Application for Final withdrawal of General Provident Fund.

A compilation by a
Retiring / Retired Government Servant.

To,

The Accountant General,

Pakistan Revenues,
Islamabad.
Sir,
I have / will relinquish the charge of the office post ____________ on
______________ consequent upon retirement proceeding on LPR/Resignation/
Dismissal /Discharge. I, therefore, request that my General Provident Fund dues may
please be paid to me. The requisite information is given below:-

1- Name with Fathers Name ______________________________________

2- Subscribers Account No(s) _____________________________________

3- Name of the Officer(s) in

whose audit jurisdiction served before transfer
to the jurisdiction of your office and Account No.2
allotted. ____________________________________________________

4- The amount and month of last

fund deduction _______________________________________________

5- Name of Office (AGs) DAO/Treasury/NBP Branch

where the payment is desired. ___________________________________

6- a) Specimen signatures
in triplicate. ____________________________________________
b) Identity Card No. ________________________________________
c) In the absence (a) & (b) other marks/ particulars
of Identification may be furnished. ___________________________

7- If any insurance policy was financed out of

GP Fund Account the following information
may be furnished. ________________________________________

a) Name of the Insurance Policy ________________________________

b) No & Date of Insurance Policy _______________________________
c) Insurance Policy with the subscriber for the audit/
Account Advance(s) Office. __________________________________

P.T.O.
 ( 2 )

8- Particulars of GP Fund was drawn

during last 12 months ___________________________________

9- If no advance from GP Fund

was drawn during last 12 months Certified that No Advance
the certificate given opposite may from GP Fund was drawn
be signed by the head of office in by the subscriber during__
respect of Government servants last 12 months.
of BPS 1-15 while the Govt. servants
of BPS-16 and above may sign the
certificate themselves.

Signature________________________

Yours Obediently

Signature________________________
Postal/Residential
Address_________________________
_________________________
Signature___________________________
FORM - III
Application for Final withdrawal of General Provident Fund Accumulation
By Legal Heir of a Deceased Government servant.

(PART-I ) (To be filled in by the Applicant)

To,

The Accountant General,

Pakistan Revenues,
Islamabad.
Sir,

My ___________________________________________(relationship with the

deceased) expired while in Government service, and I being the legal heirs,
therefore, requested that the G.P Fund dues of the deceased may please be paid to
me.

The requisite information is given below:-

1. Name of Subscriber. ____________________________________
2. His Fathers Name. ____________________________________
3. Designation at the time of death. ____________________________________
4. Account Number. ____________________________________
5. Name of the offices/AG/DAO/ ____________________________________
Treasury) where the payment
is desired.
6. i]N. I. C. NO. ____________________________________

ii] Specimen Signatures 1.____________ 2.____________ 3.____________

in triplicate.
7. If there is no nomination, the following documents be attached:-
i) List of Family members marital status, ages, names and relationship
with the deceased, showing amount payable to each of them (duly
attested).

ii) Guardianship /Succession Certificate from a civil court or

Identity Bond if amount of each minor heir exceeds Rs.5000/-
______________________

(Signature of
Applicant)