P.U. (A) 1 93 FIFTH SCHEDULE OPTION FORM FOR EMPLOYEES PROVIDENT FUND SCHEME IN ACCORDANCE WITH SUBSECTION 6A(1) OF THE PENSIONS ACT 1980 (regulation 37) To: …… …… …… …… …… …… …… …… …… …… …… …… …… …… … (…H…e a…d…o…f …D e…p…a r…t m… …e n…t )… Dear Sir, RSeerfvericrein)g2to01r2egu[lation 37 Public Officers (Appointment, Promotion and Termination Of P.U. (A) 1/2012], I ......................................................... Identity Card No. ............................... appointed as ............................... in service on .......... (date), hereby * Agree to opt forthe EMPLOYEES PROVIDENT FUND SCHEME(EPF) or Disagree to opt for EMPLOYEES PROVIDENT FUND SCHEME(EPF) 2. I understand that if I do not opt for the EMPLOYEES PROVIDENT FUND SCHEME, of ari lr et ot urrent ut hr ni s tfhoer mo pwt iiot hnofuotr mm aikni nagc caonryd aonpct ei o nw iotrh mt haek es tai pnuol apttei odnr we giut hl act ioonnd, i It i os hna/ lsl, boer eamckpnloawceldedogne tpheantstihoenaobplteiosnchmeamdee iisn accordance with the Pensions Act 1980. I hereby final. Signature: ……………..…………………………………………………….……………. Name: …………………………………………………………………………………….... Identity CardNo.: …….………….…………………………………………………….. Designation: ……………………..………………………………………………………. Date: ……………………….…………………………………………………………….…. * mark ( ) in applicable box
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