Form 2025

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The document is a Nomination and Declaration Form for the Employees' Provident Fund (EPF) and Employees' Pension Scheme (EPS), designed for unexempted and exempted establishments. It allows employees to nominate beneficiaries for their provident fund and pension in the event of their death, requiring personal details, nominee information, and certification by an employer.

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How to Use or Fill Out the Nomination and Declaration Form

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Click ‘Get Form’ to open it in the editor.
Begin by filling in your personal details at the top of the form, including your name, date of joining in EPF '52, and father's/husband's name.
Indicate your date of birth and sex by selecting either 'Male' or 'Female'.
Provide both your permanent and temporary addresses as required.
In Part A (EPF), nominate individuals to receive your Provident Fund amount by entering their names, addresses, relationships with you, and their dates of birth.
If any nominee is a minor, include the guardian's details who will manage the funds until they reach adulthood.
Complete Part B (EPS) by listing family members eligible for widow/children pension and providing their details similarly.
Finally, sign or provide a thumb impression at the end of the form to validate your submission.

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