FORM – ‘A’ (Documentary Part)

FOR FINAL SETTLEMENT OF GP FUND IN RESPECT OF

RETIRED / RESIGNED / TERMINATED EMPLOYEE
(To be completed by the office concerned)

Office of_________________________
________________________________
________________________________
No.______________________________ Dated__________________________

Director Accounts (Funds) WAPDA

WAPDA House, Lahore

Subject: Final Settlement of GP Fund A/C No.______________________________________

1. Brief information of the case is as under:-

(a) Name of Employee_____________________ (b) Designation_____________________

(c) Father’s Name_________________________ (d) GPF A/C No.____________________
(e) Date of Appointment____________________ (f) Date of Retirement etc____________
2. Certified that GFP Account No.___________________________ stands allotted to
Mr. / Mrs. / Miss -----------------------------------------------------. Later on, if the GPF Account No. found
to be wrong this office will be responsible for the wrong payment and will also be liable to refund
the amount with interest.
3. An attested copy of the Office Order pertaining to retirement / termination /
acceptance of resignation is enclosed.

4. Prescribed application from duly completed and Counter-Signed is also attached

(appended on the other side).

5. Certified that _________________________________________________________

______________________________________________________________________________
______________________________________________________________________________
(Please Record Above the Applicable Clause Out of Followings)
a. The employee is Muslim and liable to pay Zakat as confirmed by him / her.
b. The employee is Muslim who belongs to Fiqah Jaferia and as such is exempted
from Zakat. A declaration (CZ-50) on Non Judicial Stamped Paper of Rupees one
hundred is attached.
c. The employee belongs to Non-Muslin community and as such is exempted from
Zakat. A declaration on an ordinary paper taken from him / her duly attested is
attached.

6. Particulars of the Office Bank Account :-

Designation of the Drawing & Disbursing Officer______________________________

Bank Account No.______________________________________________________
Name of Bank & Branch ________________________________________________

7. Certified that all GPF deductions made from the employees have been remitted.
Last deduction was made in_________________________ and remitted vide Bank Draft
No. ______________________________________________ dated _____________for
Rs.____________________________.
8. The information / certificates provided above are correct and case is recommended for
payment

HEAD OF OFFICE
WITH STAMP

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 Pakistan Water and Power Development Authority
FORM – ‘A’ (Application Part)

For Final Settlement of GP Fund in Respect of Retired / Resigned / Terminated Employee

(To be completed by the employee concerned duly attested by his / her Head of Office)

To:
___________________________
___________________________
___________________________

Sir,
I have relinquished / will relinquish the charge of the office / post of ______________
on____________________ consequent upon retirement / proceeding on LPR / Resignation /
Dismissal / Discharge vide Office Order No._____________________ dated______________.
I, therefore, request that my GP Fund dues may be paid to me.

The requisite information is given below:-

1. Name of Employee ____________________________________________________

2. Designation ____________________________________________________
3. Father’s Name ____________________________________________________
4. GP Fund Account No. ____________________________________________________
5. Reference to Insurance Policy (if any) financed out of GP Fund Account:-

a. Name of the Insurance Company_________________________________________

b. Number & Date of Insurance Policy________________________________________
c. Insurance Policy was assigned to
(or with the subscriber)_________________________________________________

It is certified that I have neither applied for the payment before this nor received final
payment as yet.

Countersigned (Signature of Claimant)

Full Name_________________________________
Designation________________________________
Postal Address_____________________________
(Head Office) _________________________________________
With stamp _________________________________________

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