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Consolidated Return For Exempted Establishment ( Form 3 PS )

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  • 1. FORM NO.3(PS) THE EMPLOYEES PENSION SCHEME, 1995 [PARAGRAPH 20 (1)] FORM 3 (PS) Consolidated Return of employees who are required become members of the Pension Fund on the date the Pension Scheme comes into force Name & Address of Establishment : Date of Coverage : Industry in which the Estt is engaged : Registration No. of the Estt. : 01-05-1996 Basic Wages DA FATHER'S NAME OR including cash value Date of NAME OF HUSBAND - S.NO. PF A/C NO. EMPLOYEE NAME of food concession SEX DOJ ESTT entitlement for REMARKS IN CASE OF MARRIED & retaining membership WOMAN allowance, if any 39 of 40
  • 2. FORM NO.3(PS) THE EMPLOYEES PENSION SCHEME, 1995 [PARAGRAPH 20 (1)] Basic Wages DA FATHER'S NAME OR including cash value Date of NAME OF HUSBAND - S.NO. PF A/C NO. EMPLOYEE NAME of food concession SEX DOJ ESTT entitlement for REMARKS IN CASE OF MARRIED & retaining membership WOMAN allowance, if any 39 of 40