STAFF PROVIDENT FUND DEDUCTION & AUTHORIZATION

APPENDIX ‘A’, FORM NO. 1, PARTICULARS

Name (in full): ______________________________________________

Date of Birth: ______________________________________________

Nature of Appointment: _______________________________________

Date of Joining Service: _______________________________________

Date of Joining Fund: __________________________________________

Salary per annum, Rupees: _______________________________________

Specimen Signature: ____________________________________________

DECLARATION
I hereby declare that I have read the Rules of the ‘Samba Bank Limited (Formerly
Crescent Commercial Bank Limited) STAFF PROVIDENT FUND’ and that I hereby
authorize the Bank to make the deductions from my basic monthly salary as prescribed in
Rule 6. I further agree to be bound by the said Rules and by any additions to or
alternations in them and by any new Rules in connection therewith which may from time
to time hereafter be made.

________________________
DATE: ____________ SIGNATURE

WITNESS:

(1) ______________________

(2) ______________________