Application Form for allotment of GPF A/C No.
(See note :below Rule 13.7 of C..SR Vol II) (to be filled in
1. Name of Subscriber :
2. Father's /Husband 's Name
3. Date of Birth of Subscriber
4. Date of Joining of service of Board
6. Basic pay
7. Monthly rate of subscription to commence i.e after
one year of the date of joining
8. Month from which subscription to commence i.e
after one year of the date of joining
9. D.D.O with whom working
NOTE : This application should include the following :-
1. nomination in respect of GPF , Death -cum-Gratuity and
GIS duly filled in and verified by the DDO concerned in triplicate.
2. List of family members duly signed by the subscriber and
verified by the DDO concerned, in triplicate.
Certificate from DDO.
It is hereby certified that particulars given in the above
application form, nominations and list of family members are
correct as per records and nothing has been concealed therein.
Signature of DDO
(To be filled in at Head quarter) Above particular have been
checked and found correct. GPF A/C No. ____________ may be
A/C No. _______________________ alloted SAO/AO DDO