Get Form 3a

Form 3A Revised Employees provident fund scheme 1952 Para 35 42 the employees pension scheme 1995 Para 19 CONTRIBUTION CARD FOR CURRENCY PERIOD FROM 1ST TO 1. Account No* 6. Voluntary higher rate of employees contribution if any 7. Employees contribution of higher wages to EPF Yes/No pension fund on higher wages Yes/No 9. Date on which 6500 wages started 2. Employee Name 3. Father/Husband Name 4. Name and Address of Factory/Establishment March paid in April April paid in May May paid in June June paid in July July paid in Aug Aug paid in Sep Sep paid in Oct Oct paid in Nov Nov paid in Dec Dec paid in Jan Feb Feb paid in March Supplementary if any Total Remarks No of days/ period of noncontribution Pension fund Employer share EPF contributionPension fund Amount of Wages Month Worker share Refund of Advance 5. Statutory rate of a Date of Leaving b Reasons for Leaving Certified that the total amount of contribution both shares indicated in this card i*e* Rs. has already been remitted it full in E*P. F* A/c No* 1 and PensionFund A/c No*10 - Rs total wages shown in column 2 at the prescribed rate is solely due to rounding off the contributions to the nearest rupee under the rules Date Signature of the Employer with office seal Page 1 of 1. Account No* 6. Voluntary higher rate of employees contribution if any 7. Employees contribution of higher wages to EPF Yes/No pension fund on higher wages Yes/No 9. Date on which 6500 wages started 2. Employee Name 3. Father/Husband Name 4. Name and Address of Factory/Establishment March paid in April April paid in May May paid in June June paid in July July paid in Aug Aug paid in Sep Sep paid in Oct Oct paid in Nov Nov paid in Dec Dec paid in Jan Feb Feb paid in March Supplementary if any Total Remarks No of days/ period of noncontribution Pension fund Employer share EPF contributionPension fund Amount of Wages Month Worker share Refund of Advance 5. Date on which 6500 wages started 2. Employee Name 3. Father/Husband Name 4. Name and Address of Factory/Establishment March paid in April April paid in May May paid in June June paid in July July paid in Aug Aug paid in Sep Sep paid in Oct Oct paid in Nov Nov paid in Dec Dec paid in Jan Feb Feb paid in March Supplementary if any Total Remarks No of days/ period of noncontribution Pension fund Employer share EPF contributionPension fund Amount of Wages Month Worker share Refund of Advance 5. Statutory rate of a Date of Leaving b Reasons for Leaving Certified that the total amount of contribution both shares indicated in this card i*e* Rs. Statutory rate of a Date of Leaving b Reasons for Leaving Certified that the total amount of contribution both shares indicated in this card i*e* Rs. has already been remitted it full in E*P. F* A/c No* 1 and PensionFund A/c No*10 - Rs total wages shown in column 2 at the prescribed rate is solely due to rounding off the contributions to the nearest rupee under the rules Date Signature of the Employer with office seal Page 1 of 1. Account No* 6. Voluntary higher rate of employees contribution if any 7. Employees contribution of higher wages to EPF Yes/No pension fund on higher wages Yes/No 9. Date on which 6500 wages started 2. Employee Name 3. Father/Husband Name 4. Name and Address of Factory/Establishment March paid in April April paid in May May paid in June June paid in July July paid in Aug Aug paid in Sep Sep paid in Oct Oct paid in Nov Nov paid in Dec Dec paid in Jan Feb Feb paid in March Supplementary if any Total Remarks No of days/ period of noncontribution Pension fund Employer share EPF contributionPension fund Amount of Wages Month Worker share Refund of Advance 5. Statutory rate of a Date of Leaving b Reasons for Leaving Certified that the total amount of contribution both shares indicated in this card i*e* Rs.