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Phase 1 1 Adam Pur JAGROOP KAUR JASWANT SINGH 01/04/2005 34915 Resigned double entry
Phase 1 2 Adam Pur JASPREET KAUR RAVINDER PAL SINGH 01/04/2005 53229
Phase 1 3 Adarsh Nagar SUNIL KUMAR ARORA AMAR NATH ARORA 01/04/2005 53550
Phase 1 4 Adarsh Nagar SONIKA JASWANT RAI 01/04/2005 42815
5 MUKTA ASHOK KUMAR
Phase 1 6 Alawalpur AMAN SHARMA VIJAY SHARMA 01/04/2005 17697 Resigned
Phase 1 7 Alawalpur BALJIT SINGH SH. KUDRAT SINGH 01/04/2005 56970
8 VIVA MADAN
Phase 1 9 Bajwa Kalan SUKHWINDER KAUR PARAMJIT SINGH 04/25/2005 56970
Phase 1 10 Bajwa Kalan AMANDEEP KAUR RANJIT SINGH 27/04/2005 56970
11 SAVITA
Phase 1 12 Bara Pind (B) MANISH KOHALI SH.SITAL KUMAR KOHL 01/04/2005 55878
Phase 1 13 Bara Pind (G) MANJOT KAUR JASVIR SINGH 01/04/2005 55565 Transferred to Hardo Pharla
Phase 1 14 Bara Pind (G) HATESHI ARORA MOHIT KALRA 01/04/2005 56112

Basti Bawa Khel 01/04/2005


Phase 1 15 RUPALI RAMEH KUMAR ABROL 44310

Basti Bawa Khel 01/04/2005


Phase 1 16 DISHKARAN KAUR DARSHAN SINGH 52159
Phase 1 17 Basti Seikh (G) JASMIN KAUR PARAMJIT SINGH 01/04/2005 55431
Phase 1 18 Basti Seikh (G) SUNIL KUMAR SATPAL 01/04/2005 44310
Phase 1 19 Beas Pind POONAM CHOWDRI K.D.CHOWDRI 01/04/2005 50046 Resigned
Phase 1 20 Sec Junior Model AMANPREET KAUR JAGJIT SINGH 01/04/2005 43404
Phase 1 21 Beas Pind POOJA KASHYAP AMARJIT KASHYAP 25/04/2005 31684 Resigned

Bhar Singh Pura


Phase 1 22 SHALLU SAPRA ASHWANI KUMAR 26/04/2005 56970

Bhar Singh Pura


Phase 1 23 RITU BALA RAM PARKASH 27/04/2005 56970
24 Bhargo Nagar (B)MANISH KUMAR AMAR NATH
Bhargo Nagar
Phase 1 25 (B) HARMESH KUMAR RAM SARAN 01/04/2005 21691 Resigned
Bhargo Nagar
Phase 1 26 (B) PREET GAGAN SINGH PIYARA SINGH 04/04/2005 46460
Bhargo Camp
27 (G) POONAM KALA SOM NATH KALA
Bhargo Camp
Phase 1 28 (G) SUNISH MITTAL OM PARKESH MITTAL 01/04/2005 56970
Bhargo Camp
Phase 1 29 (G) SHABDAL SINGH JASWANT SINGH 01/04/2005 44310
Phase 1 30 Bhatunara VARINDERPAL SINGH KULDIP SINGH 01/04/2005 56970
Phase 1 31 Sammipur GURVINDER KAUR JASWANT SINGH
Phase 1 32 Bhatunara SANDEEP KUMAR JANAK RAJ 28/04/2005 56970
Phase 1 33 Bhogpur (B) AMANDEEP SINGH HARJIT SINGH 01/04/2005 56970
Phase 1 34 Bhogpur (B) AMARDEEP KAUR SATNAM SINGH 01/04/2005 54540
Phase 1 35 Bhogpur (B) SUNITA CHAN SINGH 01/04/2005 42335
36 BHARAT BHUSHAN SHUBASH ARORA
Phase 1 37 Bhogpur (G) RAM KRISHAN SINGH ARJUN SINGH 01/04/2005 53364
Phase 1 38 Bhullar BALJIT SINGH MALKIT SINGH 25/04/2005 56970
Phase 1 39 Bhullar RENUKA MANGAT RAI 25/04/2006 56970
Phase 1 40 Gumtala PREM PAL HARNAM DASS 01/04/2005 56970
Phase 1 41 Bilga (G) VINOD G.P GUPTA 02/04/2005 56970
Phase 1 42 Malsian (G) MANPREET KAUR HARVINDER SINGH 15/07/2005 56811
Bir Bansian Jajja
01/04-T 25/04F
Phase 1 43 Dhindsa PAWAN KUMAR BHISHAM CHAND 56970
44 Bundala (B) RAJITA ASHOK KUMAR JOSHI
Phase 1 45 Bundala (B) JASPREET KAUR GURDEEP SINGH 01/04/2005 54595
Phase 1 46 Nehru Gardan BINDU ANIL KUMAR 44310
Phase 1 47 Bundala (G) KAMAL RAJ GURBAKSH DEV 01/04/2005 44310
Phase 1 48 Chak Kalan SHIFALI NAND KISHOR 01/04/2005 47886
Phase 1 49 Chak Kalan JAGDEEP KAUR KHUSHWANT PAL SING 01/04/2005 56970
Phase 1 50 Chak Vendal VARINDER RAI LAKHPAL RAI 25/04/2005 56970
Phase 1 51 Chak Vendal SUMIT CHOTANI MUKESH CHANDER 02/04/2005 56970
Phase 1 52 Chitti YASHPAL PREM CHAND 01/04/2005 44186
53 KULWINDER KAUR BALVIR SINGH
Phase 1 54 Patara DEEPAK KUMAR SHINGARA RAM 55570
Phase 1 55 Dadowal KAMAL THAKUR SURAJ PAL 01/04/2005 56498
Phase 1 56 Dakoha NAMRATA YADAV KARAN SHANKAR YADA 01/04/2005 44310
Phase 1 57 Dakoha SACHIN GOYAL SUBHASH CHANDER 01/04/2005 56970
Phase 1 58 Dhesian Kahna ANUJ SOOD AMRIK SOOD 01/04/2005 56970
Phase 1 59 Dhesian Kahna SANJEEV KUMAR SATINDER KUMAR 01/04/2005 56970
60 Dolike Dure NEETU KEWAL KRISHAN GUPTA 1307 Resigned
Phase 1 61 Dolike Dure HUSSAN LAL BALDEV RAJ 25/04/2005 56970
Phase 1 62 Dosanj Kalan DAVINDER SINGH GURMET SINGH 25/04/2005 56970
Phase 1 63 Dosanj Kalan HARDEEP SINGH KARTAR CHAND 25/04/2005 56970
Phase 1 64 Droli Kalan HARMINDER SINGH KARNAIL SINGH 01/04/2005 56355
Phase 1 65 Droli Kalan PARAMJIT KAUR SURJIT RAM 01/04/2005 44310
66 VISHAL KAPOOR CHANDEN
Phase 1 67 Gakhal Daliwal AVINASH BHALLA SURAJ PARKASH BALL 01/04/2005 56811
68 MAYUR BEDI MANOHAR LAL BEDI
Phase 2 69 Abadpur (G) JYOTI GURCHARN DASS 56970
Gari Maha
25/04/2005
Phase 1 70 Singh BINDU BALI GURCHAN DAS BALI 56970
71 Giddar Pindi SUKHWINDER SINGH SH PHAGGA SINGH 4977
Phase 1 72 Giddar Pindi KAMALDEEP KAUR MOHAN SINGH 25/04/2005 56970
GM Ladowali
Phase 1 73 Road JAGPREET SINGH BALBIR SINGH 01/04/2005 56970
GM Ladowali
Phase 1 74 Road GURINDER SINGH GURLAL SINGH 01/04/2005 44310
AMANDEEP SINGH
Goraya (B)
Phase 1 75 CHALOTRA SURINDER SINGH 01/04/2005 56970
Phase 1 76 Goraya (B) ANITA MAL RAM MURTI MAL 01/04/2005 56970
Phase 1 77 Goraya (G) RANVIR KAUR PIYARA RAM 01/04/2005 56970
Phase 1 78 Goraya (G) MANPREET KAUR SURINDER SINGH 01/04/2005 55124
Phase 1 79 Sec Junior Model MANBIR KAUR INDERPAL SINGH 01/04/2005 55893
Phase 1 80 Haripur MANJIT KAUR AJIT SINGH 04/04/2005 56970
Phase 1 81 Haripur AVNEET MANJIT SINGH 25/04/2005 41533 Salary not Paid
82 Heran SARPREET GURBAX LAL
Phase 1 83 Heran MANISHAM KUMARI RAM ASRA BANGER 25/04/2005 56970
Phase 1 84 Isharwal LAKHVIR KUMAR MOHINDER PAL 01/04/2005 48507 Without pay Leave
Phase 1 85 Isharwal AMANPREET KAUR MAHINDER SINGH 01/04/2005 56970
Phase 1 86 Jamsher Khas DEEPAK SODI SHASHIKANT SODI 01/04/2005 44310
(B)
Jamsher Khas
Phase 1 87 (B) POOJA BHAGRA BALBIR CHAND 01/04/2005 56970
Jamsher Khas
Phase 1 88 (G) SHEWETA KUSHAL KUMAR 01/04/2005 56970
Jamsher Khas
Phase 1 89 (G) JASMIT SINGH SANTOKH SINGH 01/04/2005 54000
Phase 1 90 Kala Bakra VEENU LAMBA GANESH LAMBA 01/04/2005 40211
Phase 1 91 Kala Bakra HITI GUPTA SANJIV KUMAR 01/04/2005 38490 Resigned
92 Kala Bakra PARMINDER KUMAR SOHARI RAM
Phase 1 93 Kandola RUCHI KAPOOR PREM SAGAR 01/04/2005 0 Resigned
Phase 1 94 Kandola RAJWINDER KAUR SIDHCHARANJIT 04/25/2005 56970
Phase 1 95 Kartarpur SATNAM JOGINDER RAM 01/04/2005 56970
Phase 1 96 Kartarpur DALJIT KUMAR PIYARA LAL 01/04/2005 56970
Phase 1 97 Kartarpur KHOOSHBO KUKREJA MUL CHAND KUKREJA 01/04/2005 45430 Resigned
Phase 1 98 Khambra MINNI ARORA SUBHASH CHANDER 01/04/2005 45603
99 BALWINDER KAUR GURMEJ SINGH
Phase 1 100 Khambra ASHIMA B.R. KAPOOR 01/04/2005 53710
Phase 1 101 Khurdpur (G) BHARTI GUPTA NARESH KUMAR GUPT 01/04/2005 52815
Phase 1 102 Khurdpur (G) RAJNI BALA KASTURI LAL 26/04/2005 54540
Phase 1 103 Kot Badal Khan AARTI RAJ KUMAR BHARGAV 581 Resigned
Bir Bansian Jajja
20/08/2005
Phase 1 104 Dhindsa PARWINDER KAUR MAJOR SINGH 27426 Resigned
Phase 1 105 Karari ARVINDER KAUR GAGANPREET 01/04/2005 52821
Phase 1 106 Karari ARCCIPAL HANS RAJ 01/04/2005 53490
Phase 1 107 Ladewali GURPREET SINGH TARLOCHAN SINGH 01/04/2005 56970
Phase 1 108 Ladewali MONITA KAMALJEET SINGH 01/04/2005 44300
Phase 1 109 Lamba Pind PINKI VASDEV VERMA 01/04/2005 44310
Phase 1 110 Lamba Pind NAVNEET KUMAR MOHAN LAL 02/04/2005 56970
Phase 1 111 Lambra HARJIT KAUR BHAGWANT SINGH 01/04/2005 56970
Phase 1 112 Lambra CHARANJIT KAUR AVTAR SINGH 01/04/2005 42617
Phase 1 113 Laroa SATNAM SINGH SURINDER SINGH 01/04/2005 56970
Phase 1 114 Laroa MEENU RANI NEERAJ KUMAR 25/04/2005 56970
Lohara Manak
Phase 1 115 Rai JUJHAR SINGH SANGAT RAM 25/04/2005 56970
Phase 1 116 Lohian Khas POONAM RAJPAL SUBHASH CHANDER 01/04/2005 56970
Phase 1 117 Lohian Khas PARMEET SINGH AMAR SINGH 27/04/2005 56970
118 MANJIT SINGH DARSHAN SINGH

Lohian Khas (G)


Phase 1 119 AMANPREET TARLOCHAN KUMAR 01/04/2005 56970
Phase 1 120 Seikhe Pind SHIKHA MEHTA GILL MEHTA 01/04/2005 55539
Phase 1 121 Mallian Kalan JASPAL SINGH BALBIR SINGH 01/04/2005 54744
Phase 1 122 Mallian Kalan ROOHI VERMA ASHOK KUMAR VERMA 01/04/2005 56970
Phase 1 123 Malsian (B) NITIN PURI NAVTESH PURI 01/04/2005 56970
Phase 1 124 Chitti NAVDEEP KAUR SANDHDALJIT SINGH SANDHU 01/04/2005 56970
Phase 1 125 Malsian (G) SHAKSHI ARORA SHAM LAL ARORA 01/04/2005 55124
Phase 1 126 Gakhal Daliwal NIDHI GUPTA RAKESH KUMAR GUPT 08/07/2005 51933
Phase 1 127 Mand SHALLU TUNGAL SURINDER PAL 01/04/2005 54068
Phase 1 128 Mand MANMEET KAUR TARLOCHAN SINGH 01/04/2005 51677
Phase 1 129 Maqsuda SAURABH MACCANI HANS RAJ 01/04/2005 18810 Without pay leave
Phase 1 130 Maqsuda JATINDER KUMAR DAVINDER DUTTA 01/04/2005 44310
Phase 1 131 Masanian SANDEEP KUMARI BALWINDER KUMAR 01/04/2005 56970
Phase 1 132 Adarsh Nagar SHALINI GUPTA KEWAL 55702
Phase 1 133 Mehat Pur (G) SURINDER KAUR MOHAN LAL 01/04/2005 54105
Phase 1 134 Nihaluwal PARAMJIT KAUR JASWANT SINGH 01/04/2005 54000
Phase 1 135 Mehat Pur (G) BINDIA KALI DASS SODHI 25/04/2005 56816
Phase 1 136 Mithapur JASMIN 01/04/2005 56970
137 SHIVANI ANAND ASHOK ANAND
Phase 1 138 Model House SANDEEPA DEVI CHARANJI LAL 01/04/2005 54000
Phase 1 139 Model House SANJEEV KALSI BHARTI LAL 01/04/2005 54000
140 GAURAV JAKHMI BALWANT SINGH JAKHMI
Phase 1 141 Model Town VINAY JASSAL SOHAN LALA JASSA 01/04/2005 39745 Resigned
Phase 1 142 Muthada Khurd RAKESH KUMAR PANNU RAM 25/04/2005 56970
Phase 1 143 Muthada Khurd SARABJIT KAUR CHAMAN LAL 25/04/2005 56970
144 SEEMA OHRI KEWAL KRISHAN OHRI
Phase 1 145 Nakodar (B) HARPREET KULDEEP CHAND 01/04/2005 56970
Phase 1 146 Nakodar (G) PRIYA KAKKAR GHAN SHAYAM 01/04/2005 21621 Resigned
Phase 1 147 Nakodar (G) RUPINDER KAUR JASBIR SINGH 01/04/2005 54540
Phase 1 148 Nakodar (G) SHALLU DR. HARJINDER SINGH 01/04/2005 14040 Resigned
Phase 1 149 Naugajja GURDEEP SINGH JASBIR SINGH 01/04/2005 56970
Phase 1 150 Naugajja NARINDER KAUR HARBANS LAL 01/04/2005 42702
Phase 1 151 Nawan Pind DoneSANGEET KUMAR JAGDISH MITTAR 26/04/2005 21734 Resigned
Phase 1 152 Nawan Pind DoneVARINDER KAUR SUKHWANT SINGH 25/04/2005 56970
Phase 1 153 Nehru Gardan ARINDER KAUR PURAN SINGH 01/04/2005 56970
Phase 1 154 Nehru Gardan SAPNA DHARAMVEER KUMAR 01/04/2005 10039 Resigned
Phase 1 155 Nehru Gardan RENUKA NARESH KUMAR 01/04/2005 10039 Resigned
Phase 1 156 Nehru Gardan SHALLU MIDHA SANJIT KUMAR 01/04/2005 54540
Phase 1 157 Nehru Gardan MOHINDERPAL SINGH JASWANT SINGH 01/04/2005 20853 resigned
Phase 1 158 Nehru Gardan PARAMJIT KAUR MOHAN SINGH 25/04/2005 8160 Transferred to LDH
Phase 1 159 Nihaluwal IQBAL SINGH RANJIT SINGH 25/04/2005 56970
Phase 1 160 Nurpur SHILPA SHARMA GOPAL KISHN SHARMA 01/04/2005 56047
Phase 1 161 Nurpur VANDNA BALDEV RAJ BHAGAT 01/04/2005 56970
Phase 1 162 Padiana MANPREET KAUR GURDIAL SINGH 01/04/2005 56970
Phase 1 163 Padiana AMANDEEP KUMARI RAJESH KUMAR JASWA 25/04/2005 56970
Phase 1 164 Pandori Nijjran HARJINDER SINGH SEWA SINGH 01/04/2005 56652
Bhargo Camp
Phase 1 165 (G) PUNEET WALIA J.S WALIA 04/01/2005 56970
166 Pandori Nijjran KAMALDEEP KAUR GURCHARAN SINGH 678 Transferred to LDH
Phase 1 167 PAP Camp JYOTI CHAWALA RAKESH CHAWALA 01/04/2005 54000
Phase 1 168 PAP Camp JAGANDEEP SATINDER SINGH 01/04/2005 54000
Phase 1 169 Pasla ASHOK KUMAR GHANSHAM DASS 56970
Phase 1 170 Pasla KUNAL PATHAK DIWAKER PATHAK 56201
Phase 1 171 Patar Kalan PARAMJIT SINGH JASBIR SINGH 01/04/2005 56970
Phase 1 172 Patar Kalan MANINDER SINGH JAGDISH SINGH 01/04/2005 56459
Phase 1 173 Patara JATINDER KAUR DHARAMJIT SINGH 01/04/2005 54959
174 AMANPREET KAUR SUKHDEV SINGH
Phase 1 175 Phillaur (B) MOHAN LAL PIYARA LAL 01/04/2005 44951
Phase 1 176 Phillaur (B) DEEPAK SOLHAN KESHWA CHAND 01/04/2005 56196
177 RAJVEER KAUR KASHMIRA SINGH
Phase 1 178 Phillaur (G) NEELAM JAGAN NATH 01/04/2005 56970
Phase 1 179 Nehru Gardan JASREEN KAUR RANJIT SINGH 53657
Phase 1 180 Phillaur (G) WATANJOT KAUR MALWINDER MOHAN SI 01/04/2005 43113
Phase 1 181 Raipur Rasolpur BALJINDER SINGH SARWAN SINGH 01/04/2005 56970
Phase 1 182 Raipur Rasolpur NEELAM GURINDERPAL SINGH 25/04/2005 56970
183 Talhan GURPREET KAUR SANTOKH SINGH 44310
184 NEERU BALA SHARMA CHARANJIT SHARMA
Phase 1 185 Randawa Masanda DARPAN CHOPRA SUBASH CHOPRA 01/04/2005 41602 Resigned
Phase 1 186 Randawa Masanda BHARAT KUMAR RAM LUBHAYA 01/04/2005 56970
Phase 1 187 Mand ADITI NARANG HARISH CHANDER 04/01/2005 55431
Phase 1 188 Rojhri SANGEETA SODI LAL 25/04/2005 56970
Phase 1 189 Sammipur PARMINDER KAUR GURDEEP SINGH 01/04/2005 54540
Phase 1 190 Nehru Gardan AMANDEEP ROSHAN LAL GUPTA 01/04/2005 56970
Phase 1 191 Samrai RANJIT KUMAR CHAHALC. L. CHAHAL 01/04/2005 56970
Phase 1 192 Samrai PAWAN SHARMA RAJINDER KUMAR 01/04/2005 48533
193 Samrai Jandiala SUKHJINDER KAUR BALBIR SINGH 5136 transfer to patiala distt
194 RAJNI MADAN ASHOK KUMAR
Phase 1 195 Seikhe Pind MANPREET KAUR 01/04/2005 54816
Bhargo Nagar
Phase 1 196 (B) SHITAL KHURANA KAILASH CHANDER 04/01/2005 54662
Phase 1 197 Sang Dhesian AMANDEEP BALWINDER PAL 27/04/2005 0 Resigned
Phase 1 198 Sang Dhesian PRABHJOT KAUR SHITAL CHANDRA 27/04/2005 56970
Phase 1 199 Uggi PRABHJOT KAUR GURMEJ SINGH 25/04/2005 56970
Phase 1 200 Shahkot RENUKA PURI SATISH PURI 01/04/2005 56970
Phase 1 201 Udowal DEEPAK RAM PARKASH BAINS 25/04/2005 56970
202 GULSHAN MATTA INDERJIT MATTA
Phase 1 203 Uggi SANTOSH KUMAR DEVINDER LAL 25/04/2005 51977
Phase 1 204 Virk PRIYA AMARJIT 01/04/2005 56970
Phase 1 205 Virk PARAMJIT KAUR AVTAR SINGH 01/04/2005 44310
206 Shankar JATINDER SHARMA R.L. SHARMA 4500 resigned
Phase 1 207 Shankar TARUNA PRASHAR VIVEK RAVI PRASHAR 01/04/2005 53375
Phase 1 208 Sofi Pind RIPU RAMAN SHINDER PAUL 01/04/2005 56970
Phase 1 209 Nehru Gardan AVNEET NARULA GURBINDER 56662
Phase 1 210 Talhan REKHA CHOWDRI SHISHPAL SINGH 01/04/2005 56970
211 VIKRAM SHARMA LASHMAN SARUP SHARMA
Phase 1 212 Gakhal Daliwal HARPREET SINGH AMARJEET SINGH 56811
Phase 1 213 Udowal KULWINDER KAUR GIYAN CHAND 01/04/2005 56175

Talwandi Madho
Phase 1 214 VINOD GILL B.R. GILL 02/07/2005 56160
Phase 1 215 Gakhal Daliwal BALJEET SINGH KARNAIL SINGH 05/09/2005 55890
Phase 1 216 Gumtala HONNEY 01/07/2005 56160
Phase 1 217 Lasara SUKHJOT KAUR AJMER SINGH 01/08/2005 55620
Phase 1 218 Bhogpur (G) GURPREET KAUR GURCHARAN SINGH 56508
Phase 1 219 Phillaur (B) RAVI DEEP 01/08/2005 55105
Phase 1 220 Umarpur Kalan NIDHI 01/07/2005 53526
Phase 1 221 Lasara NAVKIRAN KAUR SARABJIT SINGH 18/06/2005 56970
Phase 1 222 Masanian PARUL 52003
223 GURPREET KAUR SATNAM SINGH

Kotli Than Singh 01/07/2005


Phase 1 224 MONIKA ANAND ANAND SAGAR 56160

Kotli Than Singh 02/07/2005


Phase 1 225 BIKRAMJIT KAUR SURJIT SINGH 56160
Lohara Manak
Phase 1 226 Rai SIMARJIT KAUR KULDEEP SINGH 07/05/2005 56700
Phase 1 227 Poonian LALITA KEWAL KRISHAN 01/08/2005 55890
Phase 1 228 Nehru Gardan SUNIL PRAMAR M.G. PARMAR 56160
Phase 1 229 Manak RACHANA SHARMA 01/07/2005 56160
Phase 1 230 Model Town MONIA BHATTI S.S. BHATTI 01/07/2005 54760
Phase 1 231 Randawa Masanda HEMA SHARMA YASHPAL SHARMA 26/09/2005 56160
Phase 1 232 Sec Junior Model ANU BEDI JARNAIL SINGH BEDI 27/10/2005 52559
Phase 1 233 Khambra REENA KASHYAP LOK PAUL 54765
Nawan Pind
01/07/2005
Phase 1 234 khalewal AMANDEEP SINGH JASBIR SINGH 56160
Phase 1 235 Pandori Nijjran SUKHJINDER SINGH BAHADUR SINGH 55221
236 DEEP SHIKHA
Phase 1 237 Rastgo ANUREET KAUR GURBHAJ 01/07/2005 56160
238 Rastgo SAHIB SINGH BALRAM KUMAR 8100 Resigned
Phase 1 239 Samrai Jandiala RAJINDER KAUR GURMEET SINGH 02/07/2005 56160
GM Ladowali
Phase 1 240 Road MANPREET HARNAM SINGH 01/07/2005 56160
Phase 1 241 Mithapur RAJNI PAUL NAVDEEP SINGH 01/08/2005 55890
Phase 1 242 Khurdpur (G) KANIKA DUA SUBASH DUA 52810
Phase 1 243 Kala Bakra RENUKA VERMA SHAKHAR VERMA 01/11/2005 50542
Phase 1 244 Heran RAMA VERMA NARESH KUMAR VERM 15/09/2005 55620
Phase 1 245 Kot Badal Khan SANJAY SERA SOHAN LAL 20/09/2005 55620

Lohian Khas (G)


Phase 1 246 NEENA KUMARI 20/09/2005 55620
Phase 1 247 Bundala (B) GAURAV KAPOOR BALWINDER KAPOOR] 27/10/2005 55350
Phase 2 248 Nussi GURDIP KAUR HARJINDER SINGH 47894
Phase 1 249 Sangowal RAJAT KAPOOR 4500 Resigned
Phase 1 250 Bilga (B) RUPINDERJIT NANGLA SANTOKH SINGH 31/10/2005 55350
Phase 1 251 Sammipur VEERAM NANDA SURNDER KUMAR NANDA 54570
252 RAJNI KASHYAP SHANTI SWAROOP
Phase 1 253 Pandori Nijjran MANINDER SUKHWINDER 47075
Phase 1 254 Nangal Ambian JASPREET KAUR 56970
Phase 1 255 Manak KAMALJIT KAUR UDHAM SINGH 04/03/2006 49200
Phase 2 256 Aadi SUKHNANDAN KAUR SATINDER SINGH 4/3/2006 49200 Transferred
Phase 2 257 Abadpur (G) POOJA HARI CHAND 48460
Phase 2 258 Apra REENA PRAMJEET SINGH 49200
Phase 2 259 Authola RAKHEE SHARMA ROHIT SHARMA 4/3/2006 49200
Phase 2 260 Authola SUNAINA MATTU KARAM CHAND 4/3/2006 49200
Phase 2 261 Alampur Bakka CHANDANI BOOTA RAM BHALLA 4/3/2006 49200
Phase 2 262 Baghela RAJWINDER KAUR CHARANJIT SINGH 49200
Phase 2 263 Bajuha Kalan MANMINDER KAUR JAGIR SINGH 4/3/2006 49200
Phase 2 264 Baloki MUNMUN SHARMA BHOOP KUMAR SHARM 4/3/2006 49200
Phase 2 265 Basti Danishma MANISHA SHARMA SHIV RAJ SHARMA 4/3/2006 45664
Phase 2 266 Basti Danishma SUCHETA MAGO HARISH KUMAR MAG 4/3/2006 45135
Phase 2 267 Bhandal Himma HARI SHANKAR MANOHAR LAL 4/3/2006 49200
Phase 2 268 Bhode Saprai PARAM VASHISHT SINGTRILOCHAN SINGH 24160
Phase 2 269 Binpalke GURPREET SINGH KULDIP SINGH 48910
Phase 2 270 Bir Pind AMANDEEP KAUR GURDIAL SINGH 49200
Phase 2 271 Bolina AMITA RANA MUKESH THAKUR 4/3/2006 46877
Phase 3 272 Bolina MEENU BALA RAJINDER PAL 4/28/2006 44816
Phase 2 273 Boota Mandi SUNITA DHAWAN K.L.DHAWAN 48474
Phase 2 274 Boparai Kalan RAVI KUMAR HARMESH LAL 49200
Phase 2 275 Boparai Khurd BALJINDER KAUR NARINDER SURJIT PARHAR 47400
Phase 2 276 Chak Des Raj JAGWINDER RAM MADAN LAL 49200
Phase 2 277 Chak Des Raj KARAMJIT KAUR SEWA SINGH 49200
Phase 2 278 Chima Kalan ChGURJINDER SINGH AVTAR SINGH 4/3/2006 49200
Phase 2 279 Chima Kalan ChAMIKA BISHAN DASS 4/3/2006 49200
Phase 2 280 Chugitti AMANDEEP SINGH AVTAR SINGH 4/3/2006 48251
Phase 2 281 Daroli Kalan(G) RAVNEET KAUR DEVINDER SINGH 49200
Phase 2 282 Daroli Khurd PRIMALDEEP SINGH SUKHBIR SINGH 4/3/2006 49050
Phase 2 283 Dayalpur SANJEEV SHARMA KALI DASS SHARMA 49200
Phase 2 284 Dhadha NEHA RAMPAL S.K.RAMPAL 49200
Phase 2 285 Dhadha ISHAN LACHARI RAM 49200
Phase 2 286 Dhandwar VIKAS SHARMA BALRAJ KUMAR SHARMA 49200
Phase 2 287 Dhani Pind JASWINDER SAMPLA DEV RAJ SAMPLA 49200
Phase 2 288 Dhogri GURPREET KAUR BHUPINDER SINGH 48750
Phase 2 289 Diwali KIRANJIT SAINI HARVINDER SINGH SAINI 49200
Phase 2 290 Gandhi Camp SUNIANA PAHWA SUMAN KUMAR PAHWA 4/3/2006 49200
Phase 2 291 Gandhi Nagar ( RUPINDER KAUR SURINDER SINGH 4/3/2006 35100 transfeered
Phase 2 292 Gandhi Nagar ( ANJU BALA MUKAND LAL 4/3/2006 49200
Phase 2 293 Gandhra ROBIN KAINTH KARAMJIT SINGH 49200
Phase 2 294 Garha PALLVI ASHOK KUMAR 37132
Phase 2 295 Garha SHAVETA KAPUR A.K. KAPUR 47167
Phase 2 296 Garha PALLVI SAINI SURINDER MOHAN 48184
Phase 2 297 Ghurial KAMALJIT KAUR JASWINDER SINGH 49050
Phase 2 298 Gohawar RANJIT KUMAR BALVIR CHAND 4/3/2006 22950
Phase 2 299 Gohawar PAWAN KUMAR MAHAVIR 4/3/2006 49200
Phase 2 300 Gohir ANJANI DEVI YOG RAJ 4/3/2006 49200
Phase 2 301 Hardo Pharola GURPREET SINGH WAL CHARANJEET SINGH 13781
Phase 2 302 Haripur Khalsa SEEMA RAVI KUMAR 4/3/2006 49200
Phase 2 303 Harnam Das Pu MAMTA RAM PARKESH 49200
Phase 2 304 Hazara MONIKA JOGINDER SINGH 49200
Phase 2 305 Hazara JASPREET SINGH BU GURMAIL SINGH 49200
Phase 2 306 Helar JASBIR SINGH SULKHAN SINGH 03/04/2006AN 49050
Phase 2 307 Jalbhey INDERJEET KAUR KARNAIL SINGH 46563
Phase 2 308 Jandiala(G) MEENU BHARDWAJ DEVI PARKASH BHARD 4/3/2006 49200
Phase 2 309 Jandiala(G) MALKEET KAUR HARBANS LAL 4/3/2006 49200
Phase 2 310 Jandiala(G) RAJWINDER KAUR HARJIT SINGH 4/3/2006 43829 Resigned
Phase 2 311 Jandiala(G) SHIKHA VIG RAMESH KUMAR VIG 4/3/2006 49200
Phase 2 312 Kadian Wali UMANG LALA S.M.LALA 4/3/2006 49200
Phase 2 313 Kahlwan SUPREET KAUR SURINDER SINGH 47023
Phase 2 314 Kala Bahian VISHAL GANDHI NARINDER KUMAR 4/3/2006 49200
Phase 2 315 Kalra VARINDER KUMAR CHAMAN LAL 4/3/2006 49200
Phase 2 316 Kalyanpur PRADEEP KUMAR SAN CHAMAN LAL SANGRA 49200
Phase 2 317 Kang Sabhoo ESHA RAJINDER PAUL 49200
Phase 2 318 Kapoor Pind NISHA BANSAL RAJIV BANSAL 4/3/2006 49200
Phase 2 319 Kapoor Pind SUNIL DUTT HANS RAJ 4/3/2006 49200
Phase 2 320 Khewa(G) RUCHIKA TALWAR MOHINDER SINGH 4/3/2006 22500
Phase 2 321 Khiwa ADITYA JAIRATH ASHWANI JAIRATH 4/3/2006 49055
Phase 2 322 Khiwa JYOTI ANGURAL CHAMAN LAL 4/3/2006 48619
Phase 2 323 Khojkipur NangaJATINDER KAUR RANJIT SINGH 4/3/2006 14216
Phase 2 324 Khojkipur NangaROHIT SHARMA NEVEEN SHARMA 4/3/2006 13200
Phase 2 325 Khurla Kingra JAGDEEP KAUR HARI SINGH 4/3/2006 49200
Phase 2 326 Khusropur AMARDEEP KAUR NARINDER SINGH 4/3/2006 49200
Phase 2 327 Kishanpur MAMTA GUPTA RAJESH KUMAR 4/3/2006 44502
Phase 2 328 Kishanpura MohSHIKHA TALWAR MANOJ KUMAR 4/3/2006 49200
Phase 2 329 Kot Kalan MANMINDER SINGH BHUPINDER SINGH 49200
Phase 2 330 Kot Sadik SANDEEP KAUR HARMINDER SINGH 49200
Phase 2 331 Kotla Suraj Mal HARPREET SINGH AHL DAVINDER SINGH AHL 4/3/2006 40490
Phase 2 332 Kudowal SUNNY ARORA SURINDER ARORA 4/3/2006 49200
Phase 2 333 Ladowali Road PUNEET GUPTA NARAIN DASS GUPTA 49200
Phase 2 334 Lallian Kalan RAZIA RAVINDER KLAIR 4/3/2006 49200
Phase 2 335 Lallian Kalan AMANDEEP SINGH SUKHDEV SINGH 4/3/2006 48750
Phase 2 336 Landran YOJNA SHARMA SARVJIT SHARMA 4/3/2006 49200
Phase 2 337 Lidhran MANINDER SINGH FLORDAVINDER SINGH FLO 4/3/2006 49200
Phase 2 338 Littran SUSHIL KUMAR TIRATH RAM 4/3/2006 49200
Phase 2 339 Partap Pura PRIYA PASCHRICA JINDER PAL PASCHR 4/3/2006 49200
Phase 2 340 Mansoorpur AMRIK SINGH KARNAIL SINGH 4/3/2006 49200
Phase 2 341 Mao Sahib JASWINDER KUMAR MADAN LAL 4/3/2006 49200
Phase 2 342 Mehatpur (B) PARAMPREET KAUR JIT SINGH 49200
Phase 2 343 Mehsampur MANDEEP KUMAR CHANCHAL RAM 4/3/2006 49200
Phase 2 344 Mehsampur KIRANJIT KAUR 4/3/2006 8700
Phase 2 345 Muhem ANINDER KAUR JOGINDER SINGH 4/3/2006 49200
Phase 2 346 Mulowal Khera HARVINDER KAUR RANDHIR SINGH KAHL 4/3/2006 49200
Phase 1 347 Bundala (G) DOLLY BAGGA RAM DASS BAGGA 49200
Phase 2 348 Mustafapur DEEPAK KUMAR BHOLAPRINCE BHOLA 4/3/2006 49200
Phase 2 349 Nagar (B) RAMINDER KAUR BAKHSISH SINGH 4/3/2006 49200
Phase 2 350 Nagar (B) ROHIT SOBTI JANG BAHADUR SOBT 4/3/2006 44700
Phase 2 351 Nagar (G) JASDEEP SINGH DALBIR SINGH 4/3/2006 49200
Phase 2 352 Nahal KAMALDEEP KAUR SITAL SINGH 4/3/2006 36135
Phase 2 353 Nangal Shama BALJEET KAUR HARTIRATH SINGH 49200
Phase 2 354 Nawan Pind AkaSONIA SHAM LAL 4/3/2006 18571
Phase 2 355 Nijjran VIMAL VARINDER KUMAR 4/3/2006 49200
Phase 2 356 Nurmehal (Co. ENEERU OHRI JIWAN LAL OHRI 4/3/2006 49200
Phase 2 357 Nurmehal (Co. ERAJWANT KAUR JOGINDER SINGH NIJ 4/3/2006 49200
Phase 2 358 Nurmehal (Co. EBHUPINDER SINGH AVTAR SINGH 4/3/2006 49200
Phase 2 359 Dhani Pind MANISH KUMAR BALRAJ KUMAR 49200
Phase 2 360 Pachranga SHARANJIT KAUR DEV RAJ SONDHI 4/3/2006 49200
Phase 2 361 Paddi Jagir BABITA KESAR SINGH 4/3/2006 48905
Phase 2 362 Pandori Khas POONAM RAJ KUMAR GAINDA 4/3/2006 49200
Phase 2 363 Pandori Khas PRABJYOTI BHIM SEIN 4/3/2006 47569
Phase 2 364 Parjian Kalan NAVJEET KAUR GURBAKSH SINGH 10050 telephone msg
Phase 2 365 Parjian Kalan MONIKA SHARMA KUNDAN LAL SHARMA 10384
Phase 2 366 Partabpura MONIKA HARI CHAND 4/3/2006 49200
Phase 2 367 Wadala HARMANPREET KAUR JASBIR SINGH 4/3/2006 49200
Phase 2 368 Wariana ASHU TALWAR ANIL TALWAR 4/3/2006 46302
Phase 2 369 Patara (B) MEENAKSHI SUBASH CHANDER 45953
Phase 2 370 Puranpur RAVINDERPAL KAUR RANDHIR SINGH 4/3/2006 49200
Phase 2 371 Qazi Mohalla CHANDER PRABHA ASHWANI KUMAR 4/3/2006 49200
Phase 2 372 Rahimpur POOJA RATTAN VARINDER KUMAR 4/3/2006 49200
Phase 2 373 Rahimpur(NKD) ASHISH SONI ASHOK KUMAR SONI 4/3/2006 47748
Phase 2 374 Rainak Bazar ANUPINDER KAUR PARMJIT SINGH 4/3/2006 49200
Phase 2 375 Raipur Pharola HARMANDEEP SINGH GURDEEP SINGH 47031
Phase 2 376 Rupewali ISHA SOOD VIJAY KUMAR SOOD 4/3/2006 49200
Phase 2 377 Rurka Kalan SHARANDEEP KAUR PAVITTER SINGH 4/3/2006 48039

Phase 2 378 Rurka Kalan (G)Vandana


Phase 2 379 Rurki RAJINDER VIRDI GIAN CHAND VIRDI 4/3/2006 49200
Phase 2 380 Sansarpur KULDEEP KUMARI DEV RAJ 4/3/2006 45803
Phase 2 381 Sarai Khas AMANDEEP KAUR RAJINDER PAL SINGH 4/3/2006 45063
Phase 2 382 Sarhal Mundi PARMJIT KUMAR RAM KISHAN 4/3/2006 49200
Phase 2 383 Sarhali AJAY KUMAR PIYARA LAL 49200
Phase 2 384 Sarih (B) SATISH KUMAR RAJA RAM 4/3/2006 49200
Phase 2 385 Sarih (B) PARMINDER KAUR GIAN CHAND 4/3/2006 49200
Phase 2 386 Sarih (G) RAJWANT KAUR MALKIT SINGH 4/3/2006 49200
Phase 2 387 Shankar (B) SUNANDA JOGINDER PAL 49200
Phase 2 388 Sidhwan AMANPREET TIRATH RAM 46152
Phase 2 389 Singhpur Bet DHEERAJ KUMAR CHAMAN LAL 4/3/2006 49200
Phase 2 390 Suchi Pind HARPREET SINGH JASVIR SINGH 49200

Phase 2 391 Tajpur BhagwanRUPINDER KAUR GURVINDERJEET SINGH 33179


Phase 2 392 Talwandi Bharo DIKSHA ARORA VIJAY KUMAR 47023
Phase 2 393 Tehang MANPREET KAUR NIRMAL SINGH 49200
Phase 2 394 Thala PARVEEN KAUR TARSEM LAL 49200
Phase 2 395 Udopur Barsal VIVEK SONI VIJAY KUMAR SONI 03/04/2006AN 49050
Phase 1 396 Samrai Jandiala RAGHU VAID PAWAN VAID 16433 Resigned
Phase 2 397 Ucha SUMAN BALA 37842
Phase 2 398 Ghorewahi KIRANJEET KAUR AMANDEEP SINGH 40500
Phase 2 399 Binpalke NAVDEEP SHARMA 22465
Phase 1 400 Sofi Pind ARTI PREM KUMAR 16950
Phase 2 401 Gandhi Nagar ( KULDIP SHARMA DURGA PARSHAD 11/27/2006 13955

17848086
double entry
RESIGNED ON 02/02/2006
RESIGNED ON 03/02/2006
4770/- 3657
RESIGNED ON 24-4-06
Transferred to District Amritsar

worked till 16/04 from 17/04 to 09/05 without pay

Transferred from tara garh


Computer Teacher Transferred from Amritsar on 24/04/2006 AN
EPF Account Numbers of The Computer Faculties of Jalandhar District
PN/26665
1 Adam Pur JAGROOP KAUR 38 Bhullar BALJIT SINGH
2 Adam Pur JASPREET KAUR 39 Bhullar RENUKA
3 Adarsh Nagar SUNIL KUMAR ARORA 40 Gumtala PREM PAL
4 Adarsh Nagar SONIKA 41 Bilga (G) VINOD
5 MUKTA 42 Malsian (G) MANPREET KAUR
6 Alawalpur AMAN SHARMA 43 Bir Bansian Jajj PAWAN KUMAR
7 Alawalpur BALJIT SINGH 44 Bundala (B) RAJITA
8 VIVA MADAN 45 Bundala (B) JASPREET KAUR
9 Bajwa Kalan SUKHWINDER KAUR 46 Nehru Gardan BINDU
10 Bajwa Kalan AMANDEEP KAUR 47 Bundala (G) KAMAL RAJ
11 SAVITA 48 Chak Kalan SHIFALI
12 Bara Pind (B) MANISH KOHALI 49 Chak Kalan JAGDEEP KAUR
13 Bara Pind (G) MANJOT KAUR 50 Chak Vendal VARINDER RAI
14 Bara Pind (G) HATESHI ARORA 51 Chak Vendal SUMIT CHOTANI
15 Basti Bawa Khel RUPALI 52 Chitti YASHPAL
16 Basti Bawa Khel DISHKARAN KAUR 53 KULWINDER KAUR
17 Basti Seikh (G) JASMIN KAUR 54 Patara DEEPAK KUMAR
18 Basti Seikh (G) SUNIL KUMAR 55 Dadowal KAMAL THAKUR
19 Beas Pind POONAM CHOWDRI 56 Dakoha NAMRATA YADAV
20 Sec Junior Model JaAMANPREET KAUR 57 Dakoha SACHIN GOYAL
21 Beas Pind POOJA KASHYAP 58 Dhesian Kahna ANUJ SOOD
22 Bhar Singh Pura SHALLU SAPRA 59 Dhesian Kahna SANJEEV KUMAR
23 Bhar Singh Pura RITU BALA 60 Dolike Dure NEETU
24 Bhargo Nagar (B) MANISH KUMAR 61 Dolike Dure HUSSAN LAL
25 Bhargo Nagar (B) HARMESH KUMAR 62 Dosanj Kalan DAVINDER SINGH
26 Bhargo Nagar (B) PREET GAGAN SINGH 63 Dosanj Kalan HARDEEP SINGH
27 Bhargo Camp (G) POONAM KALA 64 Droli Kalan HARMINDER SINGH
28 Bhargo Camp (G) SUNISH MITTAL 65 Droli Kalan PARAMJIT KAUR
29 Bhargo Camp (G) SHABDAL SINGH 66 VISHAL KAPOOR
30 Bhatunara VARINDERPAL SINGH 67 Gakhal Daliwal AVINASH BHALLA
31 Sammipur GURVINDER KAUR 68 MAYUR BEDI
32 Bhatunara SANDEEP KUMAR 69 Abadpur (G) JYOTI
33 Bhogpur (B) AMANDEEP SINGH 70 Gari Maha Sing BINDU BALI
34 Bhogpur (B) AMARDEEP KAUR 71 Giddar Pindi SUKHWINDER SINGH
35 Bhogpur (B) SUNITA 72 Giddar Pindi KAMALDEEP KAUR
GM Ladowali
36 BHARAT BHUSHAN 73 JAGPREET SINGH
Road
GM Ladowali
37 Bhogpur (G) RAM KRISHAN SINGH 74 GURINDER SINGH
Road
AMANDEEP SINGH
Lohara Manak
75 Goraya (B) CHALOTRA 115 JUJHAR SINGH
Rai
76 Goraya (B) ANITA MAL 116 Lohian Khas POONAM RAJPAL
77 Goraya (G) RANVIR KAUR 117 Lohian Khas PARMEET SINGH
78 Goraya (G) MANPREET KAUR 118 MANJIT SINGH
79 Sec Junior Model JaMANBIR KAUR 119 Lohian Khas (G) AMANPREET
80 Haripur MANJIT KAUR 120 Seikhe Pind SHIKHA MEHTA
81 Haripur AVNEET 121 Mallian Kalan JASPAL SINGH
82 Heran SARPREET 122 Mallian Kalan ROOHI VERMA
83 Heran MANISHAM KUMARI 123 Malsian (B) NITIN PURI
84 Isharwal LAKHVIR KUMAR 124 Chitti NAVDEEP KAUR SANDHU
85 Isharwal AMANPREET KAUR 125 Malsian (G) SHAKSHI ARORA
86 Jamsher Khas (B) DEEPAK SODI 126 Gakhal Daliwal NIDHI GUPTA
87 Jamsher Khas (B) POOJA BHAGRA 127 Mand SHALLU TUNGAL
88 Jamsher Khas (G) SHEWETA 128 Mand MANMEET KAUR
89 Jamsher Khas (G) JASMIT SINGH 129 Maqsuda SAURABH MACCANI
90 Kala Bakra VEENU LAMBA 130 Maqsuda JATINDER KUMAR
91 Kala Bakra HITI GUPTA 131 Masanian SANDEEP KUMARI
92 Kala Bakra PARMINDER KUMAR 132 Adarsh Nagar SHALINI GUPTA
93 Kandola RUCHI KAPOOR 133 Mehat Pur (G) SURINDER KAUR
94 Kandola RAJWINDER KAUR SI 134 Nihaluwal PARAMJIT KAUR
95 Kartarpur SATNAM 135 Mehat Pur (G) BINDIA
96 Kartarpur DALJIT KUMAR 136 Mithapur JASMIN
97 Kartarpur KHOOSHBO KUKREJA 137 SHIVANI ANAND
98 Khambra MINNI ARORA 138 Model House SANDEEPA DEVI
99 BALWINDER KAUR 139 Model House SANJEEV KALSI
100 Khambra ASHIMA 140 GAURAV JAKHMI
101 Khurdpur (G) BHARTI GUPTA 141 Model Town VINAY JASSAL
102 Khurdpur (G) RAJNI BALA 142 Muthada Khurd RAKESH KUMAR
103 Kot Badal Khan AARTI 143 Muthada Khurd SARABJIT KAUR
104 Bir Bansian Jajja D PARWINDER KAUR 144 SEEMA OHRI
105 Karari ARVINDER KAUR 145 Nakodar (B) HARPREET
106 Karari ARCCIPAL 146 Nakodar (G) PRIYA KAKKAR
107 Ladewali GURPREET SINGH 147 Nakodar (G) RUPINDER KAUR
108 Ladewali MONITA 148 Nakodar (G) SHALLU
109 Lamba Pind PINKI 149 Naugajja GURDEEP SINGH
110 Lamba Pind NAVNEET KUMAR 150 Naugajja NARINDER KAUR
111 Lambra HARJIT KAUR 151 Nawan Pind DonSANGEET KUMAR
112 Lambra CHARANJIT KAUR 152 Nawan Pind DonVARINDER KAUR
113 Laroa SATNAM SINGH 153 Nehru Gardan ARINDER KAUR
114 Laroa MEENU RANI 154 Nehru Gardan SAPNA
155 Nehru Gardan RENUKA 194 RAJNI MADAN
156 Nehru Gardan SHALLU MIDHA 195 Seikhe Pind MANPREET KAUR
157 Nehru Gardan MOHINDERPAL SINGH 196 Bhargo Nagar (BSHITAL KHURANA
158 Nehru Gardan PARAMJIT KAUR 197 Sang Dhesian AMANDEEP
159 Nihaluwal IQBAL SINGH 198 Sang Dhesian PRABHJOT KAUR
160 Nurpur SHILPA SHARMA 199 Uggi PRABHJOT KAUR
161 Nurpur VANDNA 200 Shahkot RENUKA PURI
162 Padiana MANPREET KAUR 201 Udowal DEEPAK
163 Padiana AMANDEEP KUMARI 202 GULSHAN MATTA
164 Pandori Nijjran HARJINDER SINGH 203 Uggi SANTOSH KUMAR
165 Bhargo Camp (G) PUNEET WALIA 204 Virk PRIYA
166 Pandori Nijjran KAMALDEEP KAUR 205 Virk PARAMJIT KAUR
167 PAP Camp JYOTI CHAWALA 206 Shankar JATINDER SHARMA
168 PAP Camp JAGANDEEP 207 Shankar TARUNA PRASHAR
169 Pasla ASHOK KUMAR 208 Sofi Pind RIPU RAMAN
170 Pasla KUNAL PATHAK 209 Nehru Gardan AVNEET NARULA
171 Patar Kalan PARAMJIT SINGH 210 Talhan REKHA CHOWDRI
172 Patar Kalan MANINDER SINGH 211 VIKRAM SHARMA
173 Patara JATINDER KAUR 212 Gakhal Daliwal HARPREET SINGH
174 AMANPREET KAUR 213 Udowal KULWINDER KAUR
Talwandi
175 Phillaur (B) MOHAN LAL 214 VINOD GILL
Madho
176 Phillaur (B) DEEPAK SOLHAN 215 Gakhal Daliwal BALJEET SINGH
177 RAJVEER KAUR 216 Gumtala HONNEY
178 Phillaur (G) NEELAM 217 Lasara SUKHJOT KAUR
179 Nehru Gardan JASREEN KAUR 218 Bhogpur (G) GURPREET KAUR
180 Phillaur (G) WATANJOT KAUR 219 Phillaur (B) RAVI DEEP
181 Raipur Rasolpur BALJINDER SINGH 220 Umarpur Kalan NIDHI
182 Raipur Rasolpur NEELAM 221 Lasara NAVKIRAN KAUR
183 Talhan GURPREET KAUR 222 Masanian PARUL
184 NEERU BALA SHARM 223 GURPREET KAUR
Kotli Than
185 Randawa Masanda DARPAN CHOPRA 224 MONIKA ANAND
Singh
Kotli Than
186 Randawa Masanda BHARAT KUMAR 225 BIKRAMJIT KAUR
Singh
Lohara Manak
187 Mand ADITI NARANG 226 SIMARJIT KAUR
Rai
188 Rojhri SANGEETA 227 Poonian LALITA
189 Sammipur PARMINDER KAUR 228 Nehru Gardan SUNIL PRAMAR
190 Nehru Gardan AMANDEEP 229 Manak RACHANA SHARMA
191 Samrai RANJIT KUMAR CHAH 230 Model Town MONIA BHATTI
192 Samrai PAWAN SHARMA 231 Randawa Masanda HEMA SHARMA
193 Samrai Jandiala SUKHJINDER KAUR 232 Sec Junior ModelANU BEDI
233 Khambra REENA KASHYAP 272 Bolina MEENU BALA
234 Nawan Pind khalewaAMANDEEP SINGH 273 Boota Mandi SUNITA DHAWAN
235 Pandori Nijjran SUKHJINDER SINGH 274 Boparai Kalan RAVI KUMAR
236 DEEP SHIKHA 275 Boparai Khurd BALJINDER KAUR
237 Rastgo ANUREET KAUR 276 Chak Des Raj JAGWINDER RAM
238 Rastgo SAHIB SINGH 277 Chak Des Raj KARAMJIT KAUR
239 Samrai Jandiala RAJINDER KAUR 278 Chima Kalan ChGURJINDER SINGH
240 GM Ladowali Road MANPREET 279 Chima Kalan ChAMIKA
241 Mithapur RAJNI PAUL 280 Chugitti AMANDEEP SINGH
242 Khurdpur (G) KANIKA DUA 281 Daroli Kalan(G) RAVNEET KAUR
243 Kala Bakra RENUKA VERMA 282 Daroli Khurd PRIMALDEEP SINGH
244 Heran RAMA VERMA 283 Dayalpur SANJEEV SHARMA
245 Kot Badal Khan SANJAY SERA 284 Dhadha NEHA RAMPAL
246 Lohian Khas (G) NEENA KUMARI 285 Dhadha ISHAN
247 Bundala (B) GAURAV KAPOOR 286 Dhandwar VIKAS SHARMA
248 Nussi GURDIP KAUR 287 Dhani Pind JASWINDER SAMPLA
249 Sangowal RAJAT KAPOOR 288 Dhogri GURPREET KAUR
250 Bilga (B) RUPINDERJIT NANGL 289 Diwali KIRANJIT SAINI
251 Sammipur VEERAM NANDA 290 Gandhi Camp SUNIANA PAHWA
252 RAJNI KASHYAP 291 Gandhi Nagar (GRUPINDER KAUR
253 Pandori Nijjran MANINDER 292 Gandhi Nagar (GANJU BALA
254 Nangal Ambian JASPREET KAUR 293 Gandhra ROBIN KAINTH
255 Manak KAMALJIT KAUR 294 Garha PALLVI
256 Aadi SUKHNANDAN KAUR 295 Garha SHAVETA KAPUR
257 Abadpur (G) POOJA 296 Garha PALLVI SAINI
258 Apra REENA 297 Ghurial KAMALJIT KAUR
259 Authola RAKHEE SHARMA 298 Gohawar RANJIT KUMAR
260 Authola SUNAINA MATTU 299 Gohawar PAWAN KUMAR
261 Alampur Bakka CHANDANI 300 Gohir ANJANI DEVI
262 Baghela RAJWINDER KAUR 301 Hardo Pharola GURPREET SINGH WALIA
263 Bajuha Kalan MANMINDER KAUR 302 Haripur Khalsa SEEMA
264 Baloki MUNMUN SHARMA 303 Harnam Das PurMAMTA
265 Basti Danishmanda MANISHA SHARMA 304 Hazara MONIKA
266 Basti Danishmanda SUCHETA MAGO 305 Hazara JASPREET SINGH BUDWAL
267 Bhandal Himmat HARI SHANKAR 306 Helar JASBIR SINGH
268 Bhode Saprai PARAM VASHISHT SI 307 Jalbhey INDERJEET KAUR
269 Binpalke GURPREET SINGH 308 Jandiala(G) MEENU BHARDWAJ
270 Bir Pind AMANDEEP KAUR 309 Jandiala(G) MALKEET KAUR
271 Bolina AMITA RANA 310 Jandiala(G) RAJWINDER KAUR
311 Jandiala(G) SHIKHA VIG 350 Nagar (B) ROHIT SOBTI
312 Kadian Wali UMANG LALA 351 Nagar (G) JASDEEP SINGH
313 Kahlwan SUPREET KAUR 352 Nahal KAMALDEEP KAUR
314 Kala Bahian VISHAL GANDHI 353 Nangal Shama BALJEET KAUR
315 Kalra VARINDER KUMAR 354 Nawan Pind AkalSONIA
316 Kalyanpur PRADEEP KUMAR SA 355 Nijjran VIMAL
317 Kang Sabhoo ESHA 356 Nurmehal (Co. ENEERU OHRI
318 Kapoor Pind NISHA BANSAL 357 Nurmehal (Co. ERAJWANT KAUR
319 Kapoor Pind SUNIL DUTT 358 Nurmehal (Co. EBHUPINDER SINGH
320 Khewa(G) RUCHIKA TALWAR 359 Dhani Pind MANISH KUMAR
321 Khiwa ADITYA JAIRATH 360 Pachranga SHARANJIT KAUR
322 Khiwa JYOTI ANGURAL 361 Paddi Jagir BABITA
323 Khojkipur Nangal SaJATINDER KAUR 362 Pandori Khas POONAM
324 Khojkipur Nangal SaROHIT SHARMA 363 Pandori Khas PRABJYOTI
325 Khurla Kingra JAGDEEP KAUR 364 Parjian Kalan NAVJEET KAUR
326 Khusropur AMARDEEP KAUR 365 Parjian Kalan MONIKA SHARMA
327 Kishanpur MAMTA GUPTA 366 Partabpura MONIKA
328 Kishanpura Mohalla SHIKHA TALWAR 367 Wadala HARMANPREET KAUR
329 Kot Kalan MANMINDER SINGH 368 Wariana ASHU TALWAR
330 Kot Sadik SANDEEP KAUR 369 Patara (B) MEENAKSHI
331 Kotla Suraj Mal HARPREET SINGH AH 370 Puranpur RAVINDERPAL KAUR
332 Kudowal SUNNY ARORA 371 Qazi Mohalla CHANDER PRABHA
333 Ladowali Road (G) PUNEET GUPTA 372 Rahimpur POOJA RATTAN
334 Lallian Kalan RAZIA 373 Rahimpur(NKD) ASHISH SONI
335 Lallian Kalan AMANDEEP SINGH 374 Rainak Bazar ANUPINDER KAUR
336 Landran YOJNA SHARMA 375 Raipur Pharola HARMANDEEP SINGH
337 Lidhran MANINDER SINGH FL 376 Rupewali ISHA SOOD
338 Littran SUSHIL KUMAR 377 Rurka Kalan SHARANDEEP KAUR
339 Partap Pura PRIYA PASCHRICA 378 Thala PARVEEN KAUR
340 Mansoorpur AMRIK SINGH 379 Rurki RAJINDER VIRDI
341 Mao Sahib JASWINDER KUMAR 380 Sansarpur KULDEEP KUMARI
342 Mehatpur (B) PARAMPREET KAUR 381 Sarai Khas AMANDEEP KAUR
343 Mehsampur MANDEEP KUMAR 382 Sarhal Mundi PARMJIT KUMAR
344 Mehsampur KIRANJIT KAUR 383 Sarhali AJAY KUMAR
345 Muhem ANINDER KAUR 384 Sarih (B) SATISH KUMAR
346 Mulowal Khera HARVINDER KAUR 385 Sarih (B) PARMINDER KAUR
347 Bundala (G) DOLLY BAGGA 386 Sarih (G) RAJWANT KAUR
348 Mustafapur DEEPAK KUMAR BHO 387 Shankar (B) SUNANDA
349 Nagar (B) RAMINDER KAUR 388 Sidhwan AMANPREET
389 Singhpur Bet DHEERAJ KUMAR
390 Suchi Pind HARPREET SINGH
391 Tajpur Bhagwanpur RUPINDER KAUR
392 Talwandi Bharo DIKSHA ARORA
393 Tehang MANPREET KAUR
394 Udopur Barsal VIVEK SONI
395 Samrai Jandiala RAGHU VAID
396 Ucha SUMAN BALA
397 Binpalke NAVDEEP SHARMA
398 Sofi Pind ARTI
399 Gandhi Nagar (G) KULDIP SHARMA
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2007 to 31st March 2008
(for unexempted establishments only )

1. Account No PB/JAL/26665/161
2. Name/Surname (In Block Capitals) VANDNA
3. Father's/ Husband's Name BALDEV RAJ BHAGAT
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share Ref of Adv Remarks
No of
E.P.F days
differenc period on
e Pension non-
Amount contributi
E.P.F. between fund
of wages ng
12% & 8.33%
8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7
March paid
in April 13913.00 1431.00 439.00 992.00
2007
(A)Date of
May-07 7000.00 780.00 239.00 541.00 leaving
Jun-07 7000.00 780.00 239.00 541.00 service, if
Jul-07 7000.00 780.00 239.00 541.00 any
Aug-07 7000.00 780.00 239.00 541.00 25/08/2007
Sep-07 5419.00 650.00 199.00 451.00
Oct-07 0.00 0.00 0.00 0.00 (B) Reason
Nov-07 0.00 0.00 0.00 0.00 for leaving
Dec-07 0.00 0.00 0.00 0.00 services, if
Jan-08 0.00 0.00 0.00 0.00 any
Feb-08 0.00 0.00 0.00 0.00 Personal

Feb paid in 0.00 0.00 0.00 0.00


March 08
Total 47332.00 5201.00 1594.00 3607.00

Certfied that the total amount of contributions (Both shares) indicated10402.00


has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
4b of the above table and that
off of contributions to the

purpose of final settlement of


should be furnished under col

ntribution to the EPF will be


The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/1
2. Name/Surname (In Block Capitals) JAGROOP KAUR
3. Father's/ Husband's Name JASWANT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7
March paid in
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00
(A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00 9/1/2007
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 2349.67 282.00 86.00 196.00 11
Nov-06 3710.00 445.00 136.00 309.00 (B) Reason for
Dec-06 3215.33 386.00 118.00 268.00 4 leaving
Jan-07 2632.90 316.00 97.00 219.00 9 services, if any
Feb-07 957.42 115.00 35.00 80.00
Feb paid in
March 07 0.00 0.00 0.00 0.00
Total 34915.32 4189.00 1280.00 2909.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 8378.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/2
2. Name/Surname (In Block Capitals) JASPREET KAUR
3. Father's/ Husband's Name RAVINDER PAL SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4350.00 522.00 160.00 362.00 1
Nov-06 3338.71 401.00 123.00 278.00 8 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any

Feb-07 4770.00 572.00 175.00 397.00


Mar-07 4770.00 572.00 175.00 397.00
Total 53228.71 6387.00 1953.00 4434.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12774.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/3
2. Name/Surname (In Block Capitals) SUNIL KUMAR ARORA
3. Father's/ Husband's Name AMAR NATH ARORA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4125.00 495.00 151.00 344.00 2.5
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4425.00 531.00 162.00 369.00 0.5 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any

Feb-07 4500.00 540.00 165.00 375.00


Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 53550.00 6426.00 1963.00 4463.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12852.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/4
2. Name/Surname (In Block Capitals) SONIKA
3. Father's/ Husband's Name JASWANT RAI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 3500.00 420.00 128.00 292.00


April 2006
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3470.65 416.00 127.00 289.00 2 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3470.65 416.00 127.00 289.00 2 (B) Reason for
Dec-06 3091.67 371.00 113.00 258.00 5 leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any

Feb-07 3710.00 445.00 136.00 309.00


Feb paid in
March 07
3312.00 397.00 122.00 276.00 3
Total 42814.96 5135.00 1569.00 3567.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10271.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/5
2. Name/Surname (In Block Capitals) MUKTA
3. Father's/ Husband's Name ASHOK KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00


April 2006
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 (B) Reason for
Dec-06 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 services, if any

Feb-07 0.00 0.00 0.00


Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/6
2. Name/Surname (In Block Capitals) AMAN SHARMA
3. Father's/ Husband's Name VIJAY SHARMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4293.00 515.00 158.00 358.00 3 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4134.00 496.00 152.00 344.00 4 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00 (B) Reason for
Dec-06 0.00 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any

Feb-07 0.00 0.00 0.00 0.00


Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 17697.00 2123.00 650.00 1474.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 4247.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/7
2. Name/Surname (In Block Capitals) BALJIT SINGH
3. Father's/ Husband's Name SH. KUDRAT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00 (B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any

Feb-07 4770.00 572.00 175.00 397.00


Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/8
2. Name/Surname (In Block Capitals) VIVA
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00


April 2006
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 (B) Reason for
Dec-06 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 services, if any

Feb-07 0.00 0.00 0.00


Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/9
2. Name/Surname (In Block Capitals) SUKHWINDER KAUR
3. Father's/ Husband's Name PARAMJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00 (B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any

Feb-07 4770.00 572.00 175.00 397.00


Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/10
2. Name/Surname (In Block Capitals) AMANDEEP KAUR
3. Father's/ Husband's Name RANJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00 (B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any

Feb-07 4770.00 572.00 175.00 397.00


Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/11
2. Name/Surname (In Block Capitals) SAVITA
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00


April 2006
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 (B) Reason for
Dec-06 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 services, if any

Feb-07 0.00 0.00 0.00


Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/12
2. Name/Surname (In Block Capitals) MANISH KOHALI
3. Father's/ Husband's Name SH.SITAL KUMAR KOHLI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4462.26 535.00 164.00 372.00 2
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4616.13 554.00 169.00 385.00 1 (B) Reason for
Dec-06 4293.00 515.00 158.00 358.00 3 leaving
Jan-07 4616.13 554.00 169.00 385.00 1 services, if any

Feb-07 4770.00 572.00 175.00 397.00


Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55877.52 6702.00 2050.00 4654.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13406.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/13
2. Name/Surname (In Block Capitals) MANJOT KAUR
3. Father's/ Husband's Name JASVIR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4000.65 480.00 147.00 333.00 5 (B) Reason for
Dec-06 4134.00 496.00 152.00 344.00 4 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any

Feb-07 4770.00 572.00 175.00 397.00


Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55564.65 6664.00 2039.00 4625.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13328.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/14
2. Name/Surname (In Block Capitals) HATESHI ARORA
3. Father's/ Husband's Name MOHIT KALRA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00 (B) Reason for
Dec-06 4452.00 534.00 163.00 371.00 2 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any

Feb-07 4770.00 572.00 175.00 397.00


Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56112.00 6730.00 2058.00 4672.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13460.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/15
2. Name/Surname (In Block Capitals) RUPALI
3. Father's/ Husband's Name RAMEH KUMAR ABROL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 3500.00 420.00 128.00 292.00


April 2006
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00 (B) Reason for
Dec-06 3710.00 445.00 136.00 309.00 leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any

Feb-07 3710.00 445.00 136.00 309.00


Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 44310.00 5315.00 1624.00 3691.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10630.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/16
2. Name/Surname (In Block Capitals) DISHKARAN KAUR
3. Father's/ Husband's Name DARSHAN SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 1230.97 148.00 45.00 103.00 23 (B) Reason for
Dec-06 3498.00 420.00 128.00 291.00 8 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any

Feb-07 4770.00 572.00 175.00 397.00


Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 52158.97 6256.00 1913.00 4342.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12511.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/17
2. Name/Surname (In Block Capitals) JASMIN KAUR
3. Father's/ Husband's Name PARAMJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00 (B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 3231.29 388.00 119.00 269.00 10 services, if any

Feb-07 4770.00 572.00 175.00 397.00


Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55431.29 6648.00 2034.00 4614.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13296.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/18
2. Name/Surname (In Block Capitals) SUNIL KUMAR
3. Father's/ Husband's Name SATPAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 3500.00 420.00 128.00 292.00


April 2006
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00 (B) Reason for
Dec-06 3710.00 445.00 136.00 309.00 leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any

Feb-07 3710.00 445.00 136.00 309.00


Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 44310.00 5315.00 1624.00 3691.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10630.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/19
2. Name/Surname (In Block Capitals) POONAM CHOWDRI
3. Father's/ Husband's Name K.D.CHOWDRI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00 (B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 2615.81 314.00 96.00 218.00 14
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 50045.81 6002.00 1836.00 4166.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12004.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/20
2. Name/Surname (In Block Capitals) AMANPREET KAUR
3. Father's/ Husband's Name JAGJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION period on
Month Worker's Share E.P.F
Employer's share Ref of Adv non- Remarks
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
1 2 3 4a 4b 5 6 7
March paid in any)
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 3231.29 388.00 119.00 269.00 10
Oct-06 0.00 0.00 0.00 0.00 30
Nov-06 0.00 0.00 0.00 0.00 31
Dec-06 3975.00 477.00 146.00 331.00 5 (B) Reason for
leaving
Jan-07 3077.42 369.00 113.00 256.00 11 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 43403.71 5206.00 1593.00 3613.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10412.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/21
2. Name/Surname (In Block Capitals) POOJA KASHYAP
3. Father's/ Husband's Name AMARJIT KASHYAP
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION period on
Month Worker's Share E.P.F
Employer's share Ref of Adv non- Remarks
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
1 2 3 4a 4b 5 6 7
any)
March paid in
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 3180.00 382.00 117.00 265.00 10
Nov-06 153.87 18.00 6.00 13.00 30
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 31683.87 3800.00 1163.00 2638.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 7601.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/22
2. Name/Surname (In Block Capitals) SHALLU SAPRA
3. Father's/ Husband's Name ASHWANI KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION period on
Month Worker's Share E.P.F
Employer's share Ref of Adv non- Remarks
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
1
March paid in
2 3 4a 4b 5 6 7
any)
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00

(B) Reason for


leaving
services, if any
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/23
2. Name/Surname (In Block Capitals) RITU BALA
3. Father's/ Husband's Name RAM PARKASH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION period on
Month Worker's Share E.P.F
Employer's share Ref of Adv non- Remarks
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
1 2 3 4a 4b 5 6 7
March paid in any)
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/24
2. Name/Surname (In Block Capitals) MANISH KUMAR
3. Father's/ Husband's Name AMAR NATH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION period on
Month Worker's Share E.P.F
Employer's share Ref of Adv non- Remarks
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
1 2 3 4a 4b 5 6 7
March paid in any)
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules
Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/25
2. Name/Surname (In Block Capitals) HARMESH KUMAR
3. Father's/ Husband's Name RAM SARAN
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION period on
Month Worker's Share E.P.F
Employer's share Ref of Adv non- Remarks
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
1
March paid in
2 3 4a 4b 5 6 7
any)
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00 29/08/2006
Sep-06 3351.00 402.00 123.00 279.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 Personal
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 21691.00 2602.00 795.00 1807.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 5204.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/26
2. Name/Surname (In Block Capitals) PREET GAGAN SINGH
3. Father's/ Husband's Name PIYARA SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION period on
Month Worker's Share E.P.F
Employer's share Ref of Adv non- Remarks
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
1
March paid in
2 3 4a 4b 5 6 7
any)
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4308.39 517.00 158.00 359.00 3 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4154.00 498.00 152.00 346.00 4
Oct-06 3339.00 401.00 123.00 278.00 9
Nov-06 1538.71 185.00 56.00 128.00 21
Dec-06 0.00 0.00 0.00 0.00 30 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 46460.10 5573.00 1704.00 3868.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11145.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/27
2. Name/Surname (In Block Capitals) POONAM KALA
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION period on
Month Worker's Share E.P.F
Employer's share Ref of Adv non- Remarks
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
1
March paid in
2 3 4a 4b 5 6 7
any)
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/28
2. Name/Surname (In Block Capitals) SUNISH MITTAL
3. Father's/ Husband's Name OM PARKESH MITTAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION period on
Month Worker's Share E.P.F
Employer's share Ref of Adv non- Remarks
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
1 2 3 4a 4b 5 6 7
March paid in any)
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/29
2. Name/Surname (In Block Capitals) SHABDAL SINGH
3. Father's/ Husband's Name JASWANT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION period on
Month Worker's Share E.P.F
Employer's share Ref of Adv non- Remarks
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
1 2 3 4a 4b 5 6 7
March paid in any)
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
if any
(A)Date of
leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3710.00 445.00 136.00 309.00 (B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 44310.00 5315.00 1624.00 3691.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10630.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/30
2. Name/Surname (In Block Capitals) VARINDERPAL SINGH
3. Father's/ Husband's Name KULDIP SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION period on
Month Worker's Share E.P.F
Employer's share Ref of Adv non- Remarks
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
1 2 3 4a 4b 5 6 7
March paid in any)
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/31
2. Name/Surname (In Block Capitals) GURVINDER KAUR
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION period on
Month Worker's Share E.P.F
Employer's share Ref of Adv non- Remarks
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
1
March paid in
2 3 4a 4b 5 6 7
any)
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/32
2. Name/Surname (In Block Capitals) SANDEEP KUMAR
3. Father's/ Husband's Name JANAK RAJ
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION period on
Month Worker's Share E.P.F
Employer's share Ref of Adv non- Remarks
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
1 2 3 4a 4b 5 6 7
March paid in any)
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/33
2. Name/Surname (In Block Capitals) AMANDEEP SINGH
3. Father's/ Husband's Name HARJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION period on
Month Worker's Share E.P.F
Employer's share Ref of Adv non- Remarks
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
1 2 3 4a 4b 5 6 7
March paid in any)
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/34
2. Name/Surname (In Block Capitals) AMARDEEP KAUR
3. Father's/ Husband's Name SATNAM SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION period on
Month Worker's Share E.P.F
Employer's share Ref of Adv non- Remarks
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
1 2 3 4a 4b 5 6 7
March paid in any)
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00
Dec-06 4500.00 540.00 165.00 375.00 (B) Reason for
leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 54540.00 6544.00 2000.00 4544.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13088.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/35
2. Name/Surname (In Block Capitals) SUNITA
3. Father's/ Husband's Name CHAN SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION period on
Month Worker's Share E.P.F
Employer's share Ref of Adv non- Remarks
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
1 2 3 4a 4b 5 6 7
March paid in any)
April 2006 3500.00 420.00 128.00 292.00
May-06 2473.00 297.00 91.00 206.00 10 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3590.32 431.00 132.00 299.00 1
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3091.67 371.00 113.00 258.00 5
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3710.00 445.00 136.00 309.00 (B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 42334.99 5079.00 1552.00 3527.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10158.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/36
2. Name/Surname (In Block Capitals) BHARAT BHUSHAN
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/37
2. Name/Surname (In Block Capitals) RAM KRISHAN SINGH
3. Father's/ Husband's Name ARJUN SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4350.00 522.00 160.00 362.00 1 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4200.00 504.00 154.00 350.00 2
Nov-06 4209.68 505.00 154.00 351.00 2
Dec-06 4500.00 540.00 165.00 375.00 (B) Reason for
leaving
Jan-07 4064.52 488.00 149.00 339.00 3 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 53364.19 6403.00 1957.00 4446.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12806.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/38
2. Name/Surname (In Block Capitals) BALJIT SINGH
3. Father's/ Husband's Name MALKIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/39
2. Name/Surname (In Block Capitals) RENUKA
3. Father's/ Husband's Name MANGAT RAI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/40
2. Name/Surname (In Block Capitals) PREM PAL
3. Father's/ Husband's Name HARNAM DASS
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/41
2. Name/Surname (In Block Capitals) VINOD
3. Father's/ Husband's Name G.P GUPTA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/42
2. Name/Surname (In Block Capitals) MANPREET KAUR
3. Father's/ Husband's Name HARVINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4611.00 553.00 169.00 384.00 1 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56811.00 6813.00 2084.00 4729.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13626.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/43
2. Name/Surname (In Block Capitals) PAWAN KUMAR
3. Father's/ Husband's Name BHISHAM CHAND
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/44
2. Name/Surname (In Block Capitals) RAJITA
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/45
2. Name/Surname (In Block Capitals) JASPREET KAUR
3. Father's/ Husband's Name GURDEEP SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 3180.00 382.00 117.00 265.00 10 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4293.00 515.00 158.00 358.00 3
Nov-06 4462.26 535.00 164.00 372.00 2
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 54595.26 6548.00 2004.00 4546.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13098.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/46
2. Name/Surname (In Block Capitals) BINDU
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3710.00 445.00 136.00 309.00 (B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 44310.00 5315.00 1624.00 3691.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10630.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/47
2. Name/Surname (In Block Capitals) KAMAL RAJ
3. Father's/ Husband's Name GURBAKSH DEV
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3710.00 445.00 136.00 309.00 (B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 44310.00 5315.00 1624.00 3691.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10630.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/48
2. Name/Surname (In Block Capitals) SHIFALI
3. Father's/ Husband's Name NAND KISHOR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 2461.94 148.00 45.00 103.00 15 services, if any
Feb-07 1230.97 148.00 45.00 103.00 23
Feb paid in
March 07
1533.21 184.00 56.00 128.00 19
Total 47886.12 5596.00 1711.00 3885.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11192.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/49
2. Name/Surname (In Block Capitals) JAGDEEP KAUR
3. Father's/ Husband's Name KHUSHWANT PAL SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/50
2. Name/Surname (In Block Capitals) VARINDER RAI
3. Father's/ Husband's Name LAKHPAT RAI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/51
2. Name/Surname (In Block Capitals) SUMIT CHOTANI
3. Father's/ Husband's Name MUKESH CHANDER
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/52
2. Name/Surname (In Block Capitals) YASHPAL SAHOTA
3. Father's/ Husband's Name PREM CHAND
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3586.33 430.00 132.00 299.00 1 (B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 44186.33 5300.00 1620.00 3681.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10601.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/53
2. Name/Surname (In Block Capitals) KULWINDER KAUR
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/54
2. Name/Surname (In Block Capitals) DEEPAK KUMAR
3. Father's/ Husband's Name SHINGARA RAM
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4293.00 515.00 158.00 358.00 3
Nov-06 3846.77 462.00 141.00 320.00 6
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55569.77 6665.00 2039.00 4626.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13330.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/55
2. Name/Surname (In Block Capitals) KAMAL THAKUR
3. Father's/ Husband's Name SURAJ PAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4452.00 534.00 163.00 371.00 2 (B) Reason for
leaving
Jan-07 4616.13 554.00 169.00 385.00 1 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56498.13 6776.00 2072.00 4704.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13552.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/56
2. Name/Surname (In Block Capitals) NAMRATA YADAV
3. Father's/ Husband's Name KARAN SHANKAR YADAV
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3710.00 445.00 136.00 309.00 (B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 44310.00 5315.00 1624.00 3691.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10630.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/57
2. Name/Surname (In Block Capitals) SACHIN GOYAL
3. Father's/ Husband's Name SUBHASH CHANDER
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/58
2. Name/Surname (In Block Capitals) ANUJ SOOD
3. Father's/ Husband's Name AMRIK SOOD
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/59
2. Name/Surname (In Block Capitals) SANJEEV KUMAR
3. Father's/ Husband's Name SATINDER KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/60
2. Name/Surname (In Block Capitals) NEETU
3. Father's/ Husband's Name KEWAL KRISHAN GUPTA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 1306.82 157.00 48.00 109.00 22
May-06 0.00 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 1306.82 157.00 48.00 109.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 314.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/61
2. Name/Surname (In Block Capitals) HUSSAN LAL
3. Father's/ Husband's Name BALDEV RAJ
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/62
2. Name/Surname (In Block Capitals) DAVINDER SINGH
3. Father's/ Husband's Name GURMET SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/63
2. Name/Surname (In Block Capitals) HARDEEP SINGH
3. Father's/ Husband's Name KARTAR CHAND
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/64
2. Name/Surname (In Block Capitals) HARMINDER SINGH
3. Father's/ Husband's Name KARNAIL SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4616.13 554.00 169.00 385.00 1
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4616.13 554.00 169.00 385.00 1
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4462.26 535.00 164.00 372.00 2 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56354.52 6759.00 2067.00 4693.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13519.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/65
2. Name/Surname (In Block Capitals) PARAMJIT KAUR
3. Father's/ Husband's Name SURJIT RAM
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3710.00 445.00 136.00 309.00 (B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 44310.00 5315.00 1624.00 3691.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10630.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/66
2. Name/Surname (In Block Capitals) VISHAL KAPOOR
3. Father's/ Husband's Name CHANDEN
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/67
2. Name/Surname (In Block Capitals) AVINASH BHALLA
3. Father's/ Husband's Name SURAJ PARKASH BALLA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4611.00 553.00 169.00 384.00 1
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56811.00 6813.00 2084.00 4729.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13626.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/68
2. Name/Surname (In Block Capitals) MAYUR BEDI
3. Father's/ Husband's Name MANOHAR LAL BEDI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/69
2. Name/Surname (In Block Capitals) JYOTI
3. Father's/ Husband's Name GURCHARN DASS
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/70
2. Name/Surname (In Block Capitals) BINDU BALI
3. Father's/ Husband's Name GURCHAN DAS BALI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/71
2. Name/Surname (In Block Capitals) SUKHWINDER SINGH
3. Father's/ Husband's Name SH PHAGGA SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 477.00 57.00 18.00 40.00 27 (A)Date of
Jun-06 0.00 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 4977.00 597.00 183.00 415.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 1195.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/72
2. Name/Surname (In Block Capitals) KAMALDEEP KAUR
3. Father's/ Husband's Name MOHAN SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/73
2. Name/Surname (In Block Capitals) JAGPREET SINGH
3. Father's/ Husband's Name BALBIR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/74
2. Name/Surname (In Block Capitals) GURINDER SINGH
3. Father's/ Husband's Name GURLAL SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3710.00 445.00 136.00 309.00 (B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 44310.00 5315.00 1624.00 3691.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10630.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/75
2. Name/Surname (In Block Capitals) AMANDEEP SINGH CHALOTRA
3. Father's/ Husband's Name SURINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/76
2. Name/Surname (In Block Capitals) ANITA MAL
3. Father's/ Husband's Name RAM MURTI MAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/77
2. Name/Surname (In Block Capitals) RANVIR KAUR
3. Father's/ Husband's Name PIYARA RAM
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/78
2. Name/Surname (In Block Capitals) MANPREET KAUR SAINI
3. Father's/ Husband's Name JATINDER KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 2923.55 351.00 107.00 244.00 12 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55123.55 6611.00 2022.00 4589.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13222.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/79
2. Name/Surname (In Block Capitals) MANBIR KAUR
3. Father's/ Husband's Name INDERPAL SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 3692.90 443.00 136.00 308.00 7
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55892.90 6703.00 2051.00 4653.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13407.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/80
2. Name/Surname (In Block Capitals) MANJIT KAUR
3. Father's/ Husband's Name AJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/81
2. Name/Surname (In Block Capitals) AVNEET
3. Father's/ Husband's Name MANJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3500.00 420.00 128.00 292.00
May-06 3500.00 420.00 128.00 292.00 (A)Date of
Jun-06 3500.00 420.00 128.00 292.00 leaving service,
Jul-06 3500.00 420.00 128.00 292.00 if any
Aug-06 3500.00 420.00 128.00 292.00
Sep-06 3500.00 420.00 128.00 292.00
Oct-06 3500.00 420.00 128.00 292.00
Nov-06 3500.00 420.00 128.00 292.00
Dec-06 3033.33 364.00 111.00 253.00 4 (B) Reason for
leaving
Jan-07 3500.00 420.00 128.00 292.00 services, if any
Feb-07 3500.00 420.00 128.00 292.00
Feb paid in
March 07
3500.00 420.00 128.00 292.00
Total 41533.33 4984.00 1519.00 3465.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 9968.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/82
2. Name/Surname (In Block Capitals) SARPREET
3. Father's/ Husband's Name GURBAX LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/83
2. Name/Surname (In Block Capitals) MANISHAM KUMARI
3. Father's/ Husband's Name RAM ASRA BANGER
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/84
2. Name/Surname (In Block Capitals) LAKHVIR KUMAR
3. Father's/ Husband's Name MOHINDER PAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 1077.10 129.00 40.00 90.00 24
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 48507.10 5817.00 1780.00 4038.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 11635.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/85
2. Name/Surname (In Block Capitals) AMANPREET KAUR
3. Father's/ Husband's Name MAHINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/86
2. Name/Surname (In Block Capitals) DEEPAK SODI
3. Father's/ Husband's Name SHASHIKANT SODI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3710.00 445.00 136.00 309.00 (B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 44310.00 5315.00 1624.00 3691.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10630.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/87
2. Name/Surname (In Block Capitals) POOJA BHAGRA
3. Father's/ Husband's Name BALBIR CHAND
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/88
2. Name/Surname (In Block Capitals) SHEWETA
3. Father's/ Husband's Name KUSHAL KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/89
2. Name/Surname (In Block Capitals) JASMIT SINGH
3. Father's/ Husband's Name SANTOKH SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00
Dec-06 4500.00 540.00 165.00 375.00 (B) Reason for
leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 54000.00 6480.00 1980.00 4500.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12960.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/90
2. Name/Surname (In Block Capitals) VEENU LAMBA
3. Father's/ Husband's Name GANESH LAMBA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 3539.03 425.00 130.00 295.00 8
Oct-06 2226.00 267.00 82.00 185.00 16
Nov-06 0.00 0.00 0.00 0.00 31
Dec-06 1590.00 191.00 58.00 132.00 20 (B) Reason for
leaving
Jan-07 4000.65 480.00 147.00 333.00 5 services, if any
Feb-07 3231.29 388.00 119.00 269.00 10
Feb paid in
March 07
2044.29 245.00 75.00 170.00 16
Total 40211.25 4824.00 1476.00 3347.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 9647.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/91
2. Name/Surname (In Block Capitals) HITI GUPTA
3. Father's/ Husband's Name SANJIV KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500 540.00 165.00 375.00
May-06 4770 572.00 175.00 397.00 (A)Date of
Jun-06 4000 480.00 147.00 333.00 4 leaving service,
Jul-06 4770 572.00 175.00 397.00 if any
Aug-06 4770 572.00 175.00 397.00 23/01/2007
Sep-06 4308 517.00 158.00 359.00 3
Oct-06 4293 515.00 158.00 358.00 3
Nov-06 4462 535.00 164.00 372.00 2
Dec-06 0 0.00 0.00 0.00 30 (B) Reason for
leaving
Jan-07 1385 166.00 51.00 115.00 22 services, if any
Feb-07 3385 406.00 124.00 282.00 0 Personal
Feb paid in
March 07 0 0.00 0.00 0.00
Total 40643.39 4875.00 1492.00 3385.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 9752.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/92
2. Name/Surname (In Block Capitals) PARMINDER KUMAR SONDHI
3. Father's/ Husband's Name HARI RAM
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/93
2. Name/Surname (In Block Capitals) RUCHI KAPOOR
3. Father's/ Husband's Name PREM SAGAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00 0.00
May-06 0.00 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/94
2. Name/Surname (In Block Capitals) RAJWINDER KAUR SIDHU
3. Father's/ Husband's Name CHARANJIT
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/95
2. Name/Surname (In Block Capitals) SATNAM
3. Father's/ Husband's Name JOGINDER RAM
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/96
2. Name/Surname (In Block Capitals) DALJIT KUMAR
3. Father's/ Husband's Name PIYARA LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/97
2. Name/Surname (In Block Capitals) KHOOSHBO KUKREJA
3. Father's/ Husband's Name MUL CHAND KUKREJA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 2769.68 332.00 102.00 231.00 13 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 45429.68 5448.00 1667.00 3782.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10897.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/98
2. Name/Surname (In Block Capitals) MINNI ARORA
3. Father's/ Husband's Name SUBHASH CHANDER
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4616.13 554.00 169.00 385.00 1
Sep-06 4462.26 535.00 164.00 372.00 2
Oct-06 3816.00 458.00 140.00 318.00 6
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4293.00 515.00 158.00 358.00 3 (B) Reason for
leaving
Jan-07 2000.32 240.00 73.00 167.00 18 services, if any
Feb-07 2154.19 259.00 79.00 179.00 17
Feb paid in
March 07
681.00 82.00 25.00 57.00 24
Total 45602.90 5471.00 1673.00 3799.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10943.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/99
2. Name/Surname (In Block Capitals) BALWINDER KAUR
3. Father's/ Husband's Name GURMEJ SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/100
2. Name/Surname (In Block Capitals) ASHIMA
3. Father's/ Husband's Name B.R. KAPOOR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4354.84 523.00 160.00 363.00 1
Dec-06 4500.00 540.00 165.00 375.00 (B) Reason for
leaving
Jan-07 4354.84 523.00 160.00 363.00 1 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 53709.68 6446.00 1970.00 4476.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12892.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/101
2. Name/Surname (In Block Capitals) BHARTI GUPTA
3. Father's/ Husband's Name NARESH KUMAR GUPTA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 3077.42 369.00 113.00 256.00 11 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 2923.55 351.00 107.00 244.00 12
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4154.52 499.00 152.00 346.00 4
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 52815.48 6335.00 1937.00 4397.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12669.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/102
2. Name/Surname (In Block Capitals) RAJNI BALA
3. Father's/ Husband's Name KASTURI LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00
Dec-06 4500.00 540.00 165.00 375.00 (B) Reason for
leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Mar-07 4770.00 572.00 175.00 397.00
Total 54540.00 6544.00 2000.00 4544.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13088.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/103
2. Name/Surname (In Block Capitals) AARTI
3. Father's/ Husband's Name RAJ KUMAR BHARGAV
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7
March paid in
April 2006 580.68 70.00 21.00 48.00 27
May-06 0.00 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 580.68 70.00 21.00 48.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 139.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/104
2. Name/Surname (In Block Capitals) PARWINDER KAUR
3. Father's/ Husband's Name MAJOR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 3846.00 462.00 141.00 320.00 6
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 27426.00 3290.00 1006.00 2283.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 6579.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/105
2. Name/Surname (In Block Capitals) ARVINDER KAUR
3. Father's/ Husband's Name GAGANPREET
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 2154.19 259.00 79.00 179.00 17
Feb paid in
March 07
3236.79 388.00 119.00 270.00 9
Total 52820.98 6335.00 1938.00 4397.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12670.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/106
2. Name/Surname (In Block Capitals) ARCCIPAL
3. Father's/ Husband's Name HANS RAJ
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4425.00 531.00 162.00 369.00 0.5
Nov-06 4064.52 488.00 149.00 339.00 3
Dec-06 4500.00 540.00 165.00 375.00 (B) Reason for
leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 53489.52 6419.00 1961.00 4458.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 12838.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/107
2. Name/Surname (In Block Capitals) GURPREET SINGH
3. Father's/ Husband's Name TARLOCHAN SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules
Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/108
2. Name/Surname (In Block Capitals) MONITA
3. Father's/ Husband's Name KAMALJEET SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3710.00 445.00 136.00 309.00 (B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3700.00 444.00 136.00 308.00
Total 44300.00 5314.00 1624.00 3690.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10628.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/109
2. Name/Surname (In Block Capitals) PINKI
3. Father's/ Husband's Name VASDEV VERMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3710.00 445.00 136.00 309.00 (B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 44310.00 5315.00 1624.00 3691.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10630.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/110
2. Name/Surname (In Block Capitals) NAVNEET KUMAR
3. Father's/ Husband's Name MOHAN LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/111
2. Name/Surname (In Block Capitals) HARJIT KAUR
3. Father's/ Husband's Name BHAGWANT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/112
2. Name/Surname (In Block Capitals) CHARANJIT KAUR
3. Father's/ Husband's Name AVTAR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 1806.82 217.00 66.00 151.00 15
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3710.00 445.00 136.00 309.00 (B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 42616.82 5112.00 1562.00 3550.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10224.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/113
2. Name/Surname (In Block Capitals) SATNAM SINGH
3. Father's/ Husband's Name SURINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/114
2. Name/Surname (In Block Capitals) MEENU RANI
3. Father's/ Husband's Name NEERAJ KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/115
2. Name/Surname (In Block Capitals) JUJHAR SINGH
3. Father's/ Husband's Name SANGAT RAM
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/116
2. Name/Surname (In Block Capitals) POONAM RAJPAL
3. Father's/ Husband's Name SUBHASH CHANDER
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/117
2. Name/Surname (In Block Capitals) PARMEET SINGH
3. Father's/ Husband's Name AMAR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/118
2. Name/Surname (In Block Capitals) MANJIT SINGH
3. Father's/ Husband's Name DARSHAN SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/119
2. Name/Surname (In Block Capitals) AMANPREET
3. Father's/ Husband's Name TARLOCHAN KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/120
2. Name/Surname (In Block Capitals) SHIKHA MEHTA
3. Father's/ Husband's Name GILL MEHTA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 3339.00 401.00 123.00 278.00 9
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55539.00 6661.00 2038.00 4623.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13322.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/121
2. Name/Surname (In Block Capitals) JASPAL SINGH
3. Father's/ Husband's Name BALBIR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 3180.00 382.00 117.00 265.00 10 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4134.00 496.00 152.00 344.00 4 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 54744.00 6566.00 2009.00 4557.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13132.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/122
2. Name/Surname (In Block Capitals) ROOHI VERMA
3. Father's/ Husband's Name ASHOK KUMAR VERMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/123
2. Name/Surname (In Block Capitals) NITIN PURI
3. Father's/ Husband's Name NAVTESH PURI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/124
2. Name/Surname (In Block Capitals) NAVDEEP KAUR SANDHU
3. Father's/ Husband's Name DALJIT SINGH SANDHU
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/125
2. Name/Surname (In Block Capitals) SHAKSHI ARORA
3. Father's/ Husband's Name SHAM LAL ARORA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4616.13 554.00 169.00 385.00 1
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 3077.42 369.00 113.00 256.00 11 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55123.55 6611.00 2022.00 4589.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13222.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/126
2. Name/Surname (In Block Capitals) NIDHI GUPTA
3. Father's/ Husband's Name RAKESH KUMAR GUPTA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 1431.00 172.00 53.00 119.00 21 (A)Date of
Jun-06 3385.16 406.00 124.00 282.00 9 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4611.00 553.00 169.00 384.00 1
Nov-06 4616.13 554.00 169.00 385.00 1
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 51933.29 6229.00 1905.00 4324.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12458.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/127
2. Name/Surname (In Block Capitals) SHALLU TUNGAL
3. Father's/ Husband's Name SURINDER PAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 3231.29 388.00 119.00 269.00 10
Feb paid in
March 07
3407.14 409.00 125.00 284.00 8
Total 54068.43 6485.00 1984.00 4501.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12970.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/128
2. Name/Surname (In Block Capitals) MANMEET KAUR
3. Father's/ Husband's Name TARLOCHAN SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00
Dec-06 4500.00 540.00 165.00 375.00 (B) Reason for
leaving
Jan-07 2177.42 261.00 80.00 181.00 16 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 51677.42 6201.00 1895.00 4306.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 12402.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/129
2. Name/Surname (In Block Capitals) SAURABH MACCANI
3. Father's/ Husband's Name HANS RAJ
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 18810.00 2256.00 690.00 1566.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 4512.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/130
2. Name/Surname (In Block Capitals) JATINDER KUMAR
3. Father's/ Husband's Name DAVINDER DUTTA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3710.00 445.00 136.00 309.00 (B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 44310.00 5315.00 1624.00 3691.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10630.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/131
2. Name/Surname (In Block Capitals) SANDEEP KUMARI
3. Father's/ Husband's Name BALWINDER KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/132
2. Name/Surname (In Block Capitals) SHALINI GUPTA
3. Father's/ Husband's Name KEWAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4134.00 496.00 152.00 344.00 4 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4616.13 554.00 169.00 385.00 1
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4372.00 525.00 160.00 364.00 2.5
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4690.00 563.00 172.00 391.00 0.5 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55702.13 6682.00 2043.00 4638.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13363.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/133
2. Name/Surname (In Block Capitals) SURINDER KAUR
3. Father's/ Husband's Name MOHAN LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4354.84 523.00 160.00 363.00 1
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00
Dec-06 4500.00 540.00 165.00 375.00 (B) Reason for
leaving
Jan-07 4209.68 505.00 154.00 351.00 2 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 54104.52 6492.00 1984.00 4508.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12984.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/134
2. Name/Surname (In Block Capitals) PARAMJIT KAUR
3. Father's/ Husband's Name JASWANT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00
Dec-06 4500.00 540.00 165.00 375.00 (B) Reason for
leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 54000.00 6480.00 1980.00 4500.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12960.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/135
2. Name/Surname (In Block Capitals) BINDIA
3. Father's/ Husband's Name KALI DASS SODHI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4616.13 554.00 169.00 385.00 1 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56816.13 6814.00 2084.00 4730.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13628.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/136
2. Name/Surname (In Block Capitals) JASMIN
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/137
2. Name/Surname (In Block Capitals) SHIVANI ANAND
3. Father's/ Husband's Name ASHOK ANAND
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/138
2. Name/Surname (In Block Capitals) SANDEEPA DEVI
3. Father's/ Husband's Name CHARANJI LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00
Dec-06 4500.00 540.00 165.00 375.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 54000.00 6480.00 1980.00 4500.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12960.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/139
2. Name/Surname (In Block Capitals) SANJEEV KALSI
3. Father's/ Husband's Name BHARTI LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00
Dec-06 4500.00 540.00 165.00 375.00 (B) Reason for
leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 54000.00 6480.00 1980.00 4500.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 12960.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/140
2. Name/Surname (In Block Capitals) GAURAV JAKHMI
3. Father's/ Husband's Name BALWANT SINGH JAKHMI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/141
2. Name/Surname (In Block Capitals) VINAY JASSAL
3. Father's/ Husband's Name SOHAN LALA JASSA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00 15/12/2006
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 3900.00 468.00 143.00 325.00 4
Nov-06 3629.03 435.00 133.00 302.00 6
Dec-06 4200.00 504.00 154.00 350.00 2 (B) Reason for
leaving
Jan-07 1016.13 122.00 37.00 85.00 7 services, if any
Feb-07 0.00 0.00 0.00 0.00 Personal
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 39745.16 4769.00 1457.00 3312.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 9538.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/142
2. Name/Surname (In Block Capitals) RAKESH KUMAR
3. Father's/ Husband's Name PANNU RAM
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/143
2. Name/Surname (In Block Capitals) SARABJIT KAUR
3. Father's/ Husband's Name CHAMAN LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/144
2. Name/Surname (In Block Capitals) SEEMA OHRI
3. Father's/ Husband's Name KEWAL KRISHAN OHRI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/145
2. Name/Surname (In Block Capitals) HARPREET
3. Father's/ Husband's Name KULDEEP CHAND
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/146
2. Name/Surname (In Block Capitals) PRIYA KAKKAR
3. Father's/ Husband's Name GHAN SHAYAM
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 1077.10 129.00 40.00 90.00 24
Sep-06 462.00 55.00 17.00 38.00 28
Oct-06 1272.00 153.00 47.00 106.00 22
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 21621.10 2593.00 794.00 1800.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 5187.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/147
2. Name/Surname (In Block Capitals) RUPINDER KAUR
3. Father's/ Husband's Name JASBIR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00
Dec-06 4500.00 540.00 165.00 375.00 (B) Reason for
leaving
Jan-07 4500.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 54540.00 6576.00 2010.00 4566.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13152.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/148
2. Name/Surname (In Block Capitals) SHALLU
3. Father's/ Husband's Name DR. HARJINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 14040.00 1684.00 515.00 1169.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 3368.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/149
2. Name/Surname (In Block Capitals) GURDEEP SINGH
3. Father's/ Husband's Name JASBIR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/150
2. Name/Surname (In Block Capitals) NARINDER KAUR
3. Father's/ Husband's Name HARBANS LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 2102.33 252.00 77.00 175.00 13 (B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 42702.33 5122.00 1565.00 3557.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 10244.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/151
2. Name/Surname (In Block Capitals) SANGEET KUMAR
3. Father's/ Husband's Name JAGDISH MITTAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 2923.55 351.00 107.00 244.00 12
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 21733.55 2607.00 797.00 1810.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 5214.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/152
2. Name/Surname (In Block Capitals) VARINDER KAUR
3. Father's/ Husband's Name SUKHWANT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/153
2. Name/Surname (In Block Capitals) ARINDER KAUR
3. Father's/ Husband's Name PURAN SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/154
2. Name/Surname (In Block Capitals) SAPNA
3. Father's/ Husband's Name DHARAMVEER KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 769.35 92.00 28.00 64.00 26 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 10039.35 1204.00 368.00 836.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 2408.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/155
2. Name/Surname (In Block Capitals) RENUKA
3. Father's/ Husband's Name NARESH KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 769.35 92.00 28.00 64.00 26 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 10039.35 1204.00 368.00 836.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 2408.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/156
2. Name/Surname (In Block Capitals) SHALLU MIDHA
3. Father's/ Husband's Name SANJIT KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00
Dec-06 4500.00 540.00 165.00 375.00 (B) Reason for
leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 54540.00 6544.00 2000.00 4544.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13088.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/157
2. Name/Surname (In Block Capitals) MOHINDERPAL SINGH
3. Father's/ Husband's Name JASWANT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 2513.23 302.00 92.00 209.00 10
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 20853.23 2502.00 764.00 1737.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 5003.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/158
2. Name/Surname (In Block Capitals) PARAMJIT KAUR
3. Father's/ Husband's Name MOHAN SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 2322.73 279.00 85.00 193.00 15
May-06 4452.00 534.00 163.00 371.00 2 (A)Date of
Jun-06 1384.84 166.00 51.00 115.00 22 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 8159.57 979.00 299.00 679.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 1957.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/159
2. Name/Surname (In Block Capitals) IQBAL SINGH
3. Father's/ Husband's Name RANJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/160
2. Name/Surname (In Block Capitals) SHILPA SHARMA
3. Father's/ Husband's Name GOPAL KISHN SHARMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 3846.77 462.00 141.00 320.00 6 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56046.77 6722.00 2056.00 4665.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13443.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/161
2. Name/Surname (In Block Capitals) VANDNA
3. Father's/ Husband's Name BALDEV RAJ BHAGAT
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/162
2. Name/Surname (In Block Capitals) MANPREET KAUR
3. Father's/ Husband's Name GURDIAL SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/163
2. Name/Surname (In Block Capitals) AMANDEEP KUMARI
3. Father's/ Husband's Name RAJESH KUMAR JASWA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/164
2. Name/Surname (In Block Capitals) HARJINDER SINGH
3. Father's/ Husband's Name SEWA SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4452.00 534.00 163.00 371.00 2
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56652.00 6794.00 2078.00 4716.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13588.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/165
2. Name/Surname (In Block Capitals) PUNEET WALIA
3. Father's/ Husband's Name J.S WALIA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/166
2. Name/Surname (In Block Capitals) KAMALDEEP KAUR
3. Father's/ Husband's Name GURCHARAN SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 678.41 81.00 25.00 57.00 25
May-06 0.00 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 678.41 81.00 25.00 57.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 163.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/167
2. Name/Surname (In Block Capitals) JYOTI CHAWALA
3. Father's/ Husband's Name RAKESH CHAWALA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00
Dec-06 4500.00 540.00 165.00 375.00 (B) Reason for
leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 54000.00 6480.00 1980.00 4500.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12960.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/168
2. Name/Surname (In Block Capitals) JAGANDEEP
3. Father's/ Husband's Name SATINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00
Dec-06 4500.00 540.00 165.00 375.00 (B) Reason for
leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 54000.00 6480.00 1980.00 4500.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12960.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/169
2. Name/Surname (In Block Capitals) ASHOK KUMAR
3. Father's/ Husband's Name GHANSHAM DASS
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/170
2. Name/Surname (In Block Capitals) KUNAL PATHAK
3. Father's/ Husband's Name DEWAKAR PATHAK
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4000.65 480.00 147.00 333.00 5 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56200.65 6740.00 2062.00 4678.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 13480.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/171
2. Name/Surname (In Block Capitals) PARAMJIT SINGH
3. Father's/ Husband's Name JASBIR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/172
2. Name/Surname (In Block Capitals) MANINDER SINGH
3. Father's/ Husband's Name JAGDISH SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4258.93 511.00 156.00 355.00 3
Total 56458.93 6771.00 2071.00 4700.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13542.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/173
2. Name/Surname (In Block Capitals) JATINDER KAUR
3. Father's/ Husband's Name DHARAMJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4308.39 517.00 158.00 359.00 3
Nov-06 4000.65 480.00 147.00 333.00 5
Dec-06 4452.00 534.00 163.00 371.00 2 (B) Reason for
leaving
Jan-07 4308.39 517.00 158.00 359.00 3 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 54959.42 6592.00 2016.00 4576.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13184.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/174
2. Name/Surname (In Block Capitals) AMANPREET KAUR
3. Father's/ Husband's Name SUKHDEV SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/175
2. Name/Surname (In Block Capitals) MOHAN LAL
3. Father's/ Husband's Name PIYARA LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3710.00 445.00 136.00 309.00 (B) Reason for
leaving
Jan-07 3350.97 402.00 123.00 279.00 3 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 44950.97 5392.00 1648.00 3744.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10784.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/176
2. Name/Surname (In Block Capitals) DEEPAK SOLHAN
3. Father's/ Husband's Name KESHWA CHAND
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4308.39 517.00 158.00 359.00 3
Dec-06 4611.00 553.00 169.00 384.00 1 (B) Reason for
leaving
Jan-07 4616.13 554.00 169.00 385.00 1 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56195.52 6740.00 2061.00 4679.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13480.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/177
2. Name/Surname (In Block Capitals) RAJVEER KAUR
3. Father's/ Husband's Name KASHMIRA SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/178
2. Name/Surname (In Block Capitals) NEELAM
3. Father's/ Husband's Name JAGAN NATH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/179
2. Name/Surname (In Block Capitals) JASREEN KAUR
3. Father's/ Husband's Name RANJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4000.65 480.00 147.00 333.00 5 leaving service,
Jul-06 2226.00 267.00 82.00 185.00 16 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 53656.65 6435.00 1969.00 4466.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12870.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/180
2. Name/Surname (In Block Capitals) WATANJOT KAUR
3. Father's/ Husband's Name MALWINDER MOHAN SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3710.00 445.00 136.00 309.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 2513.23 302.00 92.00 209.00 10
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 43113.23 5172.00 1580.00 3591.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10343.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/181
2. Name/Surname (In Block Capitals) BALJINDER SINGH
3. Father's/ Husband's Name SARWAN SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/182
2. Name/Surname (In Block Capitals) NEELAM
3. Father's/ Husband's Name GURINDERPAL SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/183
2. Name/Surname (In Block Capitals) GURPREET KAUR
3. Father's/ Husband's Name SANTOKH SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3710.00 445.00 136.00 309.00 (B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 44310.00 5315.00 1624.00 3691.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10630.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/184
2. Name/Surname (In Block Capitals) NEERU BALA
3. Father's/ Husband's Name CHARANJIT SHARMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/185
2. Name/Surname (In Block Capitals) DARPAN CHOPRA
3. Father's/ Husband's Name SUBASH CHOPRA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3919.32 470.00 144.00 326.00 4
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4293.00 515.00 158.00 358.00 3 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 41602.32 4989.00 1527.00 3463.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 9979.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/186
2. Name/Surname (In Block Capitals) BHARAT KUMAR
3. Father's/ Husband's Name RAM LUBHAYA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/187
2. Name/Surname (In Block Capitals) ADITI NARANG
3. Father's/ Husband's Name HARISH CHANDER
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4616.13 554.00 169.00 385.00 1
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 3385.16 406.00 124.00 282.00 9 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55431.29 6648.00 2033.00 4615.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13296.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/188
2. Name/Surname (In Block Capitals) SANGEETA
3. Father's/ Husband's Name SODI LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/189
2. Name/Surname (In Block Capitals) PARMINDER KAUR
3. Father's/ Husband's Name GURDEEP SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00
Dec-06 4500.00 540.00 165.00 375.00 (B) Reason for
leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 54540.00 6544.00 2000.00 4544.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13088.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/190
2. Name/Surname (In Block Capitals) AMANDEEP
3. Father's/ Husband's Name ROSHAN LAL GUPTA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/191
2. Name/Surname (In Block Capitals) RANJIT KUMAR CHAHAL
3. Father's/ Husband's Name C. L. CHAHAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/192
2. Name/Surname (In Block Capitals) PAWAN SHARMA
3. Father's/ Husband's Name RAJINDER KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4308.39 517.00 158.00 359.00 3
Oct-06 2862.00 343.00 105.00 238.00 12
Nov-06 769.35 92.00 28.00 64.00 26
Dec-06 3934.00 472.00 144.00 328.00 (B) Reason for
leaving
Jan-07 4616.13 554.00 169.00 385.00 1 services, if any
Feb-07 3692.90 443.00 136.00 308.00 7
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 48532.77 5821.00 1780.00 4042.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 11643.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/193
2. Name/Surname (In Block Capitals) SUKHJINDER KAUR
3. Father's/ Husband's Name BALBIR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 636.00 76.00 23.00 53.00 26 (A)Date of
Jun-06 0.00 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 5136.00 616.00 188.00 428.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 1232.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/194
2. Name/Surname (In Block Capitals) RAJNI MADAN
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/195
2. Name/Surname (In Block Capitals) MANPREET KAUR
3. Father's/ Husband's Name RAGHVINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4616.13 554.00 169.00 385.00 1 services, if any
Feb-07 3769.84 452.00 138.00 314.00 6.5
Feb paid in
March 07
3769.84 452.00 138.00 314.00 6
Total 54815.81 6574.00 2010.00 4564.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13148.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/196
2. Name/Surname (In Block Capitals) SHITAL KHURANA
3. Father's/ Husband's Name KAILASH CHANDER
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 2923.55 351.00 107.00 244.00 12
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4308.39 517.00 158.00 359.00 3
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 54661.94 6556.00 2005.00 4551.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13112.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/197
2. Name/Surname (In Block Capitals) AMANDEEP
3. Father's/ Husband's Name BALWINDER PAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00 0.00
May-06 0.00 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/198
2. Name/Surname (In Block Capitals) PRABHJOT KAUR
3. Father's/ Husband's Name SHITAL CHANDRA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/199
2. Name/Surname (In Block Capitals) PRABHJOT KAUR
3. Father's/ Husband's Name GURMEJ SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/200
2. Name/Surname (In Block Capitals) RENUKA PURI
3. Father's/ Husband's Name SATISH PURI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/201
2. Name/Surname (In Block Capitals) DEEPAK
3. Father's/ Husband's Name RAM PARKASH BAINS
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/202
2. Name/Surname (In Block Capitals) GULSHAN MATTA
3. Father's/ Husband's Name INDERJIT MATTA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/203
2. Name/Surname (In Block Capitals) SANTOSH KUMAR
3. Father's/ Husband's Name DEVINDER LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4210.23 505.00 155.00 351.00 2
May-06 3339.00 401.00 123.00 278.00 9 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 3539.03 425.00 130.00 295.00 8
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 3657.00 439.00 134.00 305.00 7
Nov-06 4000.65 480.00 147.00 333.00 5
Dec-06 4611.00 553.00 169.00 384.00 1 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 51976.90 6235.00 1908.00 4328.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 12471.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/204
2. Name/Surname (In Block Capitals) PRIYA
3. Father's/ Husband's Name AMARJIT
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/205
2. Name/Surname (In Block Capitals) PARAMJIT KAUR
3. Father's/ Husband's Name AVTAR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 3500.00 420.00 128.00 292.00
May-06 3710.00 445.00 136.00 309.00 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00
Dec-06 3710.00 445.00 136.00 309.00 (B) Reason for
leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 44310.00 5315.00 1624.00 3691.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10630.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/206
2. Name/Surname (In Block Capitals) R.L. SHARMA
3. Father's/ Husband's Name RL SHARMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 0.00 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 4500.00 540.00 165.00 375.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 1080.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/207
2. Name/Surname (In Block Capitals) TARUNA PRASHAR
3. Father's/ Husband's Name VIVEK RAVI PRASHAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 3021.00 363.00 111.00 252.00 11 (B) Reason for
leaving
Jan-07 2923.55 351.00 107.00 244.00 12 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 53374.55 6402.00 1958.00 4444.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12804.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/208
2. Name/Surname (In Block Capitals) RIPU RAMAN
3. Father's/ Husband's Name SHINDER PAUL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/209
2. Name/Surname (In Block Capitals) AVNEET NARULA
3. Father's/ Husband's Name GURBINDER
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4462.26 535.00 164.00 372.00 2
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56662.26 6795.00 2079.00 4717.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13591.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/210
2. Name/Surname (In Block Capitals) REKHA CHOWDRI
3. Father's/ Husband's Name SHISHPAL SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/211
2. Name/Surname (In Block Capitals) VIKRAM SHARMA
3. Father's/ Husband's Name LASHMAN SARUP SHARMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/212
2. Name/Surname (In Block Capitals) HARPREET SINGH
3. Father's/ Husband's Name AMARJEET SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4611.00 553.00 169.00 384.00 1
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56811.00 6813.00 2084.00 4729.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13626.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/213
2. Name/Surname (In Block Capitals) KULWINDER KAUR
3. Father's/ Husband's Name GIYAN CHAND
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00 5
Dec-06 3975.00 477.00 146.00 331.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56175.00 6737.00 2061.00 4676.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13474.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/214
2. Name/Surname (In Block Capitals) VINOD GILL
3. Father's/ Husband's Name B.R. GILL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56160.00 6736.00 2060.00 4676.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 13472.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/215
2. Name/Surname (In Block Capitals) BALJEET SINGH
3. Father's/ Husband's Name KARNAIL SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55890.00 6704.00 2050.00 4654.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13408.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/216
2. Name/Surname (In Block Capitals) HONNEY
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56160.00 6736.00 2060.00 4676.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13472.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/217
2. Name/Surname (In Block Capitals) SUKHJOT KAUR
3. Father's/ Husband's Name AJMER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55620.00 6672.00 2040.00 4632.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13344.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/218
2. Name/Surname (In Block Capitals) GURPREET KAUR
3. Father's/ Husband's Name GURCHARAN SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4308.39 517.00 158.00 359.00 3 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56508.39 6777.00 2073.00 4704.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13554.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/219
2. Name/Surname (In Block Capitals) RAVI DEEP
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4616.13 554.00 169.00 385.00 1
Dec-06 4293.00 515.00 158.00 358.00 3 (B) Reason for
leaving
Jan-07 4616.13 554.00 169.00 385.00 1 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55105.26 6611.00 2021.00 4591.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13223.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/220
2. Name/Surname (In Block Capitals) NIDHI
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4350.00 522.00 160.00 362.00 1 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4308.39 517.00 158.00 359.00 3
Oct-06 4611.00 553.00 169.00 384.00 1
Nov-06 4462.26 535.00 164.00 372.00 2
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 3846.77 462.00 141.00 320.00 6 services, if any
Feb-07 4308.39 517.00 158.00 359.00 3
Feb paid in
March 07
4599.64 552.00 169.00 383.00 1
Total 53526.45 6422.00 1964.00 4458.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12844.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/221
2. Name/Surname (In Block Capitals) NAVKIRAN KAUR
3. Father's/ Husband's Name SARABJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/222
2. Name/Surname (In Block Capitals) PARUL
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4210.00 505.00 155.00 351.00 2
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4134.00 496.00 152.00 344.00 4 (B) Reason for
leaving
Jan-07 1538.71 185.00 56.00 128.00 21 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 52002.71 6238.00 1908.00 4330.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12476.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/223
2. Name/Surname (In Block Capitals) GURPREET KAUR
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 0.00 0.00 0.00
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
Dec-06 0.00 0.00 0.00 (B) Reason for
leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/224
2. Name/Surname (In Block Capitals) MONIKA ANAND
3. Father's/ Husband's Name ANAND SAGAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
services, if any
(B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56160.00 6736.00 2060.00 4676.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13472.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/225
2. Name/Surname (In Block Capitals) BIKRAMJIT KAUR
3. Father's/ Husband's Name SURJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56160.00 6736.00 2060.00 4676.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 13472.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/226
2. Name/Surname (In Block Capitals) SIMARJIT KAUR
3. Father's/ Husband's Name KULDEEP SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56700.00 6800.00 2080.00 4720.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13600.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/227
2. Name/Surname (In Block Capitals) LALITA
3. Father's/ Husband's Name KEWAL KRISHAN
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55890.00 6704.00 2050.00 4654.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13408.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/228
2. Name/Surname (In Block Capitals) SUNIL PRAMAR
3. Father's/ Husband's Name M.G. PARMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56160.00 6736.00 2060.00 4676.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13472.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/229
2. Name/Surname (In Block Capitals) RACHANA SHARMA
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56160.00 6736.00 2060.00 4676.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13472.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/230
2. Name/Surname (In Block Capitals) MONIA BHATTI
3. Father's/ Husband's Name S.S. BHATTI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4462.26 535.00 164.00 372.00 2
Oct-06 4293.00 515.00 158.00 358.00 3
Nov-06 4462.26 535.00 164.00 372.00 2
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4462.26 535.00 164.00 372.00 2 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 54759.77 6568.00 2010.00 4562.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13140.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/231
2. Name/Surname (In Block Capitals) HEMA SHARMA
3. Father's/ Husband's Name YASHPAL SHARMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56160.00 6736.00 2060.00 4676.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13472.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/232
2. Name/Surname (In Block Capitals) ANU BEDI
3. Father's/ Husband's Name JARNAIL SINGH BEDI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 3077.42 369.00 113.00 256.00 11
Oct-06 2862.00 343.00 105.00 238.00 12
Nov-06 4770.00 572.00 175.00 397.00
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 52559.42 6304.00 1928.00 4376.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12608.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/233
2. Name/Surname (In Block Capitals) REENA KASHYAP
3. Father's/ Husband's Name LOK PAUL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1
March paid in
2 3 4a 4b 5 6 7
April 2006 4500.00 540.00 165.00 375.00
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4616.13 554.00 169.00 385.00 1
Sep-06 4462.26 535.00 164.00 372.00 2
Oct-06 4452.00 534.00 163.00 371.00 2
Nov-06 4462.26 535.00 164.00 372.00 2
Dec-06 4770.00 572.00 175.00 397.00 (B) Reason for
leaving
Jan-07 4462.26 535.00 164.00 372.00 2 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 54764.90 6569.00 2009.00 4563.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13141.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/234
2. Name/Surname (In Block Capitals) AMANDEEP SINGH
3. Father's/ Husband's Name JASBIR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
if any
(A)Date of
leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00 (B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56160.00 6736.00 2060.00 4676.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13472.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/235
2. Name/Surname (In Block Capitals) SUKHJINDER SINGH
3. Father's/ Husband's Name BAHADUR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00

(B) Reason for


leaving
services, if any
Nov-06 4770.00 572.00 175.00 397.00
(B) Reason for
Dec-06 4293.00 515.00 158.00 358.00 3 leaving
Jan-07 4308.39 517.00 158.00 359.00 3 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55221.39 6624.00 2026.00 4599.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13249.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/236
2. Name/Surname (In Block Capitals) DEEP SHIKHA
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00


April 2006
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
(B) Reason for
Dec-06 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/237
2. Name/Surname (In Block Capitals) ANUREET KAUR
3. Father's/ Husband's Name GURBHAJ
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 5310.00 637.00 195.00 442.00
Nov-06 4770.00 572.00 175.00 397.00
(B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56160.00 6737.00 2060.00 4677.00
Certfied that the total amount of contributions (Both shares) indicated in this card i. 13474.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/238
2. Name/Surname (In Block Capitals) SAHIB SINGH
3. Father's/ Husband's Name BALRAM KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 3600.00 432.00 132.00 300.00 6 (A)Date of
Jun-06 0.00 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
(B) Reason for
Dec-06 0.00 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 8100.00 972.00 297.00 675.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 1944.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/239
2. Name/Surname (In Block Capitals) RAJINDER KAUR
3. Father's/ Husband's Name GURMEET SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
(B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56160.00 6736.00 2060.00 4676.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13472.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules
Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/240
2. Name/Surname (In Block Capitals) MANPREET
3. Father's/ Husband's Name HARNAM SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
(B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56160.00 6736.00 2060.00 4676.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13472.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/241
2. Name/Surname (In Block Capitals) RAJNI PAUL
3. Father's/ Husband's Name NAVDEEP SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
(B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55890.00 6704.00 2050.00 4654.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13408.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/242
2. Name/Surname (In Block Capitals) KANIKA DUA
3. Father's/ Husband's Name SUBASH DUA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 3600.00 432.00 132.00 300.00 6 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 3692.90 443.00 136.00 308.00 7
Oct-06 3975.00 477.00 146.00 331.00 5
Nov-06 4462.26 535.00 164.00 372.00 2
(B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 52810.16 6335.00 1938.00 4399.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12672.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/243
2. Name/Surname (In Block Capitals) RENUKA VERMA
3. Father's/ Husband's Name SHAKHAR VERMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 0.00 0.00 0.00 0.00 31
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4770.00 572.00 175.00 397.00
(B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4462.26 535.00 164.00 372.00 2
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 50542.26 6063.00 1854.00 4210.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 12127.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/244
2. Name/Surname (In Block Capitals) RAMA VERMA
3. Father's/ Husband's Name NARESH KUMAR VERMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
(B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55620.00 6672.00 2040.00 4632.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13344.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/245
2. Name/Surname (In Block Capitals) SANJAY SERA
3. Father's/ Husband's Name SOHAN LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
(B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55620.00 6672.00 2040.00 4632.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13344.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/246
2. Name/Surname (In Block Capitals) NEENA KUMARI
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
(B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55620.00 6672.00 2040.00 4632.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13344.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/247
2. Name/Surname (In Block Capitals) GAURAV KAPOOR
3. Father's/ Husband's Name BALWINDER KAPOOR]
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4770.00 572.00 175.00 397.00
(B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55350.00 6640.00 2030.00 4610.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13280.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/248
2. Name/Surname (In Block Capitals) GURDIP KAUR
3. Father's/ Husband's Name HARJINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4064.52 488.00 149.00 339.00 3 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00 25/01/2007
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00
(B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 3629.03 435.00 133.00 302.00 Personal
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 47893.55 5747.00 1756.00 3991.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11494.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/249
2. Name/Surname (In Block Capitals) RAJAT KAPOOR
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 0.00 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00
(B) Reason for
Dec-06 0.00 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 4500.00 540.00 165.00 375.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 1080.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/250
2. Name/Surname (In Block Capitals) RUPINDERJIT NANGLA
3. Father's/ Husband's Name SANTOKH SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4500.00 540.00 165.00 375.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4770.00 572.00 175.00 397.00
(B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 55350.00 6640.00 2030.00 4610.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13280.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/251
2. Name/Surname (In Block Capitals) VEERAM NANDA
3. Father's/ Husband's Name SURNDER KUMAR NANDA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 3450.00 414.00 127.00 287.00 7 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
(B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 54570.00 6546.00 2002.00 4544.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13092.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/252
2. Name/Surname (In Block Capitals) RAJNI KASHYAP
3. Father's/ Husband's Name SHANTI SWAROOP
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00


April 2006
May-06 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00
(B) Reason for
Dec-06 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00
Total 0.00 0.00 0.00 0.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 0.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/253
2. Name/Surname (In Block Capitals) MANINDER
3. Father's/ Husband's Name SUKHWINDER
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4060.23 487.00 149.00 338.00


April 2006 3
May-06 1200.00 144.00 44.00 100.00 22 (A)Date of
Jun-06 3774.19 453.00 139.00 314.00 5 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4064.52 488.00 149.00 339.00 3
Sep-06 4064.52 488.00 149.00 339.00 3
Oct-06 3750.00 450.00 138.00 312.00 5
Nov-06 4209.68 505.00 154.00 351.00 2
(B) Reason for
Dec-06 3450.00 414.00 127.00 287.00 7 leaving
Jan-07 4616.13 554.00 169.00 385.00 1 services, if any
Feb-07 4616.13 554.00 169.00 385.00 1
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 47075.39 5649.00 1727.00 3922.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11298.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/254
2. Name/Surname (In Block Capitals) JASPREET KAUR
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 4500.00 540.00 165.00 375.00


April 2006
May-06 4770.00 572.00 175.00 397.00 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 4770.00 572.00 175.00 397.00
Sep-06 4770.00 572.00 175.00 397.00
Oct-06 4770.00 572.00 175.00 397.00
Nov-06 4770.00 572.00 175.00 397.00
(B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 56970.00 6832.00 2090.00 4742.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 13664.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/255
2. Name/Surname (In Block Capitals) KAMALJIT KAUR
3. Father's/ Husband's Name UDHAM SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/256
2. Name/Surname (In Block Capitals) SUKHNANDAN KAUR
3. Father's/ Husband's Name SATINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00


April 2006 0 31
May-06 4200 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500 540.00 165.00 375.00 leaving service,
Jul-06 4500 540.00 165.00 375.00 if any
Aug-06 4500 540.00 165.00 375.00
Sep-06 4500 540.00 165.00 375.00
Oct-06 4500 540.00 165.00 375.00
Nov-06 4500 540.00 165.00 375.00 (B) Reason for
Dec-06 4500 540.00 165.00 375.00 leaving
Jan-07 4500 540.00 165.00 375.00 services, if any
Feb-07 4500 540.00 165.00 375.00
Mar-07 4500 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/257
2. Name/Surname (In Block Capitals) POOJA
3. Father's/ Husband's Name HARI CHAND
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4050.00 486.00 149.00 337.00 3 leaving
Jan-07 4209.68 505.00 154.00 351.00 2 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 48459.68 5815.00 1777.00 4038.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11630.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/258
2. Name/Surname (In Block Capitals) REENA
3. Father's/ Husband's Name PRAMJEET SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/259
2. Name/Surname (In Block Capitals) RAKHEE SHARMA
3. Father's/ Husband's Name ROHIT SHARMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/260
2. Name/Surname (In Block Capitals) SUNAINA MATTU
3. Father's/ Husband's Name KARAM CHAND
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
services, if any
(B) Reason for
leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/261
2. Name/Surname (In Block Capitals) CHANDANI
3. Father's/ Husband's Name BOOTA RAM BHALLA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/262
2. Name/Surname (In Block Capitals) RAJWINDER KAUR
3. Father's/ Husband's Name CHARANJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/263
2. Name/Surname (In Block Capitals) MANMINDER KAUR
3. Father's/ Husband's Name JAGIR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules
Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/264
2. Name/Surname (In Block Capitals) MUNMUN SHARMA
3. Father's/ Husband's Name BHOOP KUMAR SHARMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/265
2. Name/Surname (In Block Capitals) MANISHA SHARMA
3. Father's/ Husband's Name SHIV RAJ SHARMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
964.00 116.00 35.00 80.00 22
Total 45664.00 5480.00 1674.00 3805.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10959.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/266
2. Name/Surname (In Block Capitals) SUCHETA MAGO
3. Father's/ Husband's Name HARISH KUMAR MAGO
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 435.48 52.00 16.00 36.00 28
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 45135.48 5416.00 1655.00 3761.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10832.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/267
2. Name/Surname (In Block Capitals) HARI SHANKAR
3. Father's/ Husband's Name MANOHAR LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/268
2. Name/Surname (In Block Capitals) PARAM VASHISHT SINGH
3. Father's/ Husband's Name TRILOCHAN SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4209.68 505.00 154.00 351.00 2
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 2250.00 270.00 83.00 187.00 15
Nov-06 0.00 0.00 0.00 0.00 (B) Reason for
Dec-06 0.00 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 24159.68 2899.00 886.00 2013.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 5798.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/269
2. Name/Surname (In Block Capitals) GURPREET SINGH
3. Father's/ Husband's Name KULDIP SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4209.68 505.00 154.00 351.00 2
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 48909.68 5869.00 1793.00 4076.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11738.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/270
2. Name/Surname (In Block Capitals) AMANDEEP KAUR
3. Father's/ Husband's Name GURDIAL SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/271
2. Name/Surname (In Block Capitals) AMITA RANA
3. Father's/ Husband's Name MUKESH THAKUR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 2177.42 261.00 80.00 181.00 16 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 46877.42 5625.00 1719.00 3906.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11250.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/272
2. Name/Surname (In Block Capitals) MEENU BALA
3. Father's/ Husband's Name RAJINDER PAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 3600.00 432.00 132.00 300.00 6
Nov-06 1016.13 122.00 37.00 85.00 24 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 44816.13 5378.00 1643.00 3735.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10756.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/273
2. Name/Surname (In Block Capitals) SUNITA DHAWAN
3. Father's/ Husband's Name K.L.DHAWAN
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 3774.19 453.00 139.00 314.00 5 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 48474.19 5817.00 1778.00 4039.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11634.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/274
2. Name/Surname (In Block Capitals) RAVI KUMAR
3. Father's/ Husband's Name HARMESH LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/275
2. Name/Surname (In Block Capitals) BALJINDER KAUR
3. Father's/ Husband's Name NARINDER SURJIT PARHAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00


April 2006 0.00 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00 14
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 2700.00 324.00 99.00 225.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07 4500.00 540.00 165.00 375.00
Total 47400.00 5688.00 1738.00 3950.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11376.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/276
2. Name/Surname (In Block Capitals) JAGWINDER RAM
3. Father's/ Husband's Name MADAN LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/277
2. Name/Surname (In Block Capitals) KARAMJIT KAUR
3. Father's/ Husband's Name SEWA SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/278
2. Name/Surname (In Block Capitals) GURJINDER SINGH
3. Father's/ Husband's Name AVTAR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/279
2. Name/Surname (In Block Capitals) AMIKA
3. Father's/ Husband's Name BISHAN DASS
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/280
2. Name/Surname (In Block Capitals) AMANDEEP SINGH
3. Father's/ Husband's Name AVTAR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4354.84 523.00 160.00 363.00 1
Feb paid in
March 07
3696.43 444.00 136.00 308.00 5
Total 48251.27 5791.00 1770.00 4021.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11582.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/281
2. Name/Surname (In Block Capitals) RAVNEET KAUR
3. Father's/ Husband's Name DEVINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/282
2. Name/Surname (In Block Capitals) PRIMALDEEP SINGH
3. Father's/ Husband's Name SUKHBIR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4050.00 486.00 149.00 337.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49050.00 5886.00 1799.00 4087.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11772.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/283
2. Name/Surname (In Block Capitals) SANJEEV SHARMA
3. Father's/ Husband's Name KALI DASS SHARMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/284
2. Name/Surname (In Block Capitals) NEHA RAMPAL
3. Father's/ Husband's Name S.K.RAMPAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/285
2. Name/Surname (In Block Capitals) ISHAN
3. Father's/ Husband's Name LACHARI RAM
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/286
2. Name/Surname (In Block Capitals) VIKAS SHARMA
3. Father's/ Husband's Name BALRAJ KUMAR SHARMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/287
2. Name/Surname (In Block Capitals) JASWINDER SAMPLA
3. Father's/ Husband's Name DEV RAJ SAMPLA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/288
2. Name/Surname (In Block Capitals) GURPREET KAUR
3. Father's/ Husband's Name BHUPINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4050.00 486.00 149.00 337.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 48750.00 5850.00 1788.00 4062.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11700.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/289
2. Name/Surname (In Block Capitals) KIRANJIT SAINI
3. Father's/ Husband's Name HARVINDER SINGH SAINI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/290
2. Name/Surname (In Block Capitals) SUNIANA PAHWA
3. Father's/ Husband's Name SUMAN KUMAR PAHWA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/291
2. Name/Surname (In Block Capitals) RUPINDER KAUR
3. Father's/ Husband's Name SURINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 3900.00 468.00 143.00 325.00 4 leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 35100.00 4212.00 1287.00 2925.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 8424.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/292
2. Name/Surname (In Block Capitals) ANJU BALA
3. Father's/ Husband's Name MUKAND LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/293
2. Name/Surname (In Block Capitals) ROBIN KAINTH
3. Father's/ Husband's Name KARAMJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/294
2. Name/Surname (In Block Capitals) PALLVI
3. Father's/ Husband's Name ASHOK KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 3629.03 435.00 133.00 302.00 6
Oct-06 0.00 0.00 0.00 0.00 30
Nov-06 0.00 0.00 0.00 0.00 31 (B) Reason for
Dec-06 3900.00 468.00 143.00 325.00 4 leaving
Jan-07 2903.23 348.00 107.00 242.00 11 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 37132.26 4455.00 1362.00 3094.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 8911.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/295
2. Name/Surname (In Block Capitals) SHAVETA KAPUR
3. Father's/ Husband's Name A.K. KAPUR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 2467.00 296.00 91.00 206.00 14 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 47167.00 5660.00 1730.00 3931.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11321.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/296
2. Name/Surname (In Block Capitals) PALLVI SAINI
3. Father's/ Husband's Name SURINDER MOHAN
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 3483.87 418.00 128.00 290.00 7 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 48183.87 5782.00 1767.00 4015.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11564.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/297
2. Name/Surname (In Block Capitals) KAMALJIT KAUR
3. Father's/ Husband's Name JASWINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4050.00 486.00 149.00 337.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49050.00 5886.00 1799.00 4087.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11772.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/298
2. Name/Surname (In Block Capitals) RANJIT KUMAR
3. Father's/ Husband's Name BALVIR CHAND
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 750.00 90.00 28.00 62.00 25
Nov-06 0.00 0.00 0.00 0.00 (B) Reason for
Dec-06 0.00 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 22950.00 2754.00 842.00 1912.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 5508.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/299
2. Name/Surname (In Block Capitals) PAWAN KUMAR
3. Father's/ Husband's Name MAHAVIR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/300
2. Name/Surname (In Block Capitals) ANJANI DEVI
3. Father's/ Husband's Name YOG RAJ
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/301
2. Name/Surname (In Block Capitals) GURPREET SINGH WALIA
3. Father's/ Husband's Name CHARANJEET SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 580.65 70.00 21.00 48.00 27
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00 (B) Reason for
Dec-06 0.00 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 13780.65 1654.00 505.00 1148.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 3307.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/302
2. Name/Surname (In Block Capitals) SEEMA
3. Father's/ Husband's Name RAVI KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/303
2. Name/Surname (In Block Capitals) MAMTA
3. Father's/ Husband's Name RAM PARKESH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/304
2. Name/Surname (In Block Capitals) MONIKA
3. Father's/ Husband's Name JOGINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/305
2. Name/Surname (In Block Capitals) JASPREET SINGH BUDWAL
3. Father's/ Husband's Name GURMAIL SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/306
2. Name/Surname (In Block Capitals) JASBIR SINGH
3. Father's/ Husband's Name SULKHAN SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4050.00 486.00 149.00 337.00 3 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49050.00 5886.00 1799.00 4087.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11772.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/307
2. Name/Surname (In Block Capitals) INDERJEET KAUR
3. Father's/ Husband's Name KARNAIL SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 3900.00 468.00 143.00 325.00 2 (A)Date of
Jun-06 4354.84 523.00 160.00 363.00 1 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4209.68 505.00 154.00 351.00 2
Sep-06 3048.39 366.00 112.00 254.00 10
Oct-06 4050.00 486.00 149.00 337.00 3
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 46562.90 5588.00 1708.00 3880.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11176.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/308
2. Name/Surname (In Block Capitals) MEENU BHARDWAJ
3. Father's/ Husband's Name DEVI PARKASH BHARDWAJ
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/309
2. Name/Surname (In Block Capitals) MALKEET KAUR
3. Father's/ Husband's Name HARBANS LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/310
2. Name/Surname (In Block Capitals) RAJWINDER KAUR
3. Father's/ Husband's Name HARJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 3629.03 435.00 133.00 302.00 6
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 43829.03 5259.00 1607.00 3652.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10518.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/311
2. Name/Surname (In Block Capitals) SHIKHA VIG
3. Father's/ Husband's Name RAMESH KUMAR VIG
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/312
2. Name/Surname (In Block Capitals) UMANG LALA
3. Father's/ Husband's Name S.M.LALA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/313
2. Name/Surname (In Block Capitals) SUPREET KAUR
3. Father's/ Husband's Name SURINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 2322.58 279.00 85.00 193.00 15 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 47022.58 5643.00 1724.00 3918.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11285.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/314
2. Name/Surname (In Block Capitals) VISHAL GANDHI
3. Father's/ Husband's Name NARINDER KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/315
2. Name/Surname (In Block Capitals) VARINDER KUMAR
3. Father's/ Husband's Name CHAMAN LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/316
2. Name/Surname (In Block Capitals) PRADEEP KUMAR SANGRA
3. Father's/ Husband's Name CHAMAN LAL SANGRA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/317
2. Name/Surname (In Block Capitals) ESHA
3. Father's/ Husband's Name RAJINDER PAUL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/318
2. Name/Surname (In Block Capitals) NISHA BANSAL
3. Father's/ Husband's Name RAJIV BANSAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/319
2. Name/Surname (In Block Capitals) SUNIL DUTT
3. Father's/ Husband's Name HANS RAJ
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/320
2. Name/Surname (In Block Capitals) RUCHIKA TALWAR
3. Father's/ Husband's Name MOHINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 300.00 36.00 11.00 25.00 28
Nov-06 0.00 0.00 0.00 0.00 (B) Reason for
Dec-06 0.00 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 22500.00 2700.00 825.00 1875.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 5400.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/321
2. Name/Surname (In Block Capitals) ADITYA JAIRATH
3. Father's/ Husband's Name ASHWANI JAIRATH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4354.84 523.00 160.00 363.00 1 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49054.84 5887.00 1799.00 4088.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11774.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/322
2. Name/Surname (In Block Capitals) JYOTI ANGURAL
3. Father's/ Husband's Name CHAMAN LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 3919.35 470.00 144.00 326.00 4 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 48619.35 5834.00 1783.00 4051.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11668.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/323
2. Name/Surname (In Block Capitals) JATINDER KAUR
3. Father's/ Husband's Name RANJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 1016.13 122.00 37.00 85.00 24
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00 (B) Reason for
Dec-06 0.00 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 14216.13 1706.00 521.00 1185.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 3412.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/324
2. Name/Surname (In Block Capitals) ROHIT SHARMA
3. Father's/ Husband's Name NEVEEN SHARMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00 (B) Reason for
Dec-06 0.00 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 13200.00 1584.00 484.00 1100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 3168.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/325
2. Name/Surname (In Block Capitals) JAGDEEP KAUR
3. Father's/ Husband's Name HARI SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/326
2. Name/Surname (In Block Capitals) AMARDEEP KAUR
3. Father's/ Husband's Name NARINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/327
2. Name/Surname (In Block Capitals) MAMTA GUPTA
3. Father's/ Husband's Name RAJESH KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 3150.00 378.00 116.00 262.00 9 (A)Date of
Jun-06 3629.03 435.00 133.00 302.00 6 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 2612.90 314.00 96.00 218.00 13
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4200.00 504.00 154.00 350.00 2
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4200.00 504.00 154.00 350.00 2 leaving
Jan-07 4209.68 505.00 154.00 351.00 2 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 44501.61 5340.00 1632.00 3708.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10680.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/328
2. Name/Surname (In Block Capitals) SHIKHA TALWAR
3. Father's/ Husband's Name MANOJ KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/329
2. Name/Surname (In Block Capitals) MANMINDER SINGH
3. Father's/ Husband's Name BHUPINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/330
2. Name/Surname (In Block Capitals) SANDEEP KAUR
3. Father's/ Husband's Name HARMINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/331
2. Name/Surname (In Block Capitals) HARPREET SINGH AHLUWALIA
3. Father's/ Husband's Name DAVINDER SINGH AHLUWALIA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4354.84 523.00 160.00 363.00 1 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 2612.90 314.00 96.00 218.00 13 services, if any
Feb-07 2322.58 279.00 85.00 193.00 15
Feb paid in
March 07
0.00 0.00 0.00 0.00 28
Total 40490.32 4860.00 1485.00 3374.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 9719.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/332
2. Name/Surname (In Block Capitals) SUNNY ARORA
3. Father's/ Husband's Name SURINDER ARORA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/333
2. Name/Surname (In Block Capitals) PUNEET GUPTA
3. Father's/ Husband's Name NARAIN DASS GUPTA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/334
2. Name/Surname (In Block Capitals) RAZIA
3. Father's/ Husband's Name RAVINDER KLAIR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/335
2. Name/Surname (In Block Capitals) AMANDEEP SINGH
3. Father's/ Husband's Name SUKHDEV SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4050.00 486.00 149.00 337.00 3
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 48750.00 5850.00 1788.00 4062.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11700.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/336
2. Name/Surname (In Block Capitals) YOJNA SHARMA
3. Father's/ Husband's Name SARVJIT SHARMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/337
2. Name/Surname (In Block Capitals) MANINDER SINGH FLORA
3. Father's/ Husband's Name DAVINDER SINGH FLORA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/338
2. Name/Surname (In Block Capitals) SUSHIL KUMAR
3. Father's/ Husband's Name TIRATH RAM
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/339
2. Name/Surname (In Block Capitals) PRIYA PASCHRICA
3. Father's/ Husband's Name JINDER PAL PASCHRICA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/340
2. Name/Surname (In Block Capitals) AMRIK SINGH
3. Father's/ Husband's Name KARNAIL SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/341
2. Name/Surname (In Block Capitals) JASWINDER KUMAR
3. Father's/ Husband's Name MADAN LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/342
2. Name/Surname (In Block Capitals) PARAMPREET KAUR
3. Father's/ Husband's Name JIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/343
2. Name/Surname (In Block Capitals) MANDEEP KUMAR
3. Father's/ Husband's Name CHANCHAL RAM
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/344
2. Name/Surname (In Block Capitals) KIRANJIT KAUR
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00 (B) Reason for
Dec-06 0.00 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 8700.00 1044.00 319.00 725.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 2088.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/345
2. Name/Surname (In Block Capitals) ANINDER KAUR
3. Father's/ Husband's Name JOGINDER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/346
2. Name/Surname (In Block Capitals) HARVINDER KAUR
3. Father's/ Husband's Name RANDHIR SINGH KAHLON
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/347
2. Name/Surname (In Block Capitals) DOLLY BAGGA
3. Father's/ Husband's Name RAM DASS BAGGA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/348
2. Name/Surname (In Block Capitals) DEEPAK KUMAR BHOLA
3. Father's/ Husband's Name PRINCE BHOLA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/349
2. Name/Surname (In Block Capitals) RAMINDER KAUR
3. Father's/ Husband's Name BAKHSISH SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/350
2. Name/Surname (In Block Capitals) ROHIT SOBTI
3. Father's/ Husband's Name JANG BAHADUR SOBTI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 0.00 0.00 0.00 0.00 30
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 44700.00 5364.00 1639.00 3725.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10728.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/351
2. Name/Surname (In Block Capitals) JASDEEP SINGH
3. Father's/ Husband's Name DALBIR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/352
2. Name/Surname (In Block Capitals) KAMALDEEP KAUR
3. Father's/ Husband's Name SITAL SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 3193.55 383.00 117.00 266.00 9 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 1741.94 209.00 64.00 145.00 19 services, if any
Feb-07 0.00 0.00 0.00 0.00 31
Feb paid in
March 07
0.00 0.00 0.00 0.00 28
Total 36135.48 4336.00 1325.00 3011.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 8672.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/353
2. Name/Surname (In Block Capitals) BALJEET KAUR
3. Father's/ Husband's Name HARTIRATH SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/354
2. Name/Surname (In Block Capitals) SONIA
3. Father's/ Husband's Name SHAM LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 870.97 105.00 32.00 73.00 25
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00 (B) Reason for
Dec-06 0.00 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 18570.97 2229.00 681.00 1548.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 4458.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/355
2. Name/Surname (In Block Capitals) VIMAL
3. Father's/ Husband's Name VARINDER KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/356
2. Name/Surname (In Block Capitals) NEERU OHRI
3. Father's/ Husband's Name JIWAN LAL OHRI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Mar-07 4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/357
2. Name/Surname (In Block Capitals) RAJWANT KAUR
3. Father's/ Husband's Name JOGINDER SINGH NIJJAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/358
2. Name/Surname (In Block Capitals) BHUPINDER SINGH
3. Father's/ Husband's Name AVTAR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/359
2. Name/Surname (In Block Capitals) MANISH KUMAR
3. Father's/ Husband's Name BALRAJ KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/360
2. Name/Surname (In Block Capitals) SHARANJIT KAUR
3. Father's/ Husband's Name DEV RAJ SONDHI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
services, if any
(B) Reason for
leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/361
2. Name/Surname (In Block Capitals) BABITA
3. Father's/ Husband's Name KESAR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4350.00 522.00 160.00 362.00 1
Nov-06 4354.84 523.00 160.00 363.00 1 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 48904.84 5869.00 1794.00 4075.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11738.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/362
2. Name/Surname (In Block Capitals) POONAM
3. Father's/ Husband's Name RAJ KUMAR GAINDA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/363
2. Name/Surname (In Block Capitals) PRABJYOTI
3. Father's/ Husband's Name BHIM SEIN
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 3150.00 378.00 116.00 262.00 9 (A)Date of
Jun-06 3919.35 470.00 144.00 326.00 4 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 47569.35 5708.00 1745.00 3963.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11416.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules
Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/364
2. Name/Surname (In Block Capitals) NAVJEET KAUR
3. Father's/ Husband's Name GURBAKSH SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 1050.00 126.00 39.00 87.00 23 (A)Date of
Jun-06 3483.87 418.00 128.00 290.00 7 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 1016.13 122.00 37.00 85.00 24
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00 (B) Reason for
Dec-06 0.00 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 10050.00 1206.00 369.00 837.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 2412.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/365
2. Name/Surname (In Block Capitals) MONIKA SHARMA
3. Father's/ Husband's Name KUNDAN LAL SHARMA
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 2400.00 288.00 88.00 200.00 14 (A)Date of
Jun-06 3048.39 366.00 112.00 254.00 10 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 435.48 52.00 16.00 36.00 28
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00 (B) Reason for
Dec-06 0.00 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 10383.87 1246.00 381.00 865.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 2492.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/366
2. Name/Surname (In Block Capitals) MONIKA
3. Father's/ Husband's Name HARI CHAND
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )
1. Account No PB/JAL/26665/367
2. Name/Surname (In Block Capitals) HARMANPREET KAUR
3. Father's/ Husband's Name JASBIR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/368
2. Name/Surname (In Block Capitals) ASHU TALWAR
3. Father's/ Husband's Name ANIL TALWAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 3048.39 366.00 112.00 254.00 10
Feb paid in
March 07
3054.00 366.00 112.00 254.00 9
Total 46302.39 5556.00 1698.00 3858.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11112.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/369
2. Name/Surname (In Block Capitals) MEENAKSHI
3. Father's/ Husband's Name SUBASH CHANDER
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 3483.87 418.00 128.00 290.00 7
Sep-06 3919.35 470.00 144.00 326.00 4
Oct-06 2850.00 342.00 105.00 237.00 11
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 45953.23 5514.00 1686.00 3828.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11028.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/370
2. Name/Surname (In Block Capitals) RAVINDERPAL KAUR
3. Father's/ Husband's Name RANDHIR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/371
2. Name/Surname (In Block Capitals) CHANDER PRABHA
3. Father's/ Husband's Name ASHWANI KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/372
2. Name/Surname (In Block Capitals) POOJA RATTAN
3. Father's/ Husband's Name VARINDER KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/373
2. Name/Surname (In Block Capitals) ASHISH SONI
3. Father's/ Husband's Name ASHOK KUMAR SONI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 3338.71 401.00 123.00 278.00 8
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4209.68 505.00 154.00 351.00 2 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 47748.39 5730.00 1751.00 3979.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11460.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/374
2. Name/Surname (In Block Capitals) ANUPINDER KAUR
3. Father's/ Husband's Name PARMJIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/375
2. Name/Surname (In Block Capitals) HARMANDEEP SINGH
3. Father's/ Husband's Name GURDEEP SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 3300.00 396.00 121.00 275.00 8 (A)Date of
Jun-06 3231.39 388.00 119.00 269.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 47031.39 5644.00 1725.00 3919.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11288.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/376
2. Name/Surname (In Block Capitals) ISHA SOOD
3. Father's/ Husband's Name VIJAY KUMAR SOOD
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/377
2. Name/Surname (In Block Capitals) SHARANDEEP KAUR
3. Father's/ Husband's Name PAVITTER SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 3338.71 401.00 123.00 278.00 8 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 48038.71 5765.00 1762.00 4003.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11530.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/378
2. Name/Surname (In Block Capitals) PARVEEN KAUR
3. Father's/ Husband's Name TARSEM LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00


April 2006 0.00
May-06 4200.00 504.00 154.00 350.00 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07 4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/379
2. Name/Surname (In Block Capitals) RAJINDER VIRDI
3. Father's/ Husband's Name GIAN CHAND VIRDI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/380
2. Name/Surname (In Block Capitals) KULDEEP KUMARI
3. Father's/ Husband's Name DEV RAJ
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 2700.00 324.00 99.00 225.00 12 leaving
Jan-07 2903.23 348.00 107.00 242.00 11 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 45803.23 5496.00 1680.00 3817.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10993.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/381
2. Name/Surname (In Block Capitals) AMANDEEP KAUR
3. Father's/ Husband's Name RAJINDER PAL SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 2100.00 252.00 77.00 175.00 16 (A)Date of
Jun-06 3193.55 383.00 117.00 266.00 9 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4350.00 522.00 160.00 362.00
Nov-06 3919.35 470.00 144.00 326.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 4 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 45062.90 5407.00 1653.00 3754.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 10814.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/382
2. Name/Surname (In Block Capitals) PARMJIT KUMAR
3. Father's/ Husband's Name RAM KISHAN
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/383
2. Name/Surname (In Block Capitals) AJAY KUMAR
3. Father's/ Husband's Name PIYARA LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/384
2. Name/Surname (In Block Capitals) SATISH KUMAR
3. Father's/ Husband's Name RAJA RAM
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/385
2. Name/Surname (In Block Capitals) PARMINDER KAUR
3. Father's/ Husband's Name GIAN CHAND
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/386
2. Name/Surname (In Block Capitals) RAJWANT KAUR
3. Father's/ Husband's Name MALKIT SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/387
2. Name/Surname (In Block Capitals) SUNANDA
3. Father's/ Husband's Name JOGINDER PAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/388
2. Name/Surname (In Block Capitals) AMANPREET
3. Father's/ Husband's Name TIRATH RAM
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4209.68 505.00 154.00 351.00 2 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 2758.06 331.00 101.00 230.00 12
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 3774.19 453.00 139.00 314.00 5 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4209.68 505.00 154.00 351.00 2 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 46151.61 5538.00 1692.00 3846.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11076.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/389
2. Name/Surname (In Block Capitals) DHEERAJ KUMAR
3. Father's/ Husband's Name CHAMAN LAL
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/390
2. Name/Surname (In Block Capitals) HARPREET SINGH
3. Father's/ Husband's Name JASVIR SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/391
2. Name/Surname (In Block Capitals) RUPINDER KAUR
3. Father's/ Husband's Name GURVINDERJEET SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 2850.00 342.00 105.00 237.00 11
Nov-06 1016.13 122.00 37.00 85.00 24 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 2612.90 314.00 96.00 218.00 13 services, if any
Feb-07 0.00 0.00 0.00 0.00 31
Feb paid in
March 07
0.00 0.00 0.00 0.00 28
Total 33179.03 3982.00 1217.00 2765.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 7964.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/392
2. Name/Surname (In Block Capitals) DIKSHA ARORA
3. Father's/ Husband's Name VIJAY KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 2322.58 279.00 85.00 193.00 15 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 47022.58 5643.00 1724.00 3918.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11285.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/393
2. Name/Surname (In Block Capitals) MANPREET KAUR
3. Father's/ Husband's Name NIRMAL SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4200.00 504.00 154.00 350.00 2 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49200.00 5904.00 1804.00 4100.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11808.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/394
2. Name/Surname (In Block Capitals) VIVEK SONI
3. Father's/ Husband's Name VIJAY KUMAR SONI
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 4050.00 486.00 149.00 337.00 3 (A)Date of
Jun-06 4500.00 540.00 165.00 375.00 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 49050.00 5886.00 1799.00 4087.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 11772.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/395
2. Name/Surname (In Block Capitals) RAGHU VAID
3. Father's/ Husband's Name PAWAN VAID
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 3816.00 458.00 140.00 318.00 6 (A)Date of
Jun-06 4770.00 572.00 175.00 397.00 leaving service,
Jul-06 4770.00 572.00 175.00 397.00 if any
Aug-06 3077.42 369.00 113.00 256.00 11
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00 (B) Reason for
Dec-06 0.00 0.00 0.00 0.00 leaving
Jan-07 0.00 0.00 0.00 0.00 services, if any
Feb-07 0.00 0.00 0.00 0.00
Feb paid in
March 07
0.00 0.00 0.00 0.00
Total 16433.42 1971.00 603.00 1368.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 3942.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)

The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/396
2. Name/Surname (In Block Capitals) SUMAN BALA
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 742.00 89.00 27.00 62.00 24 (A)Date of
Jun-06 3710.00 445.00 136.00 309.00 leaving service,
Jul-06 3710.00 445.00 136.00 309.00 if any
Aug-06 3710.00 445.00 136.00 309.00
Sep-06 3710.00 445.00 136.00 309.00
Oct-06 3710.00 445.00 136.00 309.00
Nov-06 3710.00 445.00 136.00 309.00 (B) Reason for
Dec-06 3710.00 445.00 136.00 309.00 leaving
Jan-07 3710.00 445.00 136.00 309.00 services, if any
Feb-07 3710.00 445.00 136.00 309.00
Feb paid in
March 07
3710.00 445.00 136.00 309.00
Total 37842.00 4539.00 1387.00 3152.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 9078.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)

The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/397
2. Name/Surname (In Block Capitals) KIRANJEET KAUR
3. Father's/ Husband's Name AMANDEEP SINGH
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006 31
May-06 0.00 0.00 0.00 0.00 30 (A)Date of
Jun-06 0.00 0.00 0.00 0.00 31 leaving service,
Jul-06 4500.00 540.00 165.00 375.00 if any
Aug-06 4500.00 540.00 165.00 375.00
Sep-06 4500.00 540.00 165.00 375.00
Oct-06 4500.00 540.00 165.00 375.00
Nov-06 4500.00 540.00 165.00 375.00 (B) Reason for
Dec-06 4500.00 540.00 165.00 375.00 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 40500.00 4860.00 1485.00 3375.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 9720.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/398
2. Name/Surname (In Block Capitals) NAVDEEP SHARMA
3. Father's/ Husband's Name
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
non-
contributi
ng
service(if
any)
No of days
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006
May-06 0.00 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 3385.16 406.00 124.00 282.00 9 (B) Reason for
Dec-06 4770.00 572.00 175.00 397.00 leaving
Jan-07 4770.00 572.00 175.00 397.00 services, if any
Feb-07 4770.00 572.00 175.00 397.00
Feb paid in
March 07
4770.00 572.00 175.00 397.00
Total 22465.16 2694.00 824.00 1870.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 5388.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/399
2. Name/Surname (In Block Capitals) ARTI
3. Father's/ Husband's Name PREM KUMAR
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006
May-06 0.00 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
(B) Reason for
leaving
services, if any
Nov-06 0.00 0.00 0.00 0.00 (B) Reason for
Dec-06 3450.00 414.00 127.00 287.00 7 leaving
Jan-07 4500.00 540.00 165.00 375.00 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 16950.00 2034.00 622.00 1412.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 4068.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(Revised)
Contribution Card for Currency period from Ist April 2006 to 31st March 2007
(for unexempted establishments only )

1. Account No PB/JAL/26665/
2. Name/Surname (In Block Capitals) KULDIP SHARMA
3. Father's/ Husband's Name DURGA PARSHAD
4. Name & address of the factory/Establishment PB.ICT EDU. SOCIETY
DEO(SE), JALANDHAR
5. Statutory rate of contribution 12%
6. Voluntary higher rate of employees'Contribution if any NA
CONTRIBUTION
Month Worker's Share Employer's share No of days
Ref of Adv Remarks
period on
E.P.F non-
difference contributi
Amount of Pension fund
E.P.F. between 12% ng
wages 8.33%
& 8.33%(if service(if
any) any)
1 2 3 4a 4b 5 6 7

March paid in 0.00 0.00 0.00 0.00


April 2006
May-06 0.00 0.00 0.00 0.00 (A)Date of
Jun-06 0.00 0.00 0.00 0.00 leaving service,
Jul-06 0.00 0.00 0.00 0.00 if any
Aug-06 0.00 0.00 0.00 0.00
Sep-06 0.00 0.00 0.00 0.00
Oct-06 0.00 0.00 0.00 0.00
Nov-06 0.00 0.00 0.00 0.00 (B) Reason for
Dec-06 600.00 72.00 22.00 50.00 leaving
Jan-07 4354.84 523.00 160.00 363.00 1 services, if any
Feb-07 4500.00 540.00 165.00 375.00
Feb paid in
March 07
4500.00 540.00 165.00 375.00
Total 13954.84 1675.00 512.00 1163.00

Certfied that the total amount of contributions (Both shares) indicated in this card i. 3350.00
has already been remitted in full in EPF A/c no 1 and pension fund A/c no 10 _____ (vide note below)
Certified that the difference between the the total of the contribution shown under col 3&4a & 4b of the above table and that
arrived at on the total wages shown in col 2 at the prescribed rate is solely due to rounding off of contributions to the
nearest rupee under the rules

Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

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he above table and that
ontributions to the

e of final settlement of
be furnished under col

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he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

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he above table and that
ontributions to the

e of final settlement of
be furnished under col

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he above table and that
ontributions to the

e of final settlement of
be furnished under col

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he above table and that
ontributions to the

e of final settlement of
be furnished under col

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he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

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he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

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he above table and that
ontributions to the

e of final settlement of
be furnished under col

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he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

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he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
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he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

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he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col
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he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

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he above table and that
ontributions to the

e of final settlement of
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he above table and that
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he above table and that
ontributions to the

e of final settlement of
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he above table and that
ontributions to the

e of final settlement of
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he above table and that
ontributions to the

e of final settlement of
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he above table and that


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e of final settlement of
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he above table and that
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he above table and that
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ontributions to the

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he above table and that
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he above table and that
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e of final settlement of
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he above table and that


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he above table and that
ontributions to the

e of final settlement of
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he above table and that
ontributions to the

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ontributions to the

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e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

NGH CHALOTRA

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

UMAR SONDHI
he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col
n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

OHAN SINGH
he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

UP SHARMA
he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col
n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col
n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

RJIT PARHAR
he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

NGH BUDWAL
he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

H BHARDWAJ
he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

AR SANGRA
he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

NGH AHLUWALIA
GH AHLUWALIA
he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

NGH NIJJAR
he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the
e of final settlement of
be furnished under col

n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col
n to the EPF will be

he above table and that


ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


he above table and that
ontributions to the

e of final settlement of
be furnished under col

n to the EPF will be


8.33%

A/c -10 8.33%


A/c -1 3.67%

Difference
Deposited
Wages on Employee

difference

Deposited
which EPF is 's contri -
Deposited
Calculated bution
(12%) (12%)

Mar 972094 116651 116943 -292 35638 35727 -89 81014 81216 -202
Apr 1560260 187175 185425 1750 57230 56709 521 129947 128716 1231
May 1607111 192795 195689 -2894 58942 59848 -906 133852 135841 -1989
Jun 1606180 192682 193586 -904 58908 59184 -276 133774 134402 -628
Jul 1561214 187285 188116 -831 57258 57532 -274 130028 130584 -556
Aug 1553747 186388 187153 -765 56988 57237 -249 129404 129916 -512
Sep 1508460 180955 181089 -134 55331 55368 -37 125627 125721 -94
Oct 1497599 179650 179365 285 54926 54836 90 124728 124529 199
Nov 1515363 181782 181878 -96 55581 55607 -26 126205 126271 -66
Dec 1483464 177958 179349 -1391 54409 54834 -425 123551 124515 -964
Jan 1497162 179594 180803 -1209 54912 55281 -369 124681 125522 -841
Feb 1477117 177186 177906 -720 54177 54397 -220 123010 123510 -500

17839772 2140101 2147302 -7201 654300 656560 -2260 1485821 1490743 -4922 -14383

12 8.33 3.67
Mar 116943 81216 35727
Apr 185425 128716 56709
May 195689 135841 59848
Jun 193586 134402 59184
Jul 188116 130584 57532
Aug 187153 129916 57237
Sep 181089 125721 55368
Oct 179365 124529 54836
Nov 181878 126271 55607
Dec 179349 124515 54834
Jan 180803 125522 55281
Feb 177906 123510 54397
2147314 1490751.3 656563.7 4294629
A/c -10 8.33%

A/c -21 0.50%

A/c-22 0.01%
A/c -1 3.67%

A/c -2 1.10%

Contribution
Wages on Employee
which EPF is 's contri -

Total
Calculated bution
(12%) (12%)

Mar 972094 116651 35638 10796 81014 4966 231 249296 233303
Apr 1560260 187175 57230 17108 129947 7856 365 399681 374352
May 1607111 192795 58942 17710 133852 8154 363 411816 385589
Jun 1606180 192682 58908 17703 133774 8157 355 411579 385364
Jul 1561214 187285 57258 17190 130028 7918 352 400031 374571
Aug 1553747 186388 56988 17112 129404 7878 346 398116 372780
Sep 1508460 180955 55331 16602 125627 7641 339 386495 361913
Oct 1497599 179650 54926 16484 124728 7587 336 383711 359304
Nov 1515363 181782 55581 16677 126205 7676 339 388260 363568
Dec 1483464 177958 54409 16324 123551 7513 338 380093 355918
Jan 1497162 179594 54912 16471 124681 7587 340 383585 359187
Feb 1477117 177186 54177 16246 123010 7486 338 378443 354373
17839772 2140101 654300 196423 1485821 90419 4042 4571106 4280222

Mar 116943 81216 35727


Apr 185425 128716 56709
May 195689 135841 59848
Jun 193586 134402 59184
Jul 188116 130584 57532
Aug 187153 129916 57237
Sep 181089 125721 55368
Oct 179365 124529 54836
Nov 181878 126271 55607
Dec 179349 124515 54834
Jan 180803 125522 55281
178086 54452 123635
2147482 1421685 725798 4294965
-14743 184
A/c -10 8.33%
A/c -1 3.67%

Difference
Deposited
Wages on Employee

difference

Deposited
which EPF is 's contri - Deposite
Calculated bution d
(12%) (12%)

Mar 972094 116651 116943 -292 35638 35727 -89 81014 81216 -202
Apr 1560260 187175 185425 1750 57230 56709 521 129947 128716 1231
May 1607111 192795 195689 -2894 58942 59848 -906 133852 135841 -1989
Jun 1606180 192682 193586 -904 58908 59184 -276 133774 134402 -628
Jul 1561214 187285 188116 -831 57258 57532 -274 130028 130584 -556
Aug 1553747 186388 187153 -765 56988 57237 -249 129404 129916 -512
Sep 1508460 180955 181089 -134 55331 55368 -37 125627 125721 -94
Oct 1497599 179650 179365 285 54926 54836 90 124728 124529 199
Nov 1515363 181782 181878 -96 55581 55607 -26 126205 126271 -66
Dec 1483464 177958 179349 -1391 54409 54834 -425 123551 124515 -964
Jan 1497162 179594 180803 -1209 54912 55281 -369 124681 125522 -841
Feb 0 123010

16362655 1962915 -6481 600123 -2040 1E+06 -4422

12 8.33 3.67
Mar 116943 81216 35727
Apr 185425 128716 56709
May 195689 135841 59848
Jun 193586 134402 59184
Jul 188116 130584 57532
Aug 187153 129916 57237
Sep 181089 125721 55368
Oct 179365 124529 54836
Nov 181878 126271 55607
Dec 179349 124515 54834
Jan 180803 125522 55281
Feb
-12943

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