Form No. 31 - Application For Advance From The Fund With Instructions

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Dated Office Seal and
Registration No............................
EMPLOYEES' PROVIDENT FUND SCHEME, 1952
FORM NO.- 31
Application for Advance From the Fund
(Refer: INSTRUCTIONS)
Purpose for which
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Advance is required
Amount of Advance required
Rs.......................................
In
words..............................
1.
Name in full
(in block letters)
2.
Father’s / Husband’s Name
3.
Name of the Factory Establishment
in which employed and Address
4.
Provident Fund Account No.
5.
Monthly basic wages and D.A.
Basic + D.A. = Total
6.
Full Postal address of the member
.......................................................................
to which Payment / intimation to be sent
.......................................................................
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P.T.O.

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