7/26/2019 MPJBP0008617000Form6A(20142015)21032015

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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 memberACCOUNT

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 575,210.00 69,024.00 69,024.00 0.00 0.002

2 SHIV KUMAR TIWARI 459,986.00 55,197.00 55,197.00 0.00 0.003

3 RAMNARAYAN VERMA 422,932.00 50,753.00 48,589.00 2,164.00 0.004

4 VADAKKEDATH GOVINDAN KUTTY 441,826.00 53,020.00 53,020.00 0.00 0.006

5 GORAKHNATH SINGH 435,722.00 52,287.00 42,250.00 10,037.00 0.007

6 RAJESH KUMAR SHARMA 387,686.00 46,521.00 36,484.00 10,037.00 0.009

7 ANNAMMA JOY 381,250.00 45,753.00 35,716.00 10,037.00 0.0010

8 NARESH SHANKAR SHRIVASTVA 375,630.00 45,074.00 35,037.00 10,037.00 0.0011

9 VIRENDRA KUMAR MISHRA 349,061.00 41,890.00 41,890.00 0.00 0.0013

10 UMESHCHANDRA TIWARI 381,250.00 45,753.00 35,716.00 10,037.00 0.0014

11 DWARKA PRASAD GOSWAMI 381,250.00 45,753.00 35,716.00 10,037.00 0.0015

12 ALOK KUMAR GOUR 381,250.00 45,753.00 35,716.00 10,037.00 0.0016

13 DINESH KUMAR SHARMA 334,448.00 40,134.00 40,134.00 0.00 0.0017

14 SATISH KUMAR SHUKLA 301,104.00 36,131.00 26,094.00 10,037.00 0.0019

15 RAJKUMAR YADAV 247,616.00 29,715.00 19,678.00 10,037.00 0.0020

16 SAJJAN KUMAR BAHELIYA 177,952.00 21,352.00 11,315.00 10,037.00 0.0021

TOTAL724,110.00 621,576.00 102,534.00 0.006,034,173.00

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

15000/-

7/26/2019 MPJBP0008617000Form6A(20142015)21032015

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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 Apr1.

2. May

July4.

June3.

December

8. November

7.

September6.

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)

16

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

15000/-