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Begin by filling in the details of the deceased member, including their name, father's name (or husband's name for married women), and date of death. Ensure accuracy as this information is crucial for processing.
Next, provide the last employed factory or establishment's name and address, along with the Provident Fund Account Number. This section helps identify the member's employment history.
In the claimant's details section, enter your full name, date of birth, relationship with the deceased, and postal address. If you are a guardian claiming on behalf of a minor, include their details as well.
Complete the mode of remittance section by selecting your preferred payment method and providing your bank account details. Attach a copy of a cancelled or blank cheque if required.
Finally, ensure all signatures are included where necessary. Review all entries for completeness before submitting.
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