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Form 6A
Form 6A
Form 6A
AND
(Paragraph 20-(4))
2008
Annual statement of contribution for the currency period from April 1st ................
2009
to March 31st...................................................................................................
Cybrosys Techno Solutions,
Name & Address of the Establishment...............................................................
Kinfra Neo Space,MalappuramPIN :6789089
.......................................................................................................................
NE/AGT/0003455/123
Code No.of the Establishment...........................................................................
S
l
n
o
Acco
unt
No.
(`1)
(2)
1 5
Name of
members(in
BLOCK
LETTERS)
(3)
SAMEENA
Wages,
retaining
allowance if
any and D.A.
including
cash value of
food concession
paid during the
currency
period
(4)
6500.00
12.00
Statutory rate of contribution..............
No. of members voluntarily contributing at a
0
higher rate.......................................
Amount of
workers
contribution
deducted
EPF Cont. (-)
from their
Pension
wages
Fund Cont.
Pension
Fund
@ 8.33%
Refund of
advances
(5)
780.00
(6)
239.00
(7)
541.00
(8)
0.00
(9)
0.00
Voluntary
contribution
Remarks
at higher
rate (if any)
SHAHID
65000.00
7800.00
2390.00
5410.00
0.00
0.00
KRISHNAN
93000.00
11160.00
4668.00
6492.00
0.00
0.00
10
ROUFAL.P
71000.00
9230.00
2390.00
5410.00
0.00
0.00
(10)
(1)
(3)
(2)
(4)
(5)
(6)
(7)
28,970.00 Rs.
Total Rs.
RECONCILIATION OF REMITTANCES
(8)
9,687.00
(9)
(10)
Rs.
17,853.00
Pension fund
contributions
A/c No.10
Adm.charges A/c
No.2
Rs
1,019
Rs
541
Rs
84
Rs
1,379
Rs
541
Rs
103
Rs
3,677
Rs
1,623
Rs
289
Rs
3,677
Rs
1,623
Rs
289
Rs
3,482
Rs
1,623
Rs
269
Rs
3,482
Rs
1,623
Rs
269
Rs
3,122
Rs
1,623
Rs
251
Rs
3,482
Rs
1,623
Rs
269
Rs
3,482
Rs
1,623
Rs
269
10
Rs
3,677
Rs
1,623
Rs
289
11
Rs
3,677
Rs
1,623
Rs
289
12
Rs
4,501
Rs
2,164
Rs
353
TOTAL
Rs
38,657.00 Rs
17,853.00
Rs
3,023.00
Aggregate of
Contributions
[
[
]
]
Cols 5,6,7,Rs.
1,
2,
Signature of employer
(with office seal)
Note:1. The name of all members,including those who have left service during the currency period should be included in this
statement.Where the form 3-A in respect of such members who had left service were already sent to the Regional
Office for the purpose of final settlement of their accounts,the fact should be stated aganist the names of said members
in the 'Remarks' column above,thus 'Form 3-A' already sent in the month of ............200
2.
In case of substantial variation in the wages/contributions of any members as compared tothose shown in previous
year's statement,the reason should be explained adequately in the 'Remarks' column.
3.
In respect of those who are not members of the Pension fund their entire employer's contribution @12% or 10% as the
case may be shown under column No.6