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1 Name of Applicant:
2 Father's Name:
3 Designation: 4. BPS
13 Name of Office:
14 Residential Address:
Dated: - -
Signature of Applicant
It is certified that all above informations are correct and it is recommended to open the GPF account of
the applicant as he is eligible t become member of the fund as per GPF Rule-4. The original nomination form and
copies of CNIC (applicant & nominee) are attached.
APPROVED
HEAD OF DIVISION
Budget & Accounts Officer ( with rubber stamp )
(Funds), WAPDA
GPF Account No.
GPF NOMINATION FORM
( Tick which is applicable )
I, Mr./Miss/Mst. ____________________________________________________________________________
Son / Daughter / Wife of _________________________________ working as ___________________________________
In BPS _______ hereby nominate the mentioned below, who is / are member / members of my family as defined in
Rule-2 of the Wapda Employees General Provident Fund to receive the amount that may stand to my credit in the Fund, in
the event of my death before that amount has become payable or having become payable (has been paid), and direct that
the said amount shall be paid to the person / persons in the manner shown as detailed below:-
Relationship with
S# Name, CNIC No. & Address of Nominee (s) Age Share (%)
Nominee
APPROVED
Countersigned
Allotted GPF A/c No.________________