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

PF Benefit Availed:
Yes
Selected option for Provident Fund:
Conventional

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
Memoona Waseem
Address
B 10/225 new mohallah bhoun road chakwal
CNIC
4550435210278
Relationship with the Member
Spouse
Percentage of Accumulation to be Paid
100

02NOMINEE TWO

Full Name ( as per CNIC ) Address
Rukhsana Mubeen
Address
B 10/225 new mohallah bhoun road chakwal
CNIC
3720137534982
Relationship with the Member
Mother
Percentage of Accumulation to be Paid
100
Witness 1 | Full Name
CNIC
Witness 1 Signature
Signature
Witness 2 | Full Name
CNIC
Witness 2 Signautre
Signature

Yours Faithfully,

Employee's Name
Waseem ud Din
Employee ID
2558
Employee Signautre
Signature
HR Authorized Signautre
Signature