1
FORM – A
[See Rules 6 & 8 of GPF (K) Rules]
APPLICATION FOR ADMISSION TO GENERAL PROVIDENT FUND (KERALA)
(All entries in BOLD CAPITALS in blue or black ink)
[Leave one space between words, put
in the relevant column]
1. Name of applicant
2. Sex
Male
Female
3. Name of Father/Husband
4. Permanent Address
District
PIN
5. Date of Birth (DD-MM-YYYY)
6. Date of Joining in Service
(DD-MM-YYYY)
7. Department (Parent)
8. Designation