59 2 Pf Calculation Sheet
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ABC COMPANY LIMITED
Feb-09
S.No. PF No. Employee Name Basic
Employer Share
8.33%3.67%
(limit is 6500)
1 AP/48131/001 A 32,340 3,881 541 3,340 25,840
2 AP/48131/002 B 0 0 0 0 0
3 AP/48131/003 C 16,800 2,016 541 1,475 10,300
4 AP/48131/004 D 13,814 1,658 541 1,117 7,314
5 AP/48131/005 E 11,592 1,391 541 850 5,092
6 AP/48131/006 F 9,008 1,081 541 540 2,508
7 AP/48131/007 G 8,960 1,075 541 534 2,460
8 AP/48131/008 H 8,680 1,042 541 501 2,180
9 AP/48131/009 I 6,340 761 528 233 0
10 AP/48131/010 J 6,684 802 541 261 184
11 AP/48131/011 K 5,871 705 489 216 0
12 AP/48131/012 L 6,076 729 506 223 0
13 AP/48131/013 M 6,207 745 517 228 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 00 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 00 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
EmployeeShare 12%
Basic more
thanRs.6500/-
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0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
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12 monthlyRelived employees with account nos and thedetials required in form 10
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COMBINED CHALLAN OF A/C No. 1,2,10,21 & 22
STATE BANK OF INDIA
EMPLOYEE'S PROVIDENT FUND ORGANISATION(USE SEPARATE CHALLAN FOR EACH MONTH)
ESTABLISHMENT CODE NO. AP/48131 ACCOUNT GROUP NO PAID BY CHEQUE/CASH CHEQUMonth Year
DUES FOR THE MONTH OF:Employees Share 02 2009 D D M M Y
DATE OF PAYMENT 12 02 2009Employer Share 02 2009
TOTAL NO. OF SUBSCRIBERS
A/c 1
90
A/c 10
90
A/c 21
90
TOTAL WAGES DUE 1,32,372 76,494 76,494
SL. No PARTICULARS
A/C No. 1 A/C No 2. A/C No. 10 A/C No. 21 A/C No.22 TO
PART - 01
1 EMPLOYER'S SHARE OF CONT. 9,518 6,368 382 16,268
2 EMPLOYEE'S SHARE OF CONT. 15,886 15,88
3 ADM. CHARGES 1,456 8 1,464
4 INSP. CHARGES
5 PENAL DAMAGES
6 MISC. PAYMENT (PAST
ACCUMULATIONS ONLY)
TOTAL 25,404 1,456 6,368 382 8 33,61
(AMOUNT IN WORDS) Thirty Three Thousand Six Hundred and Eighteen Only
[FOR BANK'S USE ONLY]
NAME OF ESTABLISHMENT: ABC COMPANY LIMITED AMOUNT RECEIVED Rs.
ADDRESS:HI-TEC CITY,HYDERAVAD
FOR CHEQUES ONLY
DATE OF PRESENTATION
DATE OF REALISATION
NAME OF DEPOSITOR DHARAMA RAO BRANCH NAME
BRANCH CODE NO
. Amount (In Rupees) .
Original / Duplicate / Triplicate / Quadruplic
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Only for un-exempted establishment FORM 12-A (REVISED)
EMPLOYEES' PROVIDENT FUND AND MISC PROVISIONS ACT 1952
EMPLOYEES' PENSION SCHEME [Paragraph 20(4)]
Name and address of the Establishment (To be filled by the EPFO)
ABC COMPANY LIMITED Currency Period from 1st March'2008 to 28 Feb'2009 Establishment status
HI-TEC CITY Group Code
Statement of contribution for the month of Feb-09
Hyderabad - 500 033
Statutory rate of contribution 12%CODE NO: AP 48131
Particulars
Amount of Contribtion Amount of Contribution remitted
Worker's share Employer's Share
1 2 3 4 5 6 7
E.P.F. A/C NO. 01 1,32,372 15,886 9,518 15,886 9,518 1,456 1,456 1 2 0 2 2 0 0
76,494 NIL 6,368 NIL 6,368 NIL NIL 1 2 0 2 2 0 0
76,494 NIL 382 NIL 382 8 8 1 2 0 2 2 0 0
Total No of Employees 90
(a)Contract 0
(b)Rest 0
(c) Total 90
Details of Subscribers E.P.F. Pension Fund EDLI
No.of Subscribers as per last month 90 90 90
No.of New Subscribers (Vide Form5) 0 0 0 Signature of employe
Wages on whichcontributions are
payable
Amount ofadministrativecharges due
Amount ofadministrative
charges remitted
Date of remittence(Enclose triplicate cope
Challan)Recovered from
the workersPayable by the
Employer
PENSION FUND
A/C NO. 10
E.D.L.I. A/C NO.
21
Name and address of the bankin which amount is remitted
State Bank of India, Hi-Tec City
Branch, Cyber Towers, MadhapuHyderabad - 33
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9
9
9
r
is of
,
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The Employees' Provident Fund Scheme, 1952 Form - 10Paragarph 36 (2) (a) and (b)
Employees' Pension Scheme, 1995Paragarph 20 (2)
Return of Members leaving service during the month of : Feb-09Name & Address of the Factory/ Establishment : ABC COMPANY LIMITED
HI-TEC City, Hyderabad.
Code No. of Factory/ Establishment : AP/48131
S. No Account No. Reason for Leaving Service Remarks
1
2
34
5
6
7
8
9
10
11
12
Name of the Member(in BLOCK letters)
Name of the parent ( orname of the spouse if
married)
Date of LeavingService
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The Employees' Provident Fund Scheme, 1952 Form - 5Paragarph 36 (2) (a) and (b)
Employees' Pension Scheme, 1995Paragarph 20 (4)
Return of Employees' qualifying for membership of the Employees' Provident Fund, Employees' Pension Fund & Employees' Deposit Linked Insurance
fund for the first time during the month of Feb-09
To be sent to the Commissioner with Form 2 (EPS & EPF)
Name & Address of the Factory/ Establishment : ABC COMPANY LIMITED,HI-TEC CITY
Hyderabad - 500 033
Code No. of Factory/ Establishment : AP/48131
S. No Account No. Sex Remarks
1
2
3
4
5
6
78
9
10
11
12
13
14
15
Date : 8/17/2011 Signature of the employer or other authorised officer and stamp of the Factory /Establishment
Name of the Member(in BLOCK letters)
Name of the parent ( orname of the spouse if
married)
Date ofBirth
Date ofJoining the
Fund
Total Period ofPrevious Service
as on the date ofjoining the Fund(Enclose scheme
certificate ifapplicable)