im aetartt sfaeq fate atom, 1952 Employees Provident Fund Scheme, 1952 wrt - 31 (BUT) Form — 31 (UAN) (a arrat A ary set ort 11 Gren A atari ar gy faawer, ame eee gar te Get Hear ques, aie ae sae Fae aCe, aR |) (Applicable in cases where employee's complete details in Form 11 (New), Aadhaar Number and Bank Accounts deals ae available on UAN Portal and UAN has been activated) Ararger HAT / Mobile Number TI 1] atater warar sear (0.01) / Universal Account Number WAX) 2 ar (F58e HeRaT A) 7 Name (In capital letters) 3 far ster & few sf age / Purpose for which advance is required 4 | arate aiRtar BY aA (A) /Amount of Advance required (ins) S| arrgmraranrte utes ar Reet cose” cer Mater & ster S sear aaa ae pobre & aree a, aad 1 / | In case of Advance for purpose of site/House/Flat of Construction through an “Agency” ‘or’ Repayment of housing | sta, [om oer A de oT EL Cheque to be drawn ‘in favour of sito, | our’ ar RT Sa / Full Address of “Agency” fet wis / Pin code 6 aera ae a ye Full Postal Ades of Member | Raat ATE / Pincode °F sanftta amcor § rate qe.ws. ute oe vis Pe ae ster at sieht va ee fees aa wet 11 Gem), ar wre fear ger see Bear Ber Ta seer wet TAT 1 certify that T have gone through the data seeded in UAN Portal and found all data, including Form No. 11 (New), bank account details and Aadhar number, to be correct. + reqs, sea oy aete ae ds ard A apart wt | fret de (weer H are, fH Trae ‘Sear ser srg.e, as Ba) SH HET Hea | Please make payment in the bank account mentioned in the UAN portal. A cancelled cheque (containing ‘member's name, bank account number and IFS Code) is attached herewith. aeT a BETTER / Signature of the Member