Application for PF Withdrawal

Dear Sir,

Sub: Application for PF Withdrawal

This is to bring to your notice that I joined the services of the company on __________

and I was relieved from the services from the services of  (name of company) with effect from ______________ . I have not been employed anywhere since then/I have been self employed and hence request you to settle the PF dues lying to my credit as on date as per the Trust rules.

The relevant Form 16s for the total period of service at (company name) are enclosed.

Thanking you,

Yours sincerely,

Name:_______________________

(Signature of the Employee)________________

Emp #:_________

Address:



Encl: Form 16s: for the Financial Years:__________,__________,__________


Note: 1. Please mention your correct address for correspondence.

2. Your PF account will not be settled unless we receive the necessary documents.


Please click on the EPFO and click the Download option on Form 10C and Form 19. Take the print out. Fill it up as per the instruction available in the same. and Submit the same to your ex office.