G.P.F. B Form B (See Rules 16 and 40) FORM OF APPLICATION FOR TEMPORARY ADVANCES AGAINST DEPOSITS IN GENERAL PROVIDENT FUND (KERALA) 1. Name and Account No. of the subscriber 2. Monthly pay, dearness pay and designation 3. Amount of advance required (both in figures and in words) 4. Purpose for which it is required 5. Number of instalments of recovery proposed 6. Date of complete repayment of the previous loan 7. Details of advance pending recovery : 1. the amounts of previous advances 2. dates of drawal of each advance 3. balance outstanding against each advance 7. (a) Amount of consolidated advance items 3 and 7 (3) and the number and amount of monthly instalments in which the consolidated advance is proposed to be repaid. 8. Name of treasury at which payment is desired 9. I hereby declare that the above statements are true and that I agree to abide by the General Provident Fund (Kerala) Rules in force. I also promise to repay the above advance in equal monthly instalments together with interest according to rules. Place................................. (Signature of the subscriber with Date ................................. Name and designation) 10. Enquiry Certificate Place................................. (Signature of Head of Department Date ............................. or Office) Verification Report 11. Total amount at the credit of the applicant 12. Amount of advance admissible 13. Number of instalments of repayments 14. Any other fact requiring consideration Assistant Accounts Officer / Head of Office/ Department.
