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Form 19-PF Settlement Forms PDF
Form 19-PF Settlement Forms PDF
To,
The Trustees,
Infosys Limited Employees’ Provident Fund Trust,
C/o. Infosys Limited
Plot No. 44, Electronics City,
Hosur Road,
Bangalore - 560 100.
Dear Sir,
I would like to withdraw the amount in my Provident Fund Account with you.
I hereby declare that I have not been employed in any establishment, which is covered under the EPF
Scheme. The brief particulars of my employment with Infosys Limited are given below:
1 Employee Number :
2 Name in Full :
3 Father’s Name :
4 Permanent Address :
5 Date of Joining :
6 Date of Leaving :
Signature
Certificate by the Employer
The above particulars are correct. Please settle the Provident Fund Account.