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THE RIGHT TO INFORMATION ACT 2005
APPLICATION FOR OBTAINING INFORMATION
By Speed post AD
To,
CENTRAL PUBLIC INFORMATION OFFICER
OFFICE OF PROVIDENT FUND COMMISSIONER,
EMPLOYEES PROVIDENT FUND ORGANISATION,
SHRI
R.K PAL, RPFC II
BHAVISHYA NIDHI BHAWAN, PLOT NO 43, SECTOR 44,
GURGAON - 122 002 .
BHAVISHYA NIDHI BHAWAN, PLOT NO 43, SECTOR 44,
GURGAON - 122 002 .
1. Name of the
Applicant:
PF a/c No.
2. Full Address:
3. Particulars
of information required
A. Please
let me know present status of my application for withdrawal benefit
certificate.
B. Please
supply me ledger extract/ account summery and balance of my PF a/c _________________
including interests and balance, duly certified by you or the competent
authority.
C. I be
informed details of action so far taken by your office on my application. If no
action is taken, I should be informed reasons thereof and names, designation
and place of present posting of officers responsible for the same.
D. Please
inform me period prescribed by your office for full settlement of P.F. dues of
the employee and action prescribed for not settling claim in prescribed time
limit.
4. I
enclose herewith Indian Postal Order No.__________________ dated__________for
Rs.10/- in favor of “Accounts Officer, EPFO Gurgaon” as application fee.
5.
Information sought by me is required by post. Kindly rush the same. I am an
Indian citizen.
6. I
be intimated details of First Appellate Authority under RTI Act 2005 with detailed postal address.
Date:_____________
Applicant’s Signature
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