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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
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
17848086
double entry
RESIGNED ON 02/02/2006
RESIGNED ON 03/02/2006
4770/- 3657
RESIGNED ON 24-4-06
Transferred to District Amritsar
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
Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Dated:
NOTE : Signature of employer with office seal
(1)In respect of the form3A sent to regional office during the course of currency period for the purpose of final settlement of
the account of the member who has left service Details of date & reason for leaving service should be furnished under col
7(a) and 7(b)
(2) In respect of those who are not members of the Pension Fund the employees share of contribution to the EPF will be
10% or 12% as the case may be and is to be shown under Columns 4(a)
The Employees' Provident Fund Scheme 1952 (Paras 35 & 42) and
The Employees' Pension Scheme 1995 (Para 19) Form 3A(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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
e of final settlement of
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be furnished under col
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be furnished under col
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be furnished under col
e of final settlement of
be furnished under col
n to the EPF will be
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
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be furnished under col
e of final settlement of
be furnished under col
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be furnished under col
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be furnished under col
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e of final settlement of
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e of final settlement of
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e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
NGH CHALOTRA
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
UMAR SONDHI
he above table and that
ontributions to the
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
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be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
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be furnished under col
e of final settlement of
be furnished under col
n to the EPF will be
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
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e of final settlement of
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e of final settlement of
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be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
OHAN SINGH
he above table and that
ontributions to the
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
UP SHARMA
he above table and that
ontributions to the
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
n to the EPF will be
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
n to the EPF will be
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
RJIT PARHAR
he above table and that
ontributions to the
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
NGH BUDWAL
he above table and that
ontributions to the
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
H BHARDWAJ
he above table and that
ontributions to the
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
AR SANGRA
he above table and that
ontributions to the
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
NGH AHLUWALIA
GH AHLUWALIA
he above table and that
ontributions to the
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
NGH NIJJAR
he above table and that
ontributions to the
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
n to the EPF will be
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
e of final settlement of
be furnished under col
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-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
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
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