Professional Documents
Culture Documents
Wages,
retaining
allowance
(if any)
and DA
including
cash
S.NO Account Number NAME OF THE MEMBER
value of
food
concessio
n paid
during the
currency
period.
EPF difference between 1
1 2 3 4
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
GRAND TOTAL -
FORM 6A
S' PROVIDENT FUND SCHEME, 1952
(PARAGRAPH 43)
and
YEE'S PENSION SCHEME, 1995
PARAGRAPH 20 (4))
STATUTORY RATE OF CONTRIBUTION : 12%
No. of members voluntarily NIL
contributing at a higher rate NIL
Amount of
Worker's
contributio Rate of
ns higher
Refund of
deducted Employer's contribution w.e.f. 16/11/1995 voluntary Remarks
advance
from the contributio
wages on n (if any)
10% /
12% EPF
CODE NO
Particulars Wages on which Amount of Contribtion Amount of Contribution remitted Amount of
contributions are 3 4 adminitrative
payable Recovered from Payable by Worker's share Employer's Share charges
the workers the employer due
1 2 5
E.P.F. A/C NO. 01 0 0 0 0 0
PENSION FUND 0 NIL 0 NIL 0 NIL
A/C NO. 2&10
E.D.L.I. A/C NO.21&22 0 NIL 0 NIL 0 0
Total No of Employees
(a)Contract Name & Address of the STATE BANK OF INDIA,PONDI
(b)Rest Bank in which the amount
(c) Total 0 is remitted
Details of Subscribers E.P.F. Pension Fund EDLI
No.of Subscribers as perlast month 0 0
No.of New Subscribers (Vide Form5) 0 0
No.of Subscribers left service (Vide Form 10) 0 0
(Nett) Total Number of Subscribers 0 0 0
(To be filled by the EPFO)
ONS ACT 1952
Establishment status
Group Code
0 18 | 02 | 2 0 0 8 |
Signature of employer
with official(Seal)
COMBINED CHALLAN OF A/C No. 1,2,10,21 & 22 Original / Duplicate / Triplicate / Quadruplicate
STATE BANK OF INDIA
EMPLOYEE'S PROVIDENT FUND ORGANISATION
(USE SEPARATE CHALLAN FOR EACH MONTH)
ESTABLISHMENT CODE NO. ACCOUNT GROUP NO ………...…… PAID BY CHEQUE / CASH ……………..………
Employees Share D D M M Y Y
DUES FOR THE MONTH OF:
Employer Share 0 0 0 0 DATE OF PAYMENT
SL. PARTICULARS A/C No. 1 A/C No 2. A/C No. 10 A/C No. 21 A/C No.22 TOTAL
…………….……. AMOUNT (IN RUPEES) ………...…………
3 ADM. CHARGES 0
4 INSP. CHARGES
5 PENAL DAMAGES