Proforma -A(Hard Copy)

ZPGPF ACCOUNT OPENING FORM

1 Employee Code *

2 First Name *

3 Middle Name

4 Last Name

5 Designation *

6 Gender *

7 Date of Birth (dd/mm/yyyy)

8 Place of Birth

9 Date of Retirement

10 Opening Balance *

11 Caste

12 Sub-Caste

13 Blood Group

14 Nationality

15 Marital Status

16 Religion

17 Working Mandal

18 District *

19 Height(in Inches)

20 Income Tax Permanent Account No

21 Mother Tongue

22 Zone

23 ZP GPF ACCOUNT Number

24 Height (in Cm)

25 Identification Mark1

26 Identification Mark2

27 Place of Working *

28 Mobile Number

29 Email Id

30 Bank *

31 Branch *
32 Account Number *

33 IFSC Code *

34 Remarks If Any
NOMINEE Details
No.and date of Cerificate of (Nominee to be filed
35 separately)

36 Serial Number

37 Relation to subscriber

38 Name in full

39 Age of Nominee

40 Occupation

41 Address

42 Sum due on what proporationable payable

43 Name and Address of the witness attesting

44 Intial of the Chief Executive Officer

45 Remarks If Any

Note: * Marks are Mandatory

Signature of the Employee

Signature of the DDO

 Proforma -A(Soft Copy)
ZPGPF ACCOUNT OPENING
Sl. Date of
Date of
Middle Last Designati Birth (dd/ Place of Opening Sub- Blood Nationalit Marital
N Employee Code * First Name * Gender * Retireme Caste Religion
Name Name on * mm/yyyy) Birth Balance * Caste Group y Status
o nt

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
roforma -A(Soft Copy)
ACCOUNT OPENING FORM
Income
ZP GPF Place of
Working District Height(in Tax Mother Height (in Identificat Identificat Working Mobile Account IFSC
Zone Account Email Id Bank * Branch * Remarks
Mandal * Inches) Permane Tongue Cm) ion Mark1 ion Mark2 Number Number * Code *
Number * If Any
nt
18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
 Proforma -B
FORM OF NOMINATION
P.F FORM NO .I ( )
I hereby nomination the person mention bellow who is member of my family as defined in Rule 2
of the local and provident fund Rule 2 recive the amount that on my credits in the fund in the credits of my either
before he has become payble on having become payble has not been .

Name and address relation

Relation Share Contingencies on the
ship the person if any to
Name and address of with the Payable to happening of which
Age whom the Nominee shall
the nominee subscribe each the Nomination shall
passing the event of his death
r Nominee become invalid
predeceasing the subscriber

1 2 3 4 5 6

Date:

Signature of the Witness

1
Signature of Govt. Employee
2

Signautre of the DDO

 PROFORMA - C

DDO DETAILS

Office/DDO
New STO New DDO DDO Bank Account IFSC Office DDO E-mail
Old STO Code Old DDO Code DDO Description DDO Bank Name Branch Name Phone Department
Code Code Number Code Address ID
Number

1 2 3 4 5 6 7 8 9 10 11 12 13

DDO Signature