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(COMPOSFE CLAN FORD NON-AADHAY
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INSTRUCTION SHEET FOR FILING THE COMPOSITE CLAIM FORM (NON-AADHAR)
1. Potter yan far ar emer B The application canbe made for
1) sete Se for ver | Final PF Seement
iy eo wearer: (a 10 a a aT A TY
Penson Withdrewal Benefits ony the serie sss that 10 yeas)
lyre fae sf eM PF Pert Wincrowa
eae wir 3 Prt We Tike Boxes secorsney.
2. mum rom eae HF! Name! Name in CAPITAL LETTERS
8) quate 38 aa A afta ator do aT Sekar /UAN: Kindy mention the 11 dig Universal Account
Number
2) afte FAY re ee 6) PF Account Number:
4. var meg anh tre aioe ser LY Kindly mention 12s Aadhar Number:
4 Rr ram ee st AB a) Father's Name Kincy wit cea
2 A ram ee A FREI) Husbanc’s Name: Kindy wie clear,
ae fs Rimes ere Date of Bit In OD/MMITTY format
‘econ ar ero FA - Ree ete # Date of lonng the establishment: In OD/MM/YYYY format
tt hed ae - Ret it Date ofeving service: In DD/MMIYFTY format
ser ara em (a): Bact ore wk 8 sr rere A GE Permanent Account Number (PAN: In ease of
service ls than 5 years.
vA ostses oa deer wt,