guidelines to fill pf closure forms

PF closure Forms filling Guidelines_____________________________________________________________________________________________

PF Closure process

Associates willing to close the Provident Fund from Cognizant have to fill PF settlement Form – 19 & 10C.

GUIDELINES TO FILL PF CLOSURE FORM 19 & 10C

FORM – 19 – Page - 1

POINT NO. 1 - Name

POINT NO. 2 - Father’s Name (OR) Husband’s Name in case of Married Woman

POINT NO. 3 - Name & Address of the Establishment

Cognizant Technology Solutions India Private LimitedNew No 165, Old No 110,

Menon Eternity building, St. Mary’s Road, Alwarpet,Chennai – 600 018.

POINT NO. 4 - TN/MS/31309/XXXXX (XXXXX Please refer your Pay slip for PF no.)POINT NO. 5 - Date of Release (Last Date in CTS)POINT NO. 6 - Reasons for Leaving Services – PERSONAL / RESIGNED

POINT NO. 7 - Your permanent address (Any further communication will be sent to

this address)

POINT NO. 8 - Mode of RemittanceYou need to select (B) By Account Payee cheque sent for direct

credit to my account in the Scheduled Bank

S.B. Account No. - MANDATORYName of the Bank - MANDATORYBranch - MANDATORYFull Address of the Bank - MANDATORY

Bank’s Accepted(SBI / IOB / IB / HDFC / CITI BANK / AXIS / ICICI / ANDHRA BANK)

You need to mention your DATE OF JOINING & DATE OF BIRTH under CERTIFIED THAT THE PARTICULARS ARE TRUE TO THE BEST OF MY KNOWLEDGE.

FORM – 19 – Page - 2

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PLEASE READ THE INSTRUCTIONS BEFORE FILLING THE FORM Do not overwrite or use white ink or eraser for corrections Please Do not fill those which are marked ‘FOR OFFICE USE ONLY” Points mentioned below are Mandatory to fill Make sure you print the Form in back to back format


You need sign under Signature of Left / Right hand thumb impression of the member.You need sign under Signature of Left / Right hand thumb impression of the member. (Given in the section “Declaration of the non-employment”) as well. You need to affix a 1 Re. revenue stamp alone & sign across it in ADVANCE STAMPED RECEIPT.

FORM – 10 C – Page - 1

POINT NO. 1 (a) - Name of the Member – Your NamePOINT NO. 1 (b) - Name of the claimant(s) - Your Name

POINT NO. 2 - Date of Birth

POINT NO. 3 (a) - Father’s NamePOINT NO. 3 (b) - Husband’s Name (If applicable)

POINT NO. 4 - Name & Address of the Establishment

Cognizant Technology Solutions India Private LimitedNew No 165, Old No 110,

Menon Eternity building, St. Mary’s Road, Alwarpet,Chennai – 600 018.

POINT NO. 5 - Region - TNSRO Code - MSEsst. Code - 31309Account No. - XXXXX (XXXXX Please refer your Pay slip for PF

no.)

POINT NO. 6 - Reasons for Leaving Services – PERSONAL / RESIGNEDDate of Leaving Service - (Last Date in CTS)

POINT NO. 7 - Your permanent address (Any further communication will be sent to

this address)


POINT NO. 8 - Are you will to accept Scheme Certificate in lieu of Withdrawal

Benefit

If you select YES, you will be getting a Scheme CertificateIf you select NO, you will be getting the Pension amount

POINT NO. 9 - If you select YES in POINT No. 8, you have to furnish Nominee Details If you select NO in POINT No. 8, you need not fill any details

POINT NO. 10 - Need not fill any details

POINT NO. 11 - Mode of Remittance

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You need to select (B) By Account Payee cheque sent for direct credit to

my account in the Scheduled Bank

S.B. Account No. - MANDATORYName of the Bank - MANDATORYBranch - MANDATORYFull Address of the Bank - MANDATORY

POINT NO. 12 - Need not fill any details

You need to sign under Certified THAT THE PARTICULARS ARE TRUE TO THE BEST OF MY KNOWLEDGE


You need to affix a 1 Re. revenue stamp alone & sign across it in ADVANCE STAMPED RECEIPT.

Documents to be enclosed along with the PF Closure Forms: Proof for your Bank A/c. (Copy of Bank Pass Book / Bank statement / Cancelled Cheque)

– (Mandatory)

A letter addressing to Regional Provident Fund Commissioner, Chennai justifying the reason for closing your PF A/c. – (Mandatory)

TIME DURATION FOR SETTLEMENT:

PF Closure forms will be processed only after 60 days from your Date of Release. After submission in PF office it takes around 45 TO 60 days for crediting the amount in

your Bank A/c.

After three months from your Date of Release you can check the status by logging on to http://www.epfochennai.tn.nic.in (or) you can directly call to PF office at 044 – 28132700 & check the status in Group – 23 by referring your PF A/c. with CTS which is in your pay slip (TN/MS/31309/……..).

FOR ANY FURTHER QUERIES YOU CAN REACH:

Contact Person - HR SS (Provident Fund Team)Phone - 044 – 45659176e-mail - [email protected]

Address - Payroll Shared Services – Benefits Team Cognizant Technology Solutions India Pvt. Ltd,

Phase 2, 3rd Floor, No. 1, Veeranam Road, Perungudi Bye Pass, Perungudi, Chennai – 600 096

PS: Please furnish your email ID & contact no (refer page 1 of both forms – right side top)

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mailto:[email protected]

http://www.epfochennai.tn.nic.in/


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