8/3/2019 Demo Form 3a

1/93

Account Number MH/105299/1 4. Name and

address of the

ame / Surname SAMRATH RAJKUMAR Establishment

ather's / Husband NARSHINA 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 4494.00 539.00 165.00 374.00 NILR 4423.00 531.00 162.00 369.00 NILY 5082.00 610.00 187.00 423.00 NIL

NE 4894.00 587.00 180.00 407.00 NIL

LY 4800.00 576.00 176.00 400.00 NILG 5215.00 626.00 191.00 435.00 NILPT 4292.00 515.00 158.00 357.00 NILT 4959.00 595.00 182.00 413.00 NILV 4864.00 584.00 179.00 405.00 NILC 4864.00 584.00 179.00 405.00 NIL

n-08 4483.00 538.00 165.00 373.00 NILB 4660.00 559.00 171.00 388.00 NILTotal 57030.00 6844.00 2095.00 4749.00

arks A) Date of Leaving Service Nill

B) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 8939/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 4749/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature of E

e - BARSHI

Director

Sanghvi Quality Produ

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of DPeriod

Non

contrib

servic

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

SANGHVI QUALITY PRODUCTS PVT.

85/87 Industrial Estate No. 2 ,BARSHI D

SOLAPUR

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

8/3/2019 Demo Form 3a

2/93

Account Number MH/105299/2 4. Name and

address of the

ame / Surname VANVE RAMLING Establishment

ather's / Husband NARSU 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

ARCH/APR 2007 4580.00 550.00 168.00 382.00 NILR 4706.00 565.00 173.00 392.00 NIL

AY 5082.00 610.00 187.00 423.00 NILNE 4611.00 554.00 170.00 384.00 NILLY 4518.00 542.00 166.00 376.00 NILG 5211.00 626.00 191.00 435.00 NILPT 4769.00 572.00 175.00 397.00 NILT 4769.00 572.00 175.00 397.00 NILV 4864.00 584.00 179.00 405.00 NILC 4864.00 584.00 179.00 405.00 NIL

n-08 5150.00 618.00 189.00 429.00 NILB 4868.00 584.00 179.00 405.00 NILTotal 57992.00 6961.00 2131.00 4830.00

marks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 9092has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 4830

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under th

rules.

ed Signature

e BARSHI

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No.

Pe

con

ser

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS P

85/87 Industrial Estate No. 2 ,BARS

SOLAPUR

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

8/3/2019 Demo Form 3a

3/93

ccount Number MH/105299/3 4. Name and

address of the

ame / Surname WAGHMARE SANJAY Establishment

ather's / Husband NIVRUTI 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F. Difference

(4)-A

RCH/APR 2007 4580.00 550.00 168.00 382.00 NIL 0R 4423.00 531.00 162.00 369.00 NIL 0Y 4706.00 565.00 173.00 392.00 NIL 0NE 4611.00 554.00 170.00 384.00 NIL 0LY 4894.00 587.00 180.00 407.00 NIL 0G 5216.00 626.00 191.00 435.00 NIL 0PT 4769.00 572.00 175.00 397.00 NIL 0T 4959.00 595.00 182.00 413.00 NIL 0

V 4769.00 572.00 175.00 397.00 NIL 0C 4673.00 561.00 172.00 389.00 NIL 0-08 5150.00 618.00 189.00 429.00 NIL 0

B 4771.00 573.00 175.00 398.00 NIL 0Total 57521.00 6904.00 2112.00 4792.00 0

arks A) Date of Leaving Service / / NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 9016/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 4792/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature of Employe

e - BARSHI

Director

Sanghvi Quality Produ

B r hi

onth and Year (1) Amount ofWages (2)

C o n t r i b u t i o n s Pension

FundContrib

Refund

ofAdvanc

No. of

Days/Period

-

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY

PRODUCTS PVT. LTD. 85/87

Industrial Estate No. 2 ,BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

8/3/2019 Demo Form 3a

4/93

ccount Number MH/105299/5 4. Name and

address of the

ame / Surname ZINJURADE ATUL Establishment

ather's / Husband VYANKATESH 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 5186.00 622.00 190.00 432.00 NILR 5186.00 622.00 190.00 432.00 NILY 5601.00 672.00 206.00 466.00 NIL

NE 5394.00 647.00 198.00 449.00 NIL

LY 4875.00 585.00 179.00 406.00 NILG 5624.00 675.00 206.00 469.00 NILPT 2940.00 353.00 108.00 245.00 NILT 5670.00 680.00 208.00 472.00 NILV 5145.00 617.00 189.00 428.00 NILC 5459.00 655.00 200.00 455.00 NIL-08 5670.00 680.00 208.00 472.00 NIL

B 5233.00 628.00 192.00 436.00 NILTotal 61983.00 7436.00 2274.00 5162.00

arks A) Date of Leaving Service Nill

B) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 9710/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 5162/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature of E

e - BARSHI

Director

Sanghvi Quality Produ

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Perio

Non

contrib

servic

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI D

SOLAPUR

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

8/3/2019 Demo Form 3a

5/93

ccount Number MH/105299/7 4. Name and

address of the

ame / Surname DESHMUKH SUNIL Establishment

ather's / Husband MADHUKAR 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 4667.00 560.00 171.00 389.00 NILR 4706.00 565.00 173.00 392.00 NILY 5082.00 610.00 187.00 423.00 NIL

NE 4894.00 587.00 180.00 407.00 NIL

LY 4894.00 587.00 180.00 407.00 NILG 5216.00 626.00 191.00 435.00 NILPT 4769.00 572.00 175.00 397.00 NILT 5150.00 618.00 189.00 429.00 NILV 4960.00 595.00 182.00 413.00 NILC 4959.00 595.00 182.00 413.00 NIL-08 5150.00 618.00 189.00 429.00 NIL

B 4966.00 596.00 182.00 414.00 NILTotal 59413.00 7129.00 2181.00 4948.00

arks A) Date of Leaving Service Nill

B) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 9310/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 4948/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature of E

e - BARSHI

Director

Sanghvi Quality Produ

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Perio

Non

contrib

servic

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI D

SOLAPUR

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

8/3/2019 Demo Form 3a

6/93

ccount Number MH/105299/9 4. Name and

address of the

ame / Surname SHAKHRE PRAFULLA Establishment

ather's / Husband LAXMAN 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 4667.00 560.00 171.00 389.00 NILR 4706.00 565.00 173.00 392.00 NILY 5082.00 610.00 187.00 423.00 NIL

NE 4894.00 587.00 180.00 407.00 NIL

LY 4518.00 542.00 166.00 376.00 NILG 5211.00 626.00 191.00 435.00 NILPT 4864.00 584.00 179.00 405.00 NILT 4959.00 595.00 182.00 413.00 NILV 4960.00 595.00 182.00 413.00 NILC 4959.00 595.00 182.00 413.00 NIL-08 5150.00 618.00 189.00 429.00 NIL

B 4966.00 596.00 182.00 414.00 NILTotal 58936.00 7073.00 2164.00 4909.00

arks A) Date of Leaving Service Nill

B) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 9237/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 4909/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature of E

e - BARSHI

Director

Sanghvi Quality Produ

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Perio

Non

contrib

servic

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI D

SOLAPUR

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

8/3/2019 Demo Form 3a

7/93

8/3/2019 Demo Form 3a

8/93

ccount Number MH/105299/13 4. Name and

address of the

ame / Surname JAMDAR DIGAMBAR Establishment

ather's / Husband SHIVAJI 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 4062.00 488.00 149.00 339.00 NILR 4517.00 542.00 166.00 376.00 NILY 4800.00 576.00 176.00 400.00 NIL

NE 4517.00 542.00 166.00 376.00 NIL

LY 4706.00 565.00 173.00 392.00 NILG 5213.00 626.00 191.00 435.00 NILPT 4769.00 572.00 175.00 397.00 NILT 5150.00 618.00 189.00 429.00 NILV 4673.00 561.00 172.00 389.00 NILC 4483.00 538.00 165.00 373.00 NIL-08 4960.00 595.00 182.00 413.00 NIL

B 4962.00 596.00 182.00 414.00 NILTotal 56812.00 6819.00 2086.00 4733.00

arks A) Date of Leaving Service Nill

B) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 8905/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 4733/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature of E

e - BARSHI

Director

Sanghvi Quality Produ

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Perio

Non

contrib

servic

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI D

SOLAPUR

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

8/3/2019 Demo Form 3a

9/93

ccount Number MH/105299/14 4. Name and

address of the

ame / Surname MALI VITTHAL Establishment

ather's / Husband NAMDEO 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 4580.00 550.00 168.00 382.00 NILR 4517.00 542.00 166.00 376.00 NILY 4988.00 599.00 183.00 416.00 NIL

NE 4894.00 587.00 180.00 407.00 NIL

LY 4329.00 520.00 159.00 361.00 NILG 5208.00 625.00 191.00 434.00 NILPT 4578.00 549.00 168.00 381.00 NILT 4864.00 584.00 179.00 405.00 NILV 4769.00 572.00 175.00 397.00 NILC 4864.00 584.00 179.00 405.00 NIL-08 4960.00 595.00 182.00 413.00 NIL

B 4378.00 525.00 161.00 364.00 NILTotal 56929.00 6832.00 2091.00 4741.00

arks A) Date of Leaving Service Nill

B) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 8923/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 4741/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature of E

e - BARSHI

Director

Sanghvi Quality Produ

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Perio

Non

contrib

servic

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI D

SOLAPUR

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

8/3/2019 Demo Form 3a

10/93

ccount Number MH/105299/15 4. Name and

address of the

ame / Surname ATTAR SARTAJ Establishment

ather's / Husband RASHID 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 6224.00 747.00 228.00 519.00 NILR 6148.00 738.00 226.00 512.00 NILY 6394.00 767.00 235.00 532.00 NIL

NE 6394.00 767.00 235.00 532.00 NIL

LY 6394.00 767.00 235.00 532.00 NILG 6774.00 813.00 249.00 564.00 NILPT 5963.00 716.00 219.00 497.00 NILT 6460.00 775.00 237.00 538.00 NILV 6460.00 775.00 237.00 538.00 NILC 6459.00 775.00 237.00 538.00 NIL-08 6708.00 805.00 246.00 559.00 NIL

B 6408.00 769.00 235.00 534.00 NILTotal 76786.00 9214.00 2819.00 6395.00

arks A) Date of Leaving Service Nill

B) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 12033/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 6395/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature of E

e - BARSHI

Director

Sanghvi Quality Produ

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Perio

Non

contrib

servic

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI D

SOLAPUR

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

8/3/2019 Demo Form 3a

11/93

ccount Number MH/105299/16 4. Name and

address of the

ame / Surname KULKARNI GANESH Establishment

ather's / Husband BHASKAR 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 4667.00 560.00 171.00 389.00 NILR 4706.00 565.00 173.00 392.00 NILY 4894.00 587.00 180.00 407.00 NIL

NE 4706.00 565.00 173.00 392.00 NIL

LY 4894.00 587.00 180.00 407.00 NILG 5025.00 603.00 184.00 419.00 NILPT 4673.00 561.00 172.00 389.00 NILT 4960.00 595.00 182.00 413.00 NILV 4960.00 595.00 182.00 413.00 NILC 4959.00 595.00 182.00 413.00 NIL-08 4960.00 595.00 182.00 413.00 NIL

B 4962.00 595.00 182.00 413.00 NILTotal 58366.00 7003.00 2143.00 4860.00

arks A) Date of Leaving Service Nill

B) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 9146/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 4860/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature of E

e - BARSHI

Director

Sanghvi Quality Produ

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Perio

Non

contrib

servic

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI D

SOLAPUR

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

8/3/2019 Demo Form 3a

12/93

ccount Number MH/105299/17 4. Name and

address of the

ame / Surname JADHWAR RAMESH Establishment

ather's / Husband PRABHU 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 4667.00 560.00 171.00 389.00 NILR 4706.00 565.00 173.00 392.00 NILY 4894.00 587.00 180.00 407.00 NIL

NE 4706.00 565.00 173.00 392.00 NIL

LY 4706.00 565.00 173.00 392.00 NILG 5213.00 626.00 191.00 435.00 NILPT 4769.00 572.00 175.00 397.00 NILT 5150.00 618.00 189.00 429.00 NILV 4960.00 595.00 182.00 413.00 NILC 4959.00 595.00 182.00 413.00 NIL-08 5150.00 618.00 189.00 429.00 NIL

B 4966.00 596.00 182.00 414.00 NILTotal 58846.00 7062.00 2160.00 4902.00

arks A) Date of Leaving Service Nill

B) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 9222/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 4902/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature of E

e - BARSHI

Director

Sanghvi Quality Produ

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Perio

Non

contrib

servic

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI D

SOLAPUR

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

8/3/2019 Demo Form 3a

13/93

ccount Number MH/105299/27 4. Name and

address of the

ame / Surname SANGHVI NAYANESH Establishment

ather's / Husband MANOHARLAL 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 6500.00 780.00 239.00 541.00 NILR 6500.00 780.00 239.00 541.00 NILY 6500.00 780.00 239.00 541.00 NIL

NE 6500.00 780.00 239.00 541.00 NIL

LY 6500.00 780.00 239.00 541.00 NILG 6500.00 780.00 239.00 541.00 NILPT 6500.00 780.00 239.00 541.00 NILT 6500.00 780.00 239.00 541.00 NILV 6500.00 780.00 239.00 541.00 NILC 6500.00 780.00 239.00 541.00 NIL-08 6500.00 780.00 239.00 541.00 NIL

B 6500.00 780.00 239.00 541.00 NILTotal 78000.00 9360.00 2868.00 6492.00

arks A) Date of Leaving Service Nill

B) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 12228/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 6492/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature of E

e - BARSHI

Director

Sanghvi Quality Produ

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Perio

Non

contrib

servic

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI D

SOLAPUR

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

8/3/2019 Demo Form 3a

14/93

ccount Number MH/105299/29 4. Name and

address of the

ame / Surname SANGHVI VINAYKUMAR Establishment

ather's / Husband MANOHARLAL 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 6500.00 780.00 239.00 541.00 NILR 6500.00 780.00 239.00 541.00 NILY 6500.00 780.00 239.00 541.00 NIL

NE 6500.00 780.00 239.00 541.00 NIL

LY 6500.00 780.00 239.00 541.00 NILG 6500.00 780.00 239.00 541.00 NILPT 6500.00 780.00 239.00 541.00 NILT 6500.00 780.00 239.00 541.00 NILV 6500.00 780.00 239.00 541.00 NILC 6500.00 780.00 239.00 541.00 NIL-08 6500.00 780.00 239.00 541.00 NIL

B 6500.00 780.00 239.00 541.00 NILTotal 78000.00 9360.00 2868.00 6492.00

arks A) Date of Leaving Service Nill

B) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 12228/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 6492/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature of E

e - BARSHI

Director

Sanghvi Quality Produ

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Perio

Non

contrib

servic

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI D

SOLAPUR

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

8/3/2019 Demo Form 3a

15/93

ccount Number MH/105299/31 4. Name and

address of the

ame / Surname KHODWAY ANIL Establishment

ather's / Husband AMBRUSHI 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 4667.00 560.00 171.00 389.00 NILR 4706.00 565.00 173.00 392.00 NILY 5082.00 610.00 187.00 423.00 NIL

NE 4894.00 587.00 180.00 407.00 NIL

LY 4894.00 587.00 180.00 407.00 NILG 5216.00 626.00 191.00 435.00 NILPT 4769.00 572.00 175.00 397.00 NILT 5150.00 618.00 189.00 429.00 NILV 4769.00 572.00 175.00 397.00 NILC 3815.00 458.00 140.00 318.00 NIL-08 6295.00 756.00 231.00 525.00 NIL

B 4966.00 596.00 182.00 414.00 NILTotal 59223.00 7107.00 2174.00 4933.00

arks A) Date of Leaving Service Nill

B) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 9281/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 4933/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature of E

e - BARSHI

Director

Sanghvi Quality Produ

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Perio

Non

contrib

servic

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI D

SOLAPUR

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

8/3/2019 Demo Form 3a

16/93

ccount Number MH/105299/32 4. Name and

address of the

ame / Surname MULEY SUBHAS Establishment

ather's / Husband PRABHAKAR 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 6500.00 780.00 239.00 541.00 NILR 6500.00 780.00 239.00 541.00 NILY 6500.00 780.00 239.00 541.00 NIL

NE 6500.00 780.00 239.00 541.00 NIL

LY 6500.00 780.00 239.00 541.00 NILG 6500.00 780.00 239.00 541.00 NILPT 6500.00 780.00 239.00 541.00 NILT 6500.00 780.00 239.00 541.00 NILV 6500.00 780.00 239.00 541.00 NILC 6500.00 780.00 239.00 541.00 NIL-08 6500.00 780.00 239.00 541.00 NIL

B 6500.00 780.00 239.00 541.00 NILTotal 78000.00 9360.00 2868.00 6492.00

arks A) Date of Leaving Service Nill

B) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 12228/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 6492/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature of

e - BARSHI

Director

Sanghvi Quality Produ

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT85/87 Industrial Estate No. 2 ,BARSHI D

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of

Period

contrib

servic

The Employee's Family Pension Scheme, 1995

(Para 19)

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

8/3/2019 Demo Form 3a

17/93

ccount Number MH/105299/34 4. Name and

address of the

ame / Surname KULKARNI ARUN Establishment

ather's / Husband ANANTRAO 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 4580.00 550.00 168.00 382.00 NILR 4706.00 565.00 173.00 392.00 NILY 4612.00 554.00 170.00 384.00 NILNE 4894.00 587.00 180.00 407.00 NILLY 4141.00 497.00 152.00 345.00 NILG 5015.00 602.00 184.00 418.00 NILPT 4578.00 550.00 168.00 382.00 NIL

T 4864.00 584.00 179.00 405.00 NILV 4960.00 595.00 182.00 413.00 NILC 4864.00 584.00 179.00 405.00 NIL-08 4960.00 595.00 182.00 413.00 NIL

B 4962.00 595.00 182.00 413.00 NILTotal 57136.00 6858.00 2099.00 4759.00

arks A) Date of Leaving Service / NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 8957/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 4759/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature o

e - BARSHI

Director

Sanghvi Quality Produ

Barshi

The Employee's Family Pension Scheme, 1995

(Para 19)

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT.

85/87 Industrial Estate No. 2 ,BARSHI D

SOLAPUR

onth and Year (1) Amount ofWages (2)

C o n t r i b u t i o n s Pension

FundContribution

(4)-B

Refund

ofAdvance

(5)

No. of

PerioNo

contri

8/3/2019 Demo Form 3a

18/93

Account Number MH/105299/36 4. Name and

address of the

ame / Surname SHIKH KABIR Establishment

ather's / Husband ISAK 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR

07

5186.00 622.00 190.00 432.00 NIL

R 5186.00 622.00 190.00 432.00 NILY 5601.00 672.00 206.00 466.00 NIL

NE 5394.00 647.00 198.00 449.00 NILLY 5394.00 647.00 198.00 449.00 NILG 5735.00 688.00 210.00 478.00 NILPT 5459.00 655.00 200.00 455.00 NILT 5460.00 655.00 200.00 455.00 NILV 5459.00 655.00 200.00 455.00 NILC 5459.00 655.00 200.00 455.00 NIL

n-08 1890.00 227.00 69.00 158.00 NILB 5057.00 607.00 186.00 421.00 NILTotal 61280.00 7352.00 2247.00 5105.00

arks A) Date of Leaving Service / / NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card isRs. 9599/-

has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10Rs. 5105/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature o

e - BARSHI

Director

Sanghvi Quality Produ

Barshi

The Employee's Family Pension Scheme, 1995

(Para 19)

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT. L

85/87 Industrial Estate No. 2 ,BARSHI D

SOLAPUR

onth and Year

(1)

Amount of

Wages (2)

C o n t r i b u t i o n s

Pension FundContribution

(4)-B

Refund ofAdvance

(5)

No. of

PeriNo

contr

8/3/2019 Demo Form 3a

19/93

Account Number MH/105299/37 4. Name and

address of the

ame / Surname BHALERAO MILLIND Establishment

ather's / Husband KESHAV 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Hig NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)

E.P.F.

Difference (4)

A

RCH/APR

07

4147.00 498.00 152.00 346.00 NIL

R 4140.00 497.00 152.00 345.00 NILY 4563.00 548.00 168.00 380.00 NILNE 4394.00 527.00 161.00 366.00 NILLY 4394.00 527.00 161.00 366.00 NIL

G 4697.00 564.00 172.00 392.00 NILPT 4288.00 515.00 158.00 357.00 NILT 4631.00 556.00 170.00 386.00 NILV 4459.00 535.00 164.00 371.00 NILC 4459.00 535.00 164.00 371.00 NIL-08 4631.00 556.00 170.00 386.00 NIL

B 4485.00 538.00 164.00 374.00 NILTotal 53288.00 6396.00 1956.00 4440.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service Nill

C) Certified that the Total amount of contribution indicated in this card is Rs. 8352/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 4440/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature

e - BARSHI

Director

Sanghvi Quality Products

Barshi

The Employee's Family Pension Scheme, 1995

(Para 19)

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT. LTD.

Industrial Estate No. 2 ,BARSHI DIST. SOLA

onth and Year

(1)

Amount of

Wages (2)

C o n t r i b u t i o n sPension Fund

Contribution

(4)-B

Refund of

Advance (5)

No. oPeriod

contr

serv

8/3/2019 Demo Form 3a

20/93

ccount Number MH/105299/38 4. Name andaddress of the

ame / Surname MURGUDE DATTATRY Establishment

ather's / Husband LIMBRAJ 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 3459.00 415.00 127.00 288.00 NILR 3575.00 429.00 131.00 298.00 NILY 3940.00 473.00 145.00 328.00 NIL

NE 3794.00 455.00 139.00 316.00 NILLY 3648.00 438.00 134.00 304.00 NILG 3774.00 453.00 139.00 314.00 NILPT 3711.00 445.00 136.00 309.00 NILT 3859.00 463.00 142.00 321.00 NIL

V 3711.00 445.00 136.00 309.00 NILC 3711.00 445.00 136.00 309.00 NIL-08 3563.00 428.00 131.00 297.00 NIL

B 3668.00 440.00 135.00 305.00 NILTotal 44413.00 5329.00 1631.00 3698.00

arks A) Date of Leaving Service / / NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6960/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3698/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signature

e - BARSHI

Direct

Sanghvi Quality Prod

Barsh

The Employee's Family Pension Scheme, 1995

(Para 19)

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT. LIndustrial Estate No. 2 ,BARSHI DIST. SO

nth and Year (1) Amount ofWages (2)

C o n t r i b u t i o n sPension Fund

Contribution(4)-B

Refund of

Advance(5)

No.

Periocon

ser

8/3/2019 Demo Form 3a

21/93

ccount Number MH/105299/39 4. Name and

address of the

ame / Surname DESHPANDE GIRISH Establishment

ther's / Husband VINAYAK 5. Statutory Rate 12.00%

me of Contribution

6. Voluntary HigherNILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)

E.P.F.

Difference (4)-A

RCH/APR

7

3840.00 461.00 141.00 320.00 NIL

R 4225.00 507.00 155.00 352.00 NILY 4225.00 507.00 155.00 352.00 NIL

NE 4394.00 527.00 161.00 366.00 NILY 4394.00 527.00 161.00 366.00 NIL

G 4697.00 564.00 172.00 392.00 NILPT 4288.00 515.00 158.00 357.00 NILT 4631.00 556.00 170.00 386.00 NILV 4288.00 515.00 158.00 357.00 NIL

C 4459.00 535.00 164.00 371.00 NIL-08 4460.00 535.00 164.00 371.00 NIL

B 4481.00 538.00 164.00 374.00 NILTotal 52382.00 6287.00 1923.00 4364.00

arks A) Date of Leaving Service / / NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 8210/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 4364/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.d Signatu

e - BARSHI

Director

Sanghvi Quality Products Pvt. Lt

Barshi

The Employee's Family Pension Scheme, 1995

(Para 19)

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT. LTD. 85/87

Estate No. 2 ,BARSHI DIST. SOLAPUR

nth and Year

(1)

Amount of

Wages (2)

C o n t r i b u t i o n sPension Fund

Contribution

(4)-B

Refund of

Advance (5)

No. of Days/

Non-contr

servic

8/3/2019 Demo Form 3a

22/93

8/3/2019 Demo Form 3a

23/93

ccount Number MH/105299/42 4. Name and

address of theame / Surname MANE NETAJI Establishment

ther's / Husban BHARAT 5. Statutory Rate 12.00%

me of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F. Difference

(4)-A

RCH/APR7

3394.00 407.00 125.00 282.00 NIL

R 3502.00 420.00 128.00 292.00 NILY 3648.00 438.00 134.00 304.00 NILNE 3502.00 420.00 129.00 291.00 NILY 3283.00 394.00 120.00 274.00 NIL

G 3694.00 444.00 136.00 308.00 NILPT 3711.00 446.00 137.00 309.00 NILT 3711.00 445.00 136.00 309.00 NILV 3488.00 419.00 128.00 291.00 NILC 3563.00 428.00 131.00 297.00 NIL-08 3711.00 445.00 136.00 309.00 NIL

B 3672.00 441.00 135.00 306.00 NILTotal 42879.00 5147.00 1575.00 3572.00

arks A) Date of Leaving Service / / NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6722/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3572/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signatu

e - BARSHI

Director

Sanghvi Quality Products Pvt. Ltd

B r hi

The Employee's Family Pension Scheme, 1995

(Para 19)

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT. LTD. 85/87 In

Estate No. 2 ,BARSHI DIST. SOLAPUR

Month and

Year (1)

Amount of

Wages (2)

C o n t r i b u t i o n sPension Fund

Contribution

(4)-B

Refund of

Advance (5)

No. of Days

Non-cont

servic

8/3/2019 Demo Form 3a

24/93

ccount Numb MH/105299/43 4. Name andaddress of the

ame / Surnam KSHIRSAGAR NAGESHWAR Establishment

ther's / HusbaAPPARAO 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Highe NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-

A

RCH/APR

7

3394.00 407.00 125.00 282.00 NIL

R 3648.00 438.00 134.00 304.00 NILY 3721.00 447.00 137.00 310.00 NIL

NE 3502.00 420.00 129.00 291.00 NILLY 3794.00 455.00 139.00 316.00 NILG 3925.00 471.00 144.00 327.00 NILPT 3637.00 437.00 134.00 303.00 NILT 3859.00 463.00 142.00 321.00 NILV 3785.00 454.00 139.00 315.00 NILC 3859.00 463.00 142.00 321.00 NIL-08 3934.00 472.00 144.00 328.00 NIL

B 3525.00 423.00 129.00 294.00 NILTotal 44583.00 5350.00 1638.00 3712.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6988/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3712/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

d Signatur

e - BARSHI

Dir r

The Employee's Family Pension Scheme, 1995

(Para 19)

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT. LTD. 85/87 IndusNo. 2 ,BARSHI DIST. SOLAPUR

onth and

Year (1)

Amount of

Wages (2)

C o n t r i b u t i o n sPension Fund

Contribution(4)-B

Refund of

Advance (5)

No. of Days/ P

Non-contriservice

8/3/2019 Demo Form 3a

25/93

Account Number MH/105299/45 4. Name and

address of the

ame / Surname JAMDAR BALASAHEB Establishment

ather's / Husband MADHUKAR 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 3263.00 392.00 120.00 272.00 NILR 3648.00 438.00 134.00 304.00 NILY 3502.00 420.00 129.00 291.00 NIL

NE 3502.00 420.00 129.00 291.00 NILLY 3502.00 420.00 129.00 291.00 NILG 3920.00 471.00 144.00 327.00 NILPT 3711.00 446.00 137.00 309.00 NILT 3711.00 445.00 136.00 309.00 NILV 3414.00 410.00 125.00 285.00 NILC 3637.00 437.00 134.00 303.00 NIL

n-08 3860.00 463.00 142.00 321.00 NILB 3600.00 432.00 132.00 300.00 NILTotal 43270.00 5194.00 1591.00 3603.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6785/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3603/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

26/93

Account Number MH/105299/46 4. Name and

address of the

ame / Surname DESHAMUKH SAMPAT Establishment

ather's / Husband HANUMANT 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 3524.00 423.00 129.00 294.00 NILR 3502.00 420.00 128.00 292.00 NILY 3940.00 473.00 145.00 328.00 NIL

NE 3794.00 455.00 139.00 316.00 NILLY 3794.00 456.00 139.00 317.00 NILG 4073.00 489.00 150.00 339.00 NILPT 3414.00 410.00 125.00 285.00 NILT 4008.00 481.00 147.00 334.00 NILV 3711.00 445.00 136.00 309.00 NILC 2523.00 303.00 93.00 210.00 NIL

n-08 3860.00 463.00 142.00 321.00 NILB 3828.00 459.00 140.00 319.00 NILTotal 43971.00 5277.00 1613.00 3664.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6890/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3664/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

27/93

Account Number MH/105299/47 4. Name and

address of the

ame / Surname KAMBLE RUPCHAND Establishment

ather's / Husband LAXMAN 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 3524.00 423.00 129.00 294.00 NILR 3210.00 385.00 118.00 267.00 NILY 3721.00 447.00 137.00 310.00 NIL

NE 3794.00 455.00 139.00 316.00 NILLY 3283.00 394.00 120.00 274.00 NILG 3619.00 435.00 133.00 302.00 NILPT 3860.00 463.00 142.00 321.00 NILT 3859.00 463.00 142.00 321.00 NILV 3859.00 463.00 142.00 321.00 NILC 3711.00 445.00 136.00 309.00 NIL

n-08 3563.00 428.00 131.00 297.00 NILB 3897.00 468.00 143.00 325.00 NILTotal 43900.00 5269.00 1612.00 3657.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6881/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3657/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

28/93

Account Nu MH/105299/48 4. Name and

address of the

Name / Surn SADAVARTE ABHAYKUMAR Establishment

ather's / Hu KASHINATH 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Highe NIL

Rate of EmployeeContribution, if any

Worker's Share Employer's Share

E.P.F. (3)

E.P.F.

Difference (4)-

A

ARCH/AP

2007

3524.00 423.00 129.00 294.00 NIL

R 3648.00 438.00 134.00 304.00 NILAY 3502.00 420.00 129.00 291.00 NILNE 3502.00 420.00 129.00 291.00 NILLY 3721.00 447.00 137.00 310.00 NILG 3924.00 471.00 144.00 327.00 NILPT 3860.00 463.00 142.00 321.00 NIL

CT 3859.00 463.00 142.00 321.00 NIL

OV 3859.00 463.00 142.00 321.00 NILC 3859.00 463.00 142.00 321.00 NIL

n-08 3563.00 428.00 131.00 297.00 NILB 3897.00 468.00 143.00 325.00 NILTotal 44718.00 5367.00 1644.00 3723.00

marks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 7011/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3723/-

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

LTD. 85/87 Industrial Estate No. 2 ,BAR

DIST. SOLAPUR

onth and

Year (1)

Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contributi

on (4)-B

Refund of

Advance

(5)

No.

Day

Perio

Non

contrib

g serv

(6

8/3/2019 Demo Form 3a

29/93

Account Number MH/105299/49 4. Name and

address of the

ame / Surname BHOSALE RAJARAM Establishment

ather's / Husband SHIVMURTI 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 3524.00 423.00 129.00 294.00 NILR 3648.00 438.00 134.00 304.00 NILY 3794.00 455.00 139.00 316.00 NIL

NE 3429.00 412.00 126.00 286.00 NILLY 3502.00 420.00 129.00 291.00 NILG 4068.00 489.00 150.00 339.00 NILPT 3711.00 446.00 137.00 309.00 NILT 3711.00 445.00 136.00 309.00 NILV 3414.00 410.00 125.00 285.00 NILC 3711.00 445.00 136.00 309.00 NIL

n-08 3860.00 463.00 142.00 321.00 NILB 3676.00 441.00 135.00 306.00 NILTotal 44048.00 5287.00 1618.00 3669.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 7011/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3669/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

30/93

Account Number MH/105299/50 4. Name and

address of the

ame / Surname JAGADALE MAHESH Establishment

ather's / Husband SUNIL 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 2089.00 251.00 77.00 174.00 NILR 3064.00 368.00 113.00 255.00 NILY 3940.00 473.00 145.00 328.00 NIL

NE 3210.00 385.00 118.00 267.00 NILLY 3794.00 455.00 139.00 316.00 NILG 3925.00 471.00 144.00 327.00 NILPT 3711.00 445.00 136.00 309.00 NILT 4008.00 481.00 147.00 334.00 NILV 3860.00 463.00 142.00 321.00 NILC 3414.00 410.00 125.00 285.00 NIL

n-08 2969.00 356.00 109.00 247.00 NILB 3120.00 375.00 115.00 260.00 NILTotal 41104.00 4933.00 1510.00 3423.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6443/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3423/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

31/93

Account Number MH/105299/51 4. Name and

address of the

ame / Surname PANDHARE VAIBHAV Establishment

ather's / Husband SURESH 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 2480.00 298.00 91.00 207.00 NILR 3064.00 368.00 113.00 255.00 NILY 3648.00 438.00 134.00 304.00 NIL

NE 3502.00 420.00 128.00 292.00 NILLY 3502.00 420.00 129.00 291.00 NILG 3920.00 470.00 144.00 326.00 NILPT 3563.00 428.00 131.00 297.00 NILT 4008.00 481.00 147.00 334.00 NILV 3711.00 445.00 136.00 309.00 NILC 3859.00 463.00 142.00 321.00 NIL

n-08 3711.00 445.00 136.00 309.00 NILB 3139.00 377.00 115.00 262.00 NILTotal 42107.00 5053.00 1546.00 3507.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6599/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3507/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

32/93

Account Number MH/105299/52 4. Name and

address of the

ame / Surname DHUS VIJAY Establishment

ather's / Husband EKANATH 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 3002.00 360.00 110.00 250.00 NILR 2772.00 333.00 102.00 231.00 NILY 3940.00 473.00 145.00 328.00 NIL

NE 3210.00 385.00 118.00 267.00 NILLY 3356.00 403.00 123.00 280.00 NILG 3621.00 435.00 133.00 302.00 NILPT 3266.00 392.00 120.00 272.00 NILT 3859.00 463.00 142.00 321.00 NILV 3860.00 463.00 142.00 321.00 NILC 3563.00 428.00 131.00 297.00 NIL

n-08 3711.00 445.00 136.00 309.00 NILB 3900.00 468.00 143.00 325.00 NILTotal 42060.00 5048.00 1545.00 3503.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6593/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3503/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

33/93

Account Number MH/105299/53 4. Name and

address of the

ame / Surname KADAM SANDEEP Establishment

ather's / Husband DATTATRYA 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 3494.00 419.00 128.00 291.00 NILR 3145.00 377.00 115.00 262.00 NILY 3669.00 440.00 135.00 305.00 NIL

NE 3894.00 467.00 143.00 324.00 NILLY 3370.00 404.00 124.00 280.00 NILG 4169.00 501.00 153.00 348.00 NILPT 3731.00 448.00 137.00 311.00 NILT 3807.00 457.00 140.00 317.00 NILV 3807.00 457.00 140.00 317.00 NILC 3807.00 457.00 140.00 317.00 NIL

n-08 4035.00 484.00 148.00 336.00 NILB 2675.00 321.00 98.00 223.00 NILTotal 43603.00 5232.00 1601.00 3631.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6833/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3631/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

34/93

Account Number MH/105299/56 4. Name and

address of the

ame / Surname PATIL KIRAN Establishment

ather's / Husband KUBIR 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 3524.00 423.00 129.00 294.00 NILR 3648.00 438.00 134.00 304.00 NILY 3429.00 412.00 126.00 286.00 NIL

NE 3794.00 455.00 139.00 316.00 NILLY 3502.00 420.00 129.00 291.00 NILG 3994.00 480.00 147.00 333.00 NILPT 3117.00 374.00 114.00 260.00 NILT 2895.00 348.00 106.00 242.00 NILV 3711.00 445.00 136.00 309.00 NILC 3340.00 401.00 123.00 278.00 NIL

n-08 4008.00 481.00 147.00 334.00 NILB 3908.00 469.00 143.00 326.00 NILTotal 42870.00 5146.00 1573.00 3573.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 8719/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3573/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

35/93

Account Number MH/105299/57 4. Name and

address of the

ame / Surname PATIL SANTOSH Establishment

ather's / Husband SHAHAJIRAO 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 3628.00 435.00 133.00 302.00 NILR 3744.00 449.00 137.00 312.00 NILY 4044.00 485.00 148.00 337.00 NIL

NE 3894.00 467.00 143.00 324.00 NILLY 3894.00 467.00 143.00 324.00 NILG 5216.00 626.00 191.00 435.00 NILPT 4483.00 538.00 165.00 373.00 NILT 5150.00 618.00 189.00 429.00 NILV 4959.00 595.00 182.00 413.00 NILC 4959.00 595.00 182.00 413.00 NIL

n-08 5150.00 618.00 189.00 429.00 NILB 4771.00 573.00 175.00 398.00 NILTotal 53892.00 6466.00 1977.00 4489.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 8443/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 4489/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

36/93

Account Number MH/105299/58 4. Name and

address of the

ame / Surname BEDHMUTHA ANAND Establishment

ather's / Husband RIKHABCHAND 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 3628.00 435.00 133.00 302.00 NILR 3744.00 449.00 137.00 312.00 NILY 4044.00 485.00 148.00 337.00 NIL

NE 3894.00 467.00 143.00 324.00 NILLY 3894.00 467.00 143.00 324.00 NILG 5216.00 626.00 191.00 435.00 NILPT 4769.00 572.00 175.00 397.00 NILT 5150.00 618.00 189.00 429.00 NILV 4959.00 595.00 182.00 413.00 NILC 4959.00 595.00 182.00 413.00 NIL

n-08 5150.00 618.00 189.00 429.00 NILB 4966.00 596.00 182.00 414.00 NILTotal 54373.00 6523.00 1994.00 4529.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 8517/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 4529/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

37/93

Account Number MH/105299/59 4. Name and

address of the

ame / Surname CHIKANE HANUMANT Establishment

ather's / Husband PARMESHWAR 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 3421.00 411.00 126.00 285.00 NILR 2699.00 324.00 99.00 225.00 NILY 3836.00 460.00 141.00 319.00 NIL

NE 3410.00 409.00 125.00 284.00 NILLY 3552.00 426.00 130.00 296.00 NILG 3967.00 476.00 146.00 330.00 NILPT 2603.00 312.00 96.00 216.00 NILT 3904.00 468.00 143.00 325.00 NILV 3760.00 451.00 138.00 313.00 NILC 3615.00 434.00 133.00 301.00 NIL

n-08 3181.00 382.00 117.00 265.00 NILB 3496.00 420.00 129.00 291.00 NILTotal 41444.00 4973.00 1523.00 3450.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6496/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3450/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

38/93

Account Number MH/105299/60 4. Name and

address of the

ame / Surname TAKALE SHAHUBA Establishment

ather's / Husband BHIVA 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 3421.00 411.00 126.00 285.00 NILR 3552.00 426.00 130.00 296.00 NILY 3836.00 460.00 141.00 319.00 NIL

NE 3410.00 409.00 125.00 284.00 NILLY 3694.00 443.00 136.00 307.00 NILG 3680.00 442.00 135.00 307.00 NILPT 3615.00 434.00 133.00 301.00 NILT 3615.00 434.00 133.00 301.00 NILV 3760.00 451.00 138.00 313.00 NILC 3470.00 417.00 128.00 289.00 NIL

n-08 3904.00 468.00 143.00 325.00 NILB 3812.00 458.00 140.00 318.00 NILTotal 43769.00 5253.00 1608.00 3645.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6861/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3645/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

39/93

Account Number MH/105299/61 4. Name and

address of the

ame / Surname GARANDE SANJAY Establishment

ather's / Husband VITTHAL 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 1647.00 198.00 61.00 137.00 NILR 3268.00 392.00 120.00 272.00 NILY 2699.00 324.00 99.00 225.00 NIL

NE 3410.00 409.00 125.00 284.00 NILLY 3694.00 443.00 136.00 307.00 NILG 3970.00 476.00 146.00 330.00 NILPT 3615.00 434.00 133.00 301.00 NILT 3326.00 399.00 122.00 277.00 NILV 3615.00 434.00 133.00 301.00 NILC 3470.00 417.00 128.00 289.00 NIL

n-08 3904.00 468.00 143.00 325.00 NILB 3812.00 458.00 140.00 318.00 NILTotal 40430.00 4852.00 1486.00 3366.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6338/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3366/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

40/93

Account Number MH/105299/62 4. Name and

address of the

ame / Surname MULIK SADASHIV Establishment

ather's / Husband JOTIRAM 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 5705.00 685.00 210.00 475.00 NILR 5763.00 692.00 212.00 480.00 NILY 6224.00 747.00 228.00 519.00 NIL

NE 5533.00 664.00 203.00 461.00 NILLY 5994.00 719.00 220.00 499.00 NILG 6358.00 763.00 233.00 530.00 NILPT 5826.00 699.00 214.00 485.00 NILT 6292.00 755.00 231.00 524.00 NILV 6059.00 727.00 222.00 505.00 NILC 6059.00 727.00 222.00 505.00 NIL

n-08 6293.00 755.00 231.00 524.00 NILB 6023.00 723.00 221.00 502.00 NILTotal 72129.00 8656.00 2647.00 6009.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 11303/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 6009/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

41/93

Account Number MH/105299/63 4. Name and

address of the

ame / Surname KSHIRSAGAR DHANANJAY Establishment

ather's / Husband LIMBRAJ 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 2914.00 350.00 107.00 243.00 NILR 3126.00 375.00 115.00 260.00 NILY 3410.00 409.00 125.00 284.00 NIL

NE 3268.00 392.00 120.00 272.00 NILLY 3694.00 443.00 136.00 307.00 NILG 3825.00 459.00 140.00 319.00 NILPT 3615.00 434.00 133.00 301.00 NILT 3904.00 468.00 143.00 325.00 NILV 3760.00 451.00 138.00 313.00 NILC 3326.00 399.00 122.00 277.00 NIL

n-08 3326.00 399.00 122.00 277.00 NILB 3574.00 429.00 131.00 298.00 NILTotal 41742.00 5008.00 1532.00 3476.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6540/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3476/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

42/93

Account Number MH/105299/64 4. Name and

address of the

ame / Surname SHINDE SACHIN Establishment

ather's / Husband APPASHAHEB 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 3421.00 411.00 126.00 285.00 NILR 2699.00 324.00 99.00 225.00 NILY 3694.00 443.00 135.00 308.00 NIL

NE 2273.00 273.00 84.00 189.00 NILLY 1989.00 239.00 73.00 166.00 NILG 3072.00 369.00 113.00 256.00 NILPT 3037.00 365.00 112.00 253.00 NILT 3326.00 399.00 122.00 277.00 NILV 3615.00 434.00 133.00 301.00 NILC 3759.00 451.00 138.00 313.00 NIL

n-08 3904.00 468.00 143.00 325.00 NILB 3812.00 457.00 140.00 317.00 NILTotal 38601.00 4633.00 1418.00 3215.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6051/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3215/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

43/93

Account Number MH/105299/65 4. Name and

address of the

ame / Surname KATMORE ATUL Establishment

ather's / Husband BHARAT 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 3294.00 395.00 121.00 274.00 NILR 3552.00 426.00 130.00 296.00 NILY 3836.00 460.00 141.00 319.00 NIL

NE 3410.00 409.00 125.00 284.00 NILLY 3694.00 443.00 136.00 307.00 NILG 3970.00 476.00 145.00 331.00 NILPT 3470.00 416.00 127.00 289.00 NILT 3470.00 416.00 127.00 289.00 NILV 3470.00 417.00 128.00 289.00 NILC 3036.00 365.00 112.00 253.00 NIL

n-08 3615.00 434.00 133.00 301.00 NILB 3656.00 439.00 134.00 305.00 NILTotal 42473.00 5096.00 1559.00 3537.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6655/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3537/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

44/93

Account Number MH/105299/66 4. Name and

address of the

ame / Surname GHAVANE SACHIN Establishment

ather's / Husband NAMDEO 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 3421.00 411.00 126.00 285.00 NILR 3552.00 426.00 130.00 296.00 NILY 2842.00 341.00 104.00 237.00 NIL

NE 3410.00 409.00 125.00 284.00 NILLY 3552.00 426.00 130.00 296.00 NILG 3678.00 441.00 135.00 306.00 NILPT 3326.00 399.00 122.00 277.00 NILT 3904.00 468.00 143.00 325.00 NILV 3760.00 451.00 138.00 313.00 NILC 3615.00 434.00 133.00 301.00 NIL

n-08 3760.00 451.00 138.00 313.00 NILB 3808.00 457.00 140.00 317.00 NILTotal 42628.00 5114.00 1564.00 3550.00

arks A) Date of Leaving Service NillB) Reason for Leaving Service NillC) Certified that the Total amount of contribution indicated in this card is Rs. 6678/-has already been remitted in full in EPF A/c No. 1 and Pension A/c No. 10 Rs. 3550/-

1. Certified that the Difference between the Total of the Contribution shown under Cols. 3 & 4(a)

& 4(b) of the above table and that arrived at on the total wages shown in Col (2) at theprescribed rate is solely due to the rounding off of contribution to the nearest rupees one under the

rules.

ed Signature of Em

e BARSHI

(For Unexempted Establishment only)

FORM - 3A (Revised)

The Employee's Provident Funds scheme, 1952

(Para 35 and 42)

And

The Employee's Family Pension Scheme, 1995

(Para 19)

Contribution Card for the currency period from

SANGHVI QUALITY PRODUCTS PVT

85/87 Industrial Estate No. 2 ,BARSHI

SOLAPUR

onth and Year (1)Amount of

Wages (2)

C o n t r i b u t i o n s

Pension

Fund

Contribution

(4)-B

Refund

of

Advance

(5)

No. of D

Period

Non

contrib

servic

8/3/2019 Demo Form 3a

45/93

8/3/2019 Demo Form 3a

46/93

Account Number MH/105299/68 4. Name and

address of the

ame / Surname VAIRAT RAVINDRA Establishment

ather's / Husband BALKRISHANA 5. Statutory Rate 12.00%

ame of Contribution

6. Voluntary Higher NILRate of Employee

Contribution, if any

Worker's Share Employer's Share

E.P.F. (3)E.P.F.

Difference (4)-A

RCH/APR 2007 3421.00 411.00 126.00 285.00 NILR 2415.00 290.00 89.00 201.00 NILY 3836.00 460.00 141.00 319.00 NI