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How do I fill this out?
To fill out this form, ensure to accurately provide personal details, nominee information, and appropriate signatures. This section will guide you with step-by-step instructions. Follow each step carefully for proper submission.

How to fill out the EPF & EPS Nomination and Declaration Form?
1
Fill in personal details including name, date of birth, and marital status.
2
Provide your account number and permanent/temporary address.
3
List nominee(s) with their relationship, date of birth, and share of accumulations.
4
Sign the form and ensure it is certified by your employer.
5
Ensure all required fields are filled accurately before submission.
Who needs the EPF & EPS Nomination and Declaration Form?
1
Employees who are part of the Employees Provident Fund and Employees Pension Schemes need this form to nominate beneficiaries.
2
Employers who need to certify and acknowledge the nomination made by their employees.
3
New employees who haven't filled out their nomination details yet.
4
Employees who want to update their existing nominee details.
5
Legal guardians of minor nominees can use this form for proper documentation.
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What are the instructions for submitting this form?
Submit the form to your HR department or designated personnel at your workplace. Ensure all details are filled accurately and the form is signed by your employer. Maintain a copy for your records. Advice: Always double-check details before submission to avoid delays.
What are the important dates for this form in 2024 and 2025?
Ensure the form is submitted as per your employer's specified timeline in 2024 and 2025.

What is the purpose of this form?
The Nomination and Declaration Form for Unexempted/Exempted Establishments is essential for employees participating in the Employees Provident Fund and Employees Pension Schemes. By accurately filling out this form, employees can designate their beneficiaries and ensure their provident fund and pension benefits are properly managed in the event of their premature death. This form also needs to be certified by the employer to validate the information provided.

Tell me about this form and its components and fields line-by-line.

- 1. Name (IN BLOCK LETTERS): Provide your full name in BLOCK LETTERS.
- 2. Date of Birth: Enter your date of birth.
- 3. Name (Father's / Husband's Name): Provide your father's or husband's name.
- 4. Sex: Specify your sex: MALE/FEMALE.
- 5. Marital Status: Indicate your marital status.
- 6. Address Permanent / Temporary: Provide your address (permanent or temporary).
- 7. Account No.: Enter your account number.
- 8. PART - A (EPF): Section to nominate the person(s) for EPF.
- 9. Nominee(s) Details: Provide details of the nominee(s), their relationship, and share of accumulations.
- 10. Guardian Details: If nominee is a minor, provide the guardian's name and address.
- 11. PART - (EPS): Section to provide details for Widow/Children Pension.
- 12. Family Member Details: Provide details of family members eligible for pension.
- 13. Nominee for Widow Pension: Nominate a person for receiving monthly widow pension.
- 14. Employer Certification: Employer's certification of the form.
What happens if I fail to submit this form?
Failure to submit this form can result in delays or issues with the distribution of provident fund and pension benefits in the event of the employee's death.
- Unclaimed Benefits: Nominee(s) may not receive entitled benefits if the form is not submitted.
- Pension Distribution Issues: Complications may arise in pension distribution without properly nominated beneficiaries.
How do I know when to use this form?

- 1. New Employees: Fill out this form during your onboarding process.
- 2. Updating Nominee Details: Use it to update nominee details whenever necessary.
- 3. Changing Personal Status: Submit a new form if your marital status or family situation changes.
- 4. Employer Certification: Employers need to certify the form for validation.
Frequently Asked Questions
What is the purpose of this form?
The form is used to nominate beneficiaries under the Employees Provident Fund and Employees Pension Schemes.
How can I fill out this form on PrintFriendly?
Use PrintFriendly's PDF editor to click on fields and enter the required information directly on the form.
Can I update nominee details through this form?
Yes, this form allows you to update your nominee details as needed.
Do I need my employer's signature on this form?
Yes, the form must be certified by your employer or an authorized officer.
Can I sign the document digitally on PrintFriendly?
Yes, you can use PrintFriendly's digital signature tool to sign the document.
How do I share the completed form?
Use PrintFriendly's sharing options to email, generate a link, or export the document.
Are there any special requirements for filling out nominee details?
Ensure nominee details such as relationship, date of birth, and share of accumulations are accurately provided.
Can I save my progress while filling out the form?
Yes, you can save your changes as you fill out the form on PrintFriendly.
Do I need to provide information about guardians for minor nominees?
Yes, details about guardians for minor nominees must be included in the form.
Is this form applicable for both unexempted and exempted establishments?
Yes, the form is used for both unexempted and exempted establishments under the specified schemes.
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