SMO racdoeco 19,088 HAH WA FH Karnataka Gramin Bank ‘Memo No : 290/2022-23 HEAD OFFICE: BALLARI Index No 117/2022-23 HR WING : PENSION CELL Date 08.03.2023 Sub: Submission of EPFO (Employee Provident Fund Organization) Form 13 & Form 10C for transfer of PF and EPS accumulations to Bank PF Trust/PRAN of Individual Staff Members In our Bank, Pension Regulations (amended), 2019 were implemented with effect from 01.04.2018 and accordingly the Bank is paying Pension to eligible retired employees of the Bank/eligible family members of the deceased employees. The applicability /Option of pension regulations are as under; 1, The employees who joined the service of the Bank before 1% April, 2010 are eligible for Bank’s Pension. 2. The employees who joined the service of the Bank on or after the 1% April, 2010 shall have an option either to be covered by the National Pension System or to continue to be governed under the Employees’ Pension Scheme, 1995. 3. The employees who join the service of the Bank on or after the 1* April, 2018 shall be covered by the National Pension Scheme. Whereas above point No.2 all the employees have opted to cover under National Pension System The Government of India, Ministry of Finance, Department of Financial Services, New Delhi had issued an order D.O. No.8/20/2010-RRB dated 13.011.2019 addressed to Central Provident Fund Commissioner, Head Office, New Delhi stating that, the balance of Employers’ and Employees’ contribution will have to be refunded by EPFO (Employee Provident Fund Organization) to the respective RRB for those serving employees who have opted for Bank’s pension scheme or National Pension System. Further, as per NABARD letter No. NB.HO.IDD.RRB/1056/316 (pension)/2019-2020 dated 05.02.2020 the NABRAD has advised the RRBs to stop the remittance of EPFO contributions (Both Employee and Employer) of their Staff Members. Accordingly, Bank has stopped the remittance of the Contributions to the EPFO with effect from February 2020 salary. Now, the EPFO has advised the Bank to provide them signed Form 13 (transfer of Provident Fund accumulations) and Form 10C (transfer of Employees Pension Scheme (EPS) accumulations) of individual staff members for processing of the Fund transfer request. Accordingly, we advise the serving employees who were on pay roll as on 31.01.2020 to submit the signed Form 13 and Form 10C. Along with the said forms you are alsoadvised to submit EPFO statement from 01.04.2010 to till date, which can be downloaded from UMANG App>EPFO>View Passbook. The pre-filled Form 13 and Form 10C of individual staff members are uploaded in HRMS. For downloading the same, the staff members have to login in their HRMS and download the same by navigating to Employee Self Services >> My Services >> Career and Development >> Staff Data Download. Select the respective Communication type and download the forms. After downloading Form 13 and Form 10C staff members have to fill up their Father’s/Husband’s name column only. The other details should not be altered/changed. The duly signed Forms along with downloaded EPFO statement have to be sent to Head Office, Pension Cell within 18.03.2023. Upon receipt of the above said forms of the individual staff members, the Pension Cell will forward the same to EPFO requesting for transferring of funds to the Bank. Upon receipt of funds from EPFO, the Pension Cell will: 1. In case of staff joined in the services of the Bank before 01.04.2010, (those, who are eligible for Bank’s Pension) credit the PF accumulation amount to Bank’s Provident Fund Trust (Employee Share) and Bank’s Pension Fund Trust (Employer Share) respectively. 2. In case of staff joined in the services of the Bank on or after 01.04.2010, (those, who have opted for NPS) credit the accumulation amount to the respective PRAN of staff members maintained in NPS trust of NSDL (National Securities depository limited) Before sending the Forms, Staff of erstwhile Bank’s, who have not transferred the accumulations to new entity i.e., Karnataka Gramin Bank have to transfer the PF accumulations to the new entity by using the link https://unifiedportal- mem.epfindia.gov.in/memberinterface/. The transfer of accumulations can be viewed in the statement available in EPFO website/Mobile App. The sample signed Form 13 and Form 10C has been displayed as annexure to this memo. Staff Members have to sign accordingly and ensure onward submission to Pension Cell, Head office within the above stipulated time. For any clarifications you may contact Pension Cell, Head Office, Ballari through mail to pw.pension@kgbk.in or over phone 08392-236417. This Memo shall be circulated amongst all the staff members. ayan,dtaxe Sasavessoor / urea fragpue | BHAGYAREKHA SHIVAKUMAR BGS wi,05m0,WFOd / ATAU /GENERAL MANAGER . at Ce To: All Branches / OfficesSemple filled fesse TRANSFER C ‘ORM CLAIM ID_ FORM REVISED) (For EPFO Use only) EMPLOYEES" PROVIDENT FUND SCHEME, 1952 (PARA 57) To, The Regional P F Commissioner Trust Name: Karnataka Gramin Bank Employees Pro Office Name: Ballari Trust Address: Karnataka Gramin Bank, Office Address: Bhavishya Nidhi Bhavan, Head Office, Sangankal Road, 3° Floor Parvathinagar, Ballai Gandhinagar, Ballari-S83103 (in case the PF A/C is with Exempted Establishment) Sir, | request that my provident fund balance along with my pension service details may please be transferred to my present account under intimation to me, My details are as under: PART A: PERSONAL INFORMATION L*Name: V MADHUKAR REDDY 2.*Father’s Husband’s name: 3.Mobile number: 9900858838 5. Bank A/C number 6. IFS code of Bank braneh: PART B: DETAILS OF PREVIOUS ACCOUNT (WHICH IS TO BE TRANSFERRED) |. *PF Account No. : KN/GB/BLR/6945/2748, In case the previous establishment is exempred under Employees’ Providem Fund Scheme,1952 Pension Fund Account No. 2, *Name and Address of the previous establishment: Karnataka Gramin Bank, Head Office, Sangankal Road, Gandhinagar, Ballari-583103 3. *PF Account is held by: (Name of EPF Office’ PF Trust) 4.*Date of Birth: 24.06.1985 5. *Date of joining : 09.07.2012 6. *Date of aving: 31.01.2020 PART C: DETAILS OF PRESENT ACCOUNT 1. *PF Account No. :KN/GB/BLR/6945/001/2748 In case the present establishment is exempted under Employees’ Provident Fund Scheme, 1952 Pension Fund Account No. 2. *Name and Address of the present establishment: Karnataka Gramin Bank, Head Office, Sangankal Road, Ballari-883103 3. "Account is held by: (Name of FPF Office | PF Trust) Karnataka Gramin Bank Employees’ Provident Fund Trust 4. *Date of joining : 01.02.20205, #Name of Trust (to whom funds are to be paid in case of present establishment being exempted under EPF Scheme, 1952) ; Karnataka Gramin Bank Employees’ Provident Fund Trust 6. #Employee code under the Trust: =——= (* indicates mandatory fields) (i Strike off if not applicable) 1, Certify that all the information given above is true fo the best of my knowledge and I have cnsured the correctness of my present and previous account numbers. KARNATAKA GRAMIN BANK : (EMPLOYEES) PROVIDENT FUND, eX. ‘vc No. 10608101073871 siffitre of tie Mdmber IFSC: PKGBO0010605 Karnataka Gramin Bank pate: OF 02-9023 Gandhi Nagar Branch, BALLARI IMPORTANT: Member has the option to get the claim form attested by present or previous employer, In.case of atestarion hy the previous employer, time taken in settlement willbe telaiveh: fess. Certified that I have verified the data in Part B in respect of the member mentioned in Part A of this form and the signature of the member. Signature of Previous Employer Seal of the Fstablishment Date: or Certified that I have verified the data in Part C in respeet of the member mentioned in Part A of this form. Signature of Present Employer Seal of the Establishment Date: RUCTIONS AND GUIDELINES 1. The Bank A/C details are for verification purpose even if the Fund is transferred to the EPFO Office/Trust maintaining the present account number tn case the Previous Account was maintained by PF Trust of the exempted establishment, the member should submit a Transfer Claim Form {Form-13(Revised)} to the Trust while sending nother Transfer Claim Form {Form-1%(Revised)} to the PF Office for transferring the service details under the Pension Fund to the new account 3. The Form should be submitted to that PF Office under which previous of the present account is maintained, depending upon as to which employer has attested the claim. (In case the claim is Attested by the present employer, claim should be submitted with the PF Office under which the present account is maintained, and so on), 4, The mobile number (wherever provided) of the member would be used for sending an SMS alert informing him/her the processing of his/her claim and is non-mandatory for Physical form,6 9 10 Sample led form EMPLOY PES? PENSION SCH Inward No. FORM 10C Read the instructions before fling up this form) Name of the Member (In Block Letters) Name of the Claimani(s) Date of Birth Father's Husband's ‘Spouse's Name Name of the Fstablishment in which the member was last employed Code No. and Account No. Universal Aecount Number (UAN) Region for leaving service and date of leaving Full postal address Are you willing to accept Scheme Centificate in lieu of withdrawal benefits Particulars of Family (Spouse & Children & Nominee) a. Family members b. Nominee In case of death of members afier attaining the age of $8 years without filling the claim a, Date of death of the member b, Name of the Claminant(sy/and relationship with the member Mode of remittance SB Alc No. Name of the Bank (In Block Letters) Branch (In Block Letters) IFSC Full address of the Branch (In Block Letters) Are you availing pension under EPS 95 V MADHUKAR REDDY V MADHUKAR REDDY 24.06.1985 KARNATAKA G sth B. KN/GB/BLR/6945/2748, 100397527121 Excluded from EPF & MP Act, 1952 Karanataka Gramin Bank Head Office, Ballari Branch/Office No NA NA 1605101073553 KARNATAKA GRAMIN BANK Gandhinagar, Braneh- Ballari PKGBOO10605 KARNATAKA GRAMIN BANK, Gandhinagar, Branch-Ballari No13. Details of earlier services rendered (if any) Certified that the particulars are true to the best of my knowledge Signature or 5488S spi of the Member/Claimant ADVANCE STAMPED RECEIPT [To be furnished only in case of (b) above] Date: OF: 02+ 2023 Received a sum of 2 . (Rupees. eee ) only from Regional Provident Fund Commissioner'Officer-in-charge of Sub-Regional Office... bby deposit in my savings Bank A/e towards the settlement of my Pension Fund Account The space should be left blank which shall be filled by Regional Provident’ Fund Commissioner/Officer-in-charge) ence Signature & left hand thumb impression of the member on the stamp Start ATTESTATION OF EMPLOYER Certified thatthe particulars of the member given are correet and the member has signed thumb impressed before me. The details of wages and period of non-contributory service of the member are as under: (Form 34/7 (EPS) enclosed for the period for which it was not sent to Employees” Provident Fund Office) Wages (Basic +D.A.) as on 15.11 applicable) Wages as on the date of exit Period of non-contributory Service from: Year/ Month No.of Days 1-3-71 to date of leaving service Please attach separate sheet if necessary (it SIGNATURE OF Date eee EMPLOYER/AUTHORISED OFFICAL WITH SEAL