PROVIDENT
FundConfiz-Employee Contributory
Provident Fund- Form “A”

PF Benefit Availed:

Yes

Selected option for Provident Fund:

Do not invest in any profit-based scheme

I hereby apply to become a member of Confiz Employees Contributory Provident Fund.

I hereby declare that I have read the Confiz Employees Contributory Provident Fund Rules and I agree to abide by them and by my subsequent additions to and alternations in the same as may, from time to time, hereafter be made.

I hereby permit and authorize you to deduct from my salary every month an amount equivalent to 10% of my basic salary in the concerned month, as my contribution to the fund with effect from:

Provident Fund Nomination: I hereby direct that the amount payable to me from the Confiz Employee Contributory Provident Fund, at the time of my death shall be distributed among the person(s) mentioned below in the manner shown against their names:

01NOMINEE ONE

Full Name ( as per CNIC ) Address

Mohammad Tariq

Address

Siddique Akbar Colony chak 328 J.B khokharki, Toba Tek Singh

CNIC

3330320975113

Relationship with the Member

Father

Percentage of Accumulation to be Paid

60

02NOMINEE TWO

Full Name ( as per CNIC ) Address

Mazhar Ali

Address

Siddique Akbar Colony chak 328 J.B khokharki

CNIC

3330370509171

Relationship with the Member

Brother

Percentage of Accumulation to be Paid

40

Witness 1 | Full Name

CNIC

Signature

Witness 2 | Full Name

CNIC

Signature

Yours Faithfully,

Employee's Name

Azhar Ali

Employee ID

2499

Signature

Signature

PROVIDENTFundConfiz-Employee ContributoryProvident Fund- Form “A”

01NOMINEE ONE

02NOMINEE TWO

Yours Faithfully,

PROVIDENT
FundConfiz-Employee Contributory
Provident Fund- Form “A”