8/18/2019 MPJBP0008617000Form6A(20152016)04042016

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AND

THE EMPLOYEES' PROVIDENT FUND SCHEME, 1952

AND THE EMPLOYEES' PENSION SCHEME, 1995 [Paragraph 20(4)]

(PARAGRAPH 43)

[PARAGRAPH 20 (4)]

Statutory rate of the contribution :Name & Address of the

Establishment. :

 Annual statement of contribution for the Currency period 1ST April to 31ST March

Code No. of the Estblishment . : MP/JBP/0008617/000 No.of member voluntarily Contribution at a higher rate :

%12

FORM 6A / FORM 8PS for PF Exempted Establishment

V. F. J. EMP. CO-OP. SOCIETY LTD

 ADHARTAL JABALPUR JABALPUR MADHYA PRADESH 482,001

 0

## : Members who have left during the Currency period 

Pension Fund

8.33%

EPF difference

between 10% & 8.33%

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Amount of worker's

contributions

deducted from the

Name of member ACCOUNT

NO.

Refund of

Advance

SI.NO. Rate of

higher

Voluntary

RemarksWages,retaining allowance(if

any) & DA including cash

value of food concession paid

during the currency period

Employer's Contribution w.e.f

16-11-1995

1 RAM SHANKAR SHUKLA 313,830.00 37,660.00 37,660.00 0.00 0.002

2 SHIV KUMAR TIWARI 39,959.00 4,795.00 4,795.00 0.00 0.003

3 RAMNARAYAN VERMA 348,071.00 41,769.00 41,769.00 0.00 0.004

4 VADAKKEDATH GOVINDAN KUTTY 201,055.00 24,125.00 24,125.00 0.00 0.006

5 GORAKHNATH SINGH 370,452.00 44,454.00 39,454.00 5,000.00 0.007

6 RAJESH KUMAR SHARMA 319,076.00 38,290.00 27,040.00 11,250.00 0.009

7  ANNAMMA JOY 313,794.00 37,656.00 26,406.00 11,250.00 0.0010

8 NARESH SHANKAR SHRIVASTVA 309,098.00 37,091.00 25,841.00 11,250.00 0.0011

9 UMESHCHANDRA TIWARI 321,502.00 38,581.00 27,331.00 11,250.00 0.0014

10 DWARKA PRASAD GOSWAMI 313,794.00 37,656.00 26,406.00 11,250.00 0.0015

11  ALOK KUMAR GOUR 313,794.00 37,656.00 26,406.00 11,250.00 0.0016

12 DINESH KUMAR SHARMA 88,907.00 10,668.00 10,668.00 0.00 0.0017

13 SATISH KUMAR SHUKLA 247,781.00 29,732.00 18,482.00 11,250.00 0.0019

14 RAJKUMAR YADAV 203,897.00 24,470.00 13,220.00 11,250.00 0.0020

15 SAJJAN KUMAR BAHELIYA 146,512.00 17,583.00 6,333.00 11,250.00 0.0021

TOTAL 462,186.00 355,936.00 106,250.00 0.003,851,522.00

Contribution rate for A/c 10/2/21/22 changed to - / - / - / - Wage ceiling is changed to staturatory/disabled

15000/-

8/18/2019 MPJBP0008617000Form6A(20152016)04042016

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EDLI ADM

Charges 0.01%

A/c No.22

Adm. Charges

 A/c No.2

 on 1.1%

EDLI Contribution

A/c No.21

EPF Contributions

including refund of

advances A/c No.1

Amount remitted

Cols 5,6,7 Rs.

Aggregate()

Contributions()

SI.

NO. Pension Fund

Contributions A/c No. 10

I. Total number of contribution cards

enclosed (Form 3A ))

II. Certified that form 3 A duly completed, of

all the members listed in this statement are

enclosed. The F3A already sent during the

course of the currency period for the final

settlement of the concerned member's

account vide 'Remarks' furnished against

the names of the respective members

above,are also enclosed.

Mar. Paid in Apr 1.

2. May

July4.

June3.

December 

8. November 

7.

September 6.

 August5.

 Arrear if any

12. Feb. Paid in Mar 

11. February

10. January

9.

13.

October 

Total

Signature of the Employer(with office seal)Reconciliation of Remittances

NOTE:- (1) The names of all members, including those who had left service during the currency period , should be included in this statement. Where the Form 3- A in respect of such members had left

service, the fact should be stated against the members in the 'Remarks' column.

(2) In case of substantial variation in the wages/contribution of any members as compared to those shown in previous months statement, the reason should be explained adequately in the

'Remarks' column.

(3) In respect of those members who have not opted for Pension Fund their entire employers contribution @ 81/3% or 10% as the case may be shown under column No. 6.

(1) (2) (3) (4) (5) (6) (7) (8)

15

Contribution rate for A/c 10/2/21/22 changed to - / - / - / - Wage ceiling is changed to staturatory/disabled

15000/-