh izekf.kr izfr tksfd esjs fu;ksDrk }kjk izekf.kr gS izkIr dhA
-------------------------
deZpkjh ds gLrk{kj
FULL & FINAL SETTLEMENT VOUCHER
UNIT : COMPANY NAME :
Emp No. : DEPARTMENT NAME :
NAME : DESIGNATION :
F/H NAME : DATE OF JOINING :
ESI No : DATE OF LEAVING :
P.F. No. : REASON FOR LEAVING :
SALARY : Last Salary Paid through Salary Sheet :
A. PAYMENT PARTICULARS DAYS AMOUNT (Rs.) REMARKS
(i) Attendance - Month
(ii) Attendance– Arrear if any + -
Total (A)
B. OTHER DUES
Earned Leave Encashment
Other Leave Encashment
Gratuity
Notice Pay / Exgratia
Bonus
Other
Total ( B)
C. GRAND TOTAL ( A + B )
D. DEDUCTIONS
Unserved Notice Pay
P.F.
ESI
TDS
Loan
Advances
Others
Total ( D)
E. NET PAYABLE (C – D)
Personnel Department Audit Department Accounts Department
Prepared By Authorised By Audited By Checked By Authorised By
This full & final settlement is to be treated as resignation from my services. In this case there is no need to give any resignation in writing, as I will fully accept the full & final settlement with the company. I have received full & final settlement dues and there is no claims out standing against the company.
¼ ;g iw.kZ Hkqxrku daiuh dh lsok ls eqDr@R;kx ekuk tk,xkA ,slh fLFkfr esa fyf[kr #i ls R;kx i= nsuk vo’;d ugha gSA ;g Hkqxrku eSa Lo;a fcuk fdlh ncko ds Lohdkj dj jgk@jgh gWwA eSus viuk iw.kZ Hkqxrku daiuh ls izkIr dj fy;k gSA vkSj vc daiuh ij fdlh izdkj dk dksbZ nkok ugha gSA½
WITNESS
Mr./ Mrs. ………………………………………. has received Revenue Stamp
His / her full & final settlement of Rs. ……………………….
On the before of me.
NAME: Name
DATE: Signature Date Signature
jlhn @ le>kSrk
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LFkku%
fnukad% gLrk{kj deZpkjh
From India, Gurgaon
Hi to all,
The software is quiet very useful for calculating & submitting of PF reports than to manually fill excel sheets. The demo of software is available at http://www.nextechss.com/EPF30Installer.exe.
Best Regards
Prashant Patil
From India, Nagpur
The software is quiet very useful for calculating & submitting of PF reports than to manually fill excel sheets. The demo of software is available at http://www.nextechss.com/EPF30Installer.exe.
Best Regards
Prashant Patil
From India, Nagpur
Dear Manoj,
I was watching your PF challan and ESIC Challan. I am new in the field of HR. i want to know what is the meaning of V.P.F. (in your Challan Details). Iam fresher on this site and also in HR. so Please give your valueable guidance in future
Thanks & Regards,
Raj
From India, Gurgaon
I was watching your PF challan and ESIC Challan. I am new in the field of HR. i want to know what is the meaning of V.P.F. (in your Challan Details). Iam fresher on this site and also in HR. so Please give your valueable guidance in future
Thanks & Regards,
Raj
From India, Gurgaon
Manoj JI !!!! GREAT WORK DONE BYE U IT WILL HELP YOU LOT FOR ALL EMPLOYEE RELATED WITH HR /ADMIN/PERSONNEL .. MY GOOD WISHES TO YOU THANKS ASHISH 09425049951/09926063167
From India
From India
Manoj ji pls give me idea about how can i empliment leave and all statutory work like Gratutiy from april 07 ..if you have some format or example pls give me urgently ..... ashish
From India
From India
Dear Manoj ji,
Good contribution for all. But some of the companies are paying P.F contribution @ Rs.6500/- (Statutory contribution)only even though their salaries are more than that for this this formate may some modification is require. If is done its all right. But its a guide for ever one. Good.
Regards,
PBS KUMAR
From India, Kakinada
Good contribution for all. But some of the companies are paying P.F contribution @ Rs.6500/- (Statutory contribution)only even though their salaries are more than that for this this formate may some modification is require. If is done its all right. But its a guide for ever one. Good.
Regards,
PBS KUMAR
From India, Kakinada
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