Annexute-A Joint Option Form For PTC Retired Emplovees fugional Provident Fund Commissioner (North), Employees Provident Fund Organization, Bhavishya Nidhi Bhawan 28, Community Center Wazirpur Industrial Area, Deth 110052 Submission of Joint option under Parat1(3) and Para 11(4) of Employees’ Pension ‘Scheme, 1995 based upon the Hon'ble Supreme Court's Order in C.A. No. 008143 ~ (008144 /2022 Titled "EPFO vs Sunil Kumar” pronounced on 04.11.2022. Reference is invited towards Para 43 and Para 44{iv) of the aforesaid judgment dated 04.11.2022 ‘9 Hon'ble Supreme Court of India. In the above cited Civil Appeal wherein the eligible employee and his/her ‘employer are required to submit 2 joint option under erstwhile Paral (3) & para 11(4) of the ES’ 95 with In.@ period of 4 months from the date of judgment. Since, no format for the Joint Option has been provided by EPFO (also not available on EPFO'S Jebsite), based on similar formats issued by various ROS in the year 2017 & 2018 while implementing the RE Gupte judgment; in order to comply with the above requirement, vie (employee and employer) sre, hereby submitting the Joint Option Form as required under erstwhile Para 12(3) & Para 11(4) of Employees Pension Scheme-1995 for claiming pension on actual salary instead of celing salary limit of Rs.15,000/ ‘In this -egarc, particulars of the retired employee are as under: Particulars 1_| Name of Retired Employee 2 [Designation 3 Pay Token Ni 4 [EPF Account No,/Member 1D 5 VAN Number 6 | PPO No. z 3 ¢ Establishment Code Name of Establishment _ Ne [DELHI TRANSPORT CORI jieNe, BS [email - tp | Bate of ExIcaT scheme (on ataining soeolseyea {5 | Date of Retirement (if contribution © | eeducted upto the age of 60 years) _ Mol DECLARATION BY RETIREE/EX-EMPLOYEE Walely ater jonig DELHI TRANSPORT CORPORATION (name of the 1 had bean conkibutng tounras the Powdent Fund on my ston canines ne G6 amo sed to be conte in my PF by the employer ato as proved ander eae ase ese Shane 1952 10a carly that anameent 88 See tester ceiog eee ee {earier Rs 5,000/ 6,500), out of the Employers contribution had been remit oy ve ‘month tmards Pension Scam 1995 since 16.11.1995 onwards aaa sery TG aa e 1 Anema), Go Here) ot for dering 8.33% of my actus salary wages out of edly diverted iy EPS9S on employer’ contribution towards Pension Fund (after adjusting the amount sine