STATEMENT OF PARTICULARS FOR ALLOTMENT OF PROVIDENT FUND Head of Account to which pay and Account No. to Compulsory subscribers for the month of ___________ 200 allowances are (M.P. Finance Deptt. No. F.B.14-9-73/RII/IV-dt. 10-9-75 debited Name of Fund _______________________________ Sl. No. Name of Government Servant (Subscriber) Name of Subscriber's Father/husband Date of Birth of Subscriber Date of Joining of Service Designation Employment Monthly rate of Subscription Month from which subscription to commence Remarks To be fill in by A.G. Office Account No. Allotted 1 2 3 4 5 6 7 8 9 10 11 No. Date No. Date Forwarded in duplicate to the A.G.M.P. Gwalior for necessary Returned to ______________________ Account Nos allotted action. The Govt. Servant whose names are included in this statement may be intimated to the subscribers and also noted in the Service are required to join GPF/CPF under the Rule of Govt. of M.P. Their Books and records. In all correspondence connected with Provident names have not been included in the previous statement and they are Fund of any subscriber, the account number should be quoted. not already members of any Provident Fund Nomination of Govt. Receipt of nominations in respect of Govt. Servant at Sl. No. _______ Servants mentioned in the remark column have been obtained and is here by acknowledged. forwarded for acceptance and safe custody. (Head of Office)___________________ Account Officer Office of A.G.M.P.
