Nomination and declaration form for unexempted exempted establishments filled sample 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your name in block letters at the top of the form. This ensures clarity and proper identification.
3. Next, provide your father's or husband's name, followed by your date of birth, sex, and marital status. These details are essential for personal identification.
4. Enter your account number along with your temporary and permanent addresses. This information is crucial for record-keeping.
5. In Part A (EPF), nominate individuals to receive your provident fund amount in case of death. Fill in their names, addresses, relationships, and share amounts carefully.
6. If applicable, certify that you have no family as defined by the scheme. If you acquire a family later, remember that previous nominations will be canceled.
7. In Part B (EPS), list family members eligible for widow/children pension. Ensure all details are accurate to avoid issues later.
8. Finally, sign or thumbprint the document and ensure it is certified by your employer to validate the nomination.

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