Indian Institute of Science Education and Research Bhopal Joining Report Dated: _________

The Director Indian Institute of Science Education and Research, Bhopal Indore By-Pass Road, Bhauri, Bhopal - 462 066

Dear Sir, With

reference

to

your

appointment

letter

No.

………………….…….dated…,………I report myself on duty in the forenoon / afternoonof …………………………………… I thank you once again for providing me the opportunity to serve the Institute. I will perform my duties sincerely, honestly and to the best of my abilities. Yours sincerely,

(Signature) Name: …………………………………… Designation ……………………………. Department ……………………………. Date of birth ……………………………

Indian Institute of Science Education and Research Bhopal MEDICAL EXAMINATION REPORT (To be issued by a Govt. Civil Surgeon/ Medical Superintendent of Govt. Hospital) PERSONAL HISTORY 1. Name...........................................................................

2. Designation………………………………………………………. Photo to be attested by Medical Officer

3. PF No.......................................................................... 4. Parent / Guardian's Name........................................... 5. Date of Birth................................................................ 6. Gender…………………………………………………………….. 7. Identification Mark on the Body, If any.................................... (This can be a mole, scar or birthmark) 8. Major illness / operation, if any.............................................. (Specify nature of illness / operation) MEDICAL CERTIFICATE

(The following are to be filled by the Medical Officer Conducting the medical examination)

1. Height...................cm.

2. Weight.........................kg

3. Past History

4. Chest

a) Mental Disease......................

c) Inspiration...................cm

b) Epileptic Fits.........................

d) Expiration....................cm

5. Blood Group..........................

6. Hearing............................

7. Vision with or without glasses a) Right Eye................................

b) Left Eye............................

c) Colour Blindness.................... 8. Respiratory system.................

9. Nervous system................

10. Heart ……………………………..

11. Abdomen …………………...

a) Sounds...................................

c) Liver..................................

b) Murmur…………………………….

d) Spleen...............................

12. a) Hernia..............................

b) Hydrocele..........................

13. Any other defects.............................................................................

Contd….2….

(2)

Certified that Mr./Ms.________________________S/D of Shri ________________ a. Fulfills the prescribed standard or physical fitness and is FIT for job/duties at IISER Bhopal. b. Does not fulfill the prescribed standard of physical fitness and is unfit/temporarily unfit for joining services/duties at IISER Bhopal.

Signature of the Medical Officer Candidate (Minimum qualification MBBS/MD) Full Name..................................................... Medical Registration No................................ Address........................................................ …................................................................. Office Seal Date.......................................

Signature of the

Indian Institute of Science Education and Research Bhopal CHARACTER CERTIFICATE

Certified

that

Son/daughter

I

have of

known

Mr./Ms./………………………………………

Shri…..…………………………………………….for

the

last………….years ……………….months. He/She bears a good moral character and is of ………………….nationality. He/She is not related to me.

Place: Date :

Signature ___________________________ Name (in Capital Letters)

Designation & Address with Stamp

This certificate should be from any one of the following: 1. Gazetted Officer of Central or State Government; 2. Members of Parliament or State Legislature belonging to the constituency where the candidate or his parent/ guardian is ordinarily resident; 3. Sub-Divisional Magistrates/ Officers; 4. Tehsildars or Naib/ Deputy Tehsildars authorized to exercise magisterial powers; 5. Principal/Head Master of the recognized School/ College/ Institution where the candidate studied last; 6. Block Development Officer; 7. Post Masters; 8. Panchayat Inspectors

Indian Institute of Science Education and Research Bhopal

Allegiance to the Constitution

I ……………………………………………., do swear in the name of God/solemnly affirm that I will bear true faith and allegiance to the Constitution of India as by law established, that I will uphold the sovereignty and integrity of India, that I will duly and faithfully and to the best of my ability, knowledge and judgment perform the duties of my office without fear or favour, affection or ill-will and that I will uphold the Constitution and the laws.

Signature Name____________________________ P.F.No. __________________________ Designation______________________ Department______________________

Indian Institute of Science Education and Research Bhopal Oath of Secrecy Date: __________

I,........................................................................have ……………………..……………..at

been

appointed

as

IISER Bhopal, do swear in the name of

God/solemnly affirm that I will bear true faith and allegiance to the Official Secrets Act/Statutes and Central Civil Services (CCS) Conduct rules, and that I will discharge and perform the duties of my office to the best of my ability, knowledge and judgment, without fear or favour, affection or ill will, and that I will not directly or indirectly communicate or reveal to any person any matter which shall be brought under my consideration.

Signature Name____________________________ P.F.No. __________________________ Designation______________________ Department______________________

Indian Institute of Science Education and Research Bhopal

Dated: ___________

Subject: Declaration regarding bigamous marriage

I hereby declare that I have not entered into or contracted a marriage with a person having a spouse living, or who, having a spouse living, have not entered into or contracted a marriage with me.

Signature _______________________ Name____________________________ P.F.No. __________________________ Designation______________________ Department______________________

Indian Institute of Science Education and Research Bhopal

FORM HOME TOWN DECLARATION [ OM No. 43/15/57-Estts. (A) dated 24-6-1958] I, ___________________________hereby declare that my home town is at the place as shown below for the purpose of availing Leave Travel Concession for self and family as notified in the Govt. of India, Ministry of Home Affairs, New Delhi O.M. No.43/1/55/Estts - (A) Part-II dated 11-1-1956. Home Town/Place of visit

Nearest Rly Station

District/Town & State

Remarks

_______________________ Signature Name____________________________ P.F.No. __________________________ Designation______________________ Department______________________ Countersigned by ____________________ Head of Office

Indian Institute of Science Education and Research Bhopal Date: Declaration on Dependent Family Members (1) Personal Details: 1

Name

2

Designation

3

Date of Birth

4

PF No.

5

Date of appointment

(2)

Details of the Dependent Family Members:

S. No.

Name (s) of the member(s) of the family*

Date of Birth

Age as on date

Relationship

Marital Status

Please mention the category : (a) Employed (b) Pensioner (c) Family Pensioner (d) Others

Personal Annual Income of the dependent

1 2 3 4 5

(*)

(i) I hereby undertake to keep the above particulars up-to-date by notifying to the Head of Office any addition or alteration. (ii) Family for this purpose means family as defined in Clause (b) of sub-rule (14) of Rule 54 of the CCS (Pension) Rules, 1972.[http://persmin.gov.in/pension/rules/pencomp7.htm#Family_Pension,_1964] (iii) Wife and husband shall include respectively judicially separated wife and husband. (iv) A self-certified proof of Date of Birth is enclosed in respect of dependent Brothers/Sisters, if any.

Signature of the employee (3)

For the use of controlling unit/office of the HOD Forwarded

Section/Unit I/C (4)

HOD

Administrative Approvals: Checked Verified & submitted for approval

Dealing Assistant

Recommended

Assistant Registrar (Admin.)

Approved as per rules

DOFA/Registrar/Director

Indian Institute of Science Education and Research Bhopal

The Director IISER Bhopal DECLARATION I, ……………………………………………………………………. son/daughter of Shri……………..……………………………………… resident of village/ town/ city

………………………district

…………..………………………

hereby

…………………….………………..

…………….…….…… declare

Community,

that

which

I is

belong

State to

recognized

the as

a

backward class by the Government of India for the purpose of reservation in services as per orders contained in Department of Personnel and Training Office Memorandum No. 36012/22/93-Estt.(SCT), dated 08.09.1993. It is also declared that I do not belong to persons/ sections (Creamy Layer) mentioned in Column 3 of the Schedule to the above-referred Office Memorandum, dated 08.09.1993.

____________________________ Date: ___________________________ address

…………………………………..

…………………………………..

………………………………….. (Note: To be filled only by OBC category)

Signature of the candidate Name & permanent

Indian Institute of Science Education and Research Bhopal Date: _________________

DECLARATION I,

…………………………………………………………………………….

son/daughter village/town/city

of

Shri……………..………………………resident

……………………district

…………….…….……

of State

…………..……………………… hereby declare that my spouse is employed/not employed in Government Service, and she/he is not availing the following facilities for herself/himself or for any of the family members from the parent department/Institute working for. I read the enclosed provisions made in the Government Orders (printed overleaf) in this regard and undertake to inform the Institute as and when there is any change in the status of employment of my spouse in respect of the following conditions. 1) 2) 3) 4) 5) 6) 7) 8) 9) 10)

Medical Attendance/Treatment House Building Advance Children’s Educational Assistance Family Planning Special Increment Leave Travel Concession Traveling Allowance Family Pension House Rent Allowance, if residing in Govt. Quarters Central Government Health Scheme Allotment of Residence

The relevant rules as summarized in the enclosure (appended overleaf) are read and certified that the same will be complied from time to time. I/we understand that any violation will attract legal proceedings and penal provision as per Govt. rules. Signature of Spouse, if employed elsewhere in Govt. establishments. Name P.F.No. Designation Department Address

Signature of Employee Name P.F.No. Designation Department Address

EMPLOYEE DATA SHEET

Affix stamp size photograph

P.F. No. _____________ IISER Bhopal

Name in Full (First Surname)

Married

Single

Male

Female

Mother’s Name (First Surname)

Father’s Name (First Surname)

Present Address (for Communication)

PIN Permanent Address

PIN Fax E-mail Telephone Mobile

Office:

Day

Month

Residence:

Year

6. Date of Birth 7. (b) Category:

7(a). Nationality: SC

ST

OBC

Gen

8. Academic Record starting with Secondary Education: Examination

Branch/ Specialization

College/University/Institute

Year

% of Marks/ Grade

Division

9. Professional Experience Record: Name of Institution / University

Position Held

Date of Joining

Date of Leaving

10. Please provide your family details (dependents only) S. No.

Name

Date of

Relationship

Birth

Present occupation

DECLARATION I,

_____________________________________________

hereby,

declare

that

all

entries in this form are true to the best of my knowledge and belief.

Date: (Signature of the employee) Place:

FORM-III

LETTER OF ADMISSION AND AUTHORITY Date: __________ To, __________________ __________________ __________________

Dear Sir,

Re: Group Savings-Linked Insurance Scheme I wish to join Group Saving-Linked Insurance Scheme arranged with the Life Insurance Corporation of India and request you to admit me as an Insured Member of the Scheme with effect form _____________ . I hereby authorize you to deduct a sum of Rs.__________ as contribution towards the scheme from my salary starting from the salary for the month of ___. I further agree that this letter of authority shall not be revoked by me so long as I am a regular employee. My date of birth, as recorded in ________________ Certificate sent herewith, is ___________. . Yours Faithfully, _____________

(SIGNATURE) Name:_____________________________ (In Block Letters) Badge No. or Salary Roll no. or Membership No._____________________ Designation :_________________________________________________ Department & Office:___________________________________________

FORM – IV

FORM OF APPOINTMENT OF BENEFICIARY I, ____________________________________________________________________ An Insured Member of the ________________________________________________ ___________________Group Saving-Linked Insurance Scheme hereby appoint in terms of Rule No.13 headed ‘Appointment of Beneficiary’ of the Rules governing the Scheme my (relationship)______________ named _______________________________ and whose address is __________________________________________ ________________________________________________________ ________________________________________________________ as the person to be the beneficiary to whom the moneys payable in terms of the Rules of the Scheme shall be paid in the event of my death.

Signed at _______________ this __________________day Of _____________________199_____________.

Signature of Insured Member Witnessed by : 1) i) Signature _____________ ii) Name ________________ iii) Address _________________________________________________________ _________________________________________________________

2) i) Signature______________ ii) Name ________________ iii) Address _________________________________________________________ _________________________________________________________

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ATTESTATION FORM WARNING 1. The furnishing of false information or suppression of any factual information in the Attestation Form would be a disqualification and is likely to render the candidate unfit for employment under the Government/Institute. 2. If detained, convicted, debarred etc subsequent to the completion and submission of the form, the details should be communicated immediately to the Director, IISER Bhopal, failing which it will be deemed to be a suppression of factual information.

Affix a Passport Size coloured Photograph (5x7 cms)

3. If the fact that false information has been furnished, or that there has been suppression of any factual information in the attestation comes to notice at any time during the service of a person, his/ her services would be liable to be terminated. 1. Name in full (in block capitals) with aliases, if any. (Please indicate if you have added or dropped at any stage any part of your name or surname). 2. Present address in full (i.e. Village, Thana and District, or House Number, Lane/ Street/ Road and Town) 3(a). Home address in full (i.e. Village, Thana and District, or House Number, Lane/ Street/ Road and Town) 3(b). If originally a resident of Pakistan, the address in that Country and the date of migration to Indian Union

SURNAME

NAME

4. Particulars of places (with periods of residences) where you have resided for more than one year at a time during the preceding five years. In case of stay abroad (including Pakistan) particulars of all places where you have resided for more than one year after attaining the age of 18 years should be given. Residential address in full Name of the District (i.e. Village Thana and District, or Head-quarters of the From To House Number, Lane/Street/Road and Place mentioned in the Town) preceding column.

NAME

1 (i) Father (name with full aliases, if any)

Nationality (By birth & or by domicile)

Place of birth

2

3

Occupation (if employed, give designation & official address) 4

Present postal address (if not alive, give last address) 5

Permanent Home Address

6

(ii) Mother

(iii) Wife/Husband

(iv) Brother(s)

(v) Sisters(s)

(vi) Children

5. Information to be furnished with regard to son(s) and daughter(s) in case they are studying / living in a foreign country. Name

Nationality (By birth and/ or by domicile)

Place of Birth

1

2

3

Country in which Studying/livin g with full address 4

Date from which studying/ living in the country mentioned in previous column. 5

6. Nationality: ______________________ 7(a) Date of Birth 7(b) Present age 7(c) Age at Matriculation/ High School/ Higher Secondary/SSLC 8(a) Place of birth, District and State in which situated 8(b) District and State to which you belong 8(c) District and State to which your father originally belonged: 9 (a) Your religion 9(b) Are you a member of a Scheduled Caste/ Scheduled Tribe/ OBC? Answer 'Yes' or 'No' and if the answer is 'Yes' state the name thereof 10. Educational Qualification showing place of Education with years in Schools & Colleges (Matriculation onward) Name of School/ College with full address

Date of entering

Date of leaving

Examination Passed

11. (A) Are you holding or have at any time held an appointment under the Central or State Government or Semi -Government or a quasi- Government body, or an autonomous body, or a public undertaking, or a private firm or institution? If so, give full particulars with date of employment up to date. Period Designation, Full Name & address Reasons for leaving emoluments & previous service of employers From To nature of employment

11 (B) Please state,

(i)

(ii)

If the previous employment was under the Govt. of India, a State Govt./ an undertaking owned or controlled by the Govt. of India or a State Govt./ an autonomous body/ University/ Local body? If you had left the service on giving one month's notice under rule 5 of the Central Civil Services (Temporary Service) Rule 1965, or any similar corresponding rules?

(iii)

If any disciplinary proceeding was framed against you?

(iv)

If you were called upon to explain your conduct in any matter at the time you were given the notice of termination of service or at a subsequent date, before your services were actually terminated?

12 (i) (a)

Have you ever been arrested?

Yes/No

(b)

Have you ever been prosecuted?

Yes/No

(c)

Have you ever been kept under detention?

Yes/No

(d)

Have you ever been bound down?

Yes/No

(e)

Have you ever been fined by a court of law?

Yes/No

(f)

Have you ever been convicted by a court of law for any offence?

(g)

Yes/No

Have you ever been debarred from any examination or Rusticated by any University or any other educational authority/ institution?

(h)

Yes/No

Have you ever been debarred/ disqualified by any Public Service Commission from appearing at its examination/selection?

(i)

Is any case pending against you in any court of law at the time of filling up this Attestation Form?

(j)

Yes/No Yes/No

Is any case pending against you in any University or any other Educational authority/ institution at the time of filling up this Attestation Form?

(i)

Note: (i) (ii)

Yes/No

If the answer to any of the above mentioned questions is 'Yes' give full particulars of the /fine/conviction/sentence/punishment etc. and/ or the nature of the case pending in university/educational authority etc. at the time of filling up this form.

Please also see the 'warning' at the top of this Attestation Form Specific answer to each of the questions should be given by striking out 'Yes' or 'No', as the case may be.

13. Name & address of two responsible persons of your locality or two referees to whom you are known.

1. 2.

I certify that the foregoing information is correct and complete to the best of my knowledge and belief. I am not aware of any circumstances, which might impair my fitness for employment under Government/ Institute.

Signature of Candidate............................. Date:

Designation..............................................

Place..............

Department/Section.................................

Indian Institute of Science Education and Research Bhopal New Pension Scheme Annexure-I (Details to be furnished by the Government servant) Name of the Government servant (in Block Letters) Designation

:

Name of Ministry/Deptt./Organization

:

Scale of Pay

:

Date of Birth

:

Date of joining Government service

:

Basic Pay

:

:

Nominee for accumulations the Pension Account : S No.

Name of nominee (s)

Age Date of Birth

(1)

(2)

(3)

Percentage Relationship with of share of the Government payable servant (4) (5)

1. 2. 3. 4.

Signature of the Government servant

Registrar/DOFA

Annexure S1

Page 1

Application for Allotment of Permanent Retirement Account Number (PRAN) (To avoid mistake(s), please follow the accompanying instructions and examples carefully before filling up the form) Acknowledgement No. (To be filled by FC)

To affix recent Coloured photograph (3.5 cm × 2.5 cm)

Permanent Retirement Account Number : (To be filled by FC after PRAN generation )

Sir/Madam, I hereby request that a permanent retirement account number be allotted to me. I give below necessary particulars :

Section A - Subscribers Personal Details ( * Indicates Mandatory Field) 1. Full Name (Full expanded name: initials are not permitted) Please Tick as applicable, Shri Smt. First Name *

Kumari

Middle Name Last Name

2. Gender * Please Tick as applicable,

Male

Female

3. Date of Birth *

4. PAN D

D

M M

Y

Y

Y

Y

(Date of Birth to be Certified by DDO)

5. Father‟s Full Name: First Name * Middle Name Last Name

6. Present Address: Flat/Unit No, Block no. * Name of Premise/Building/Village Area/Locality/Taluka District/Town/City * State / Union Territory * Country *

Pin Code * 7. Permanent Address: If same as above, Please Tick Flat/Unit No, Block no. *

else,

Name of Premise/Building/Village Area/Locality/Taluka District/Town/City * State / Union Territory * Country *

Pin Code * 8. Phone No. STD Code 9. Mobile No.

Phone No.

Signature/Left Thumb Impression of Subscriber in black ink

Annexure S1

Page 2

10. Email ID

11. Subscribers Bank Details: Please refer instruction no. f (4) Bank A/c Number

Savings A/c

Current A/c

Bank Name Bank Branch Bank Address

Pin Code Bank MICR Code

(Wherever applicable)

12. Value Added Services:

i) SMS Alert

Yes

No

ii) Email Alert:

Yes

No

I _____________________________________________________________ , the applicant, do hereby declare that what is stated above is true to the best of my information & belief. Date : D D

M

M

Y

Y

Y

Signature/Left Thumb Impression of Subscriber

Y

Section B - Subscribers Employment Details to be filled and attested by DDO (All Details are Mandatory) 1. Date of Joining

2. Date of Retirement D

D

M

M

Y

Y

Y

Y

D

3. PPAN

D

M

M

Y

Y

Y

Y

(Please refer to instructions No.5.)

4. Group of the Employee (Please Tick)

Group A

Group B

Group C

Group D

5. Office

6. Department

7. Ministry

8. DDO Registration Number

9. DTO Registration Number (Please refer to instructions No.6.)

10. Basic Salary 11. Pay Scale

Certified that the above declaration has been signed / thumb impressed before me by _______________________________________________________ after he / she has read the entries / entries have been read over to him / her by me and got confirmed by him / her. Also certified that the date of birth and employment details is as per employee records available with the Department.

Signature of the Authorised Person Designation of the Authorised Person : _________________________________

Rubber Stamp of the DDO Name of the DDO ______________________

Date : D

D

M

M

Y

Y

Y

Y

Department / Ministry _______________________

Annexure S1

Page 3

Section C - Subscriber’s Nomination Details (* Indicates Mandatory Field for nominee) 1. Name of the Nominee *: 1st Nominee First Name *

First Name *

3rd Nominee First Name *

Middle Name

Middle Name

Middle Name

Last Name

Last Name

Last Name

2. Date of Birth (In case of a minor)*: 1st Nominee

2nd Nominee

3rd Nominee

3. Relationship with the Nominee*: 1st Nominee

2nd Nominee

3rd Nominee

2nd Nominee

4. Percentage Share *: 1st Nominee

% 2nd Nominee

5. Nominee‟s Guardian Details (in case of a minor)*: 1st Nominee‟s Guardian Details First Name *

2nd Nominee‟s Guardian Details First Name *

%

3rd Nominee

3rd Nominee‟s Guardian Details First Name *

Middle Name

Middle Name

Middle Name

Last Name

Last Name

Last Name

6. Conditions rendering nomination invalid: 1st Nominee

2nd Nominee

%

3rd Nominee

Section D - Subscriber Scheme Details 1st Scheme Pension Fund Managers Name/Code

2nd Scheme Pension Fund Managers Name/Code

3rd Scheme Pension Fund Managers Name/Code

Scheme ID No./Name

Scheme ID No./Name

Scheme ID No./Name

Percentage Share %

Percentage Share %

Percentage Share %

Section E - Declaration I understand that there would be PFRDA approved Terms and Conditions for Subscribers on the CRA website governing IPin (to access CRA / NPSCAN and view details) & T-pin. I agree to be bound by the said terms and conditions and understand that CRA may, as approved by PFRDA, amend any of the services completely or partially without any new Declaration/Undertaking being signed.

I _________________________________________________________________ , the applicant, do hereby declare that what is stated above is true to the best of my information & belief. Date : D

D

M M

Y

Y

Y Y Signature/Left Thumb Impression of Subscriber

Annexure S1

Page 4

INSTRUCTIONS FOR FILLING PRAN FORM a) b) c) d) e) f) g)

This form is to be used by State Governments/ Union Territories/State Autonomous Bodies employees Form to be filled legibly in BLOCK LETTERS and in BLACK INK only. Details Marked with (*) are the mandatory fields. Each box, wherever provided, should contain only one character (alphabet/number/punctuation mark) leaving a blank box after each word. 'Individual' Subscriber should affix a recent colour photograph (size 3.5 cm x 2.5 cm) in the space provided on the form. The photograph should not be stapled or clipped to the form. (The clarity of image on PRAN card will depend on the quality and clarity of photograph affixed on the form.) Signature /Left thumb impression should only be within the box provided in the form. The signature should not be on the photograph. If there is any mark on the photograph such that it hinders the clear visibility of the face of the Subscriber, the application will not be accepted. Thumb impression, if used, should be attested by a Magistrate or a Notary Public or a Gazetted Officer under official seal and stamp. Sr. No.

Item No

1 2

3. 6.

3

8, 9, 10

4

11

Item Details

Guidelines for Filling the Form

Section A - Subscribers Personal Details Date of Birth All Dates Should be in “DDMMYYYY” Format Present Address All future communications will be sent to present address. Phone No., Mobile No, It is advisable to mention either “Telephone number” or “Mobile number” or “Email & Email ID id” so that Subscriber can be contacted in future for any discrepancy. Subscriber‟s Bank Details

If Subscribers mentions any of the bank details, except MICR Code all the bank details will be mandatory.

Section B - Subscribers Employment Details It is mandatory to fill the Subscriber‟s Employment details in the application. The employment details should be filled by the respective DDO of the Subscriber and should be verified by the Authorised Signatory. DDO should ratify Overwriting / Striking off of any of the employment details. Kindly provide the PPAN (Permanent Pension Account Number) or equivalent 5 3. PPAN number, if it has been allotted to the subscriber by the respective state government / Union Territory/Central/State Autonomous Bodies. 6

8&9

7

4.

8

5.

DTO Reg. No. & DDO Reg. No.

DTO Reg. No. and DDO Reg. No. is the unique Registration number allotted by Central Recordkeeping Agency.

Section C - Subscriber’s Nomination Details Subscriber can nominate maximum of three nominees. Subscriber can not fill the same nominee details more than once. Percentage share value for all the nominees must be integer. Fractional value will not Percentage Share be accepted. Sum of percentage share across all the nominees must be equal to 100. If sum of percentage is not equal to 100, entire nomination will be rejected. Nominee‟s Guardian If a nominee is a minor, then nominee‟s guardian details will be mandatory. Details Section D - Subscriber scheme details

If the Subscriber is unable to mention the Scheme details i.e. PFM Name, Scheme Name & Percentage Allocation he can contact the nearest Facilitation Centre (FC) for information or the Subscriber can also search for the scheme details on http://www.npscra.nsdl.co.in Subscriber can select maximum three schemes. Details of the schemes are available on http://www.npscra.nsdl.co.in Subscriber can not fill the same scheme details more than once. 9 Scheme If a scheme name is filled in the form for scheme setup there must be a PFM name and percentage contribution filled for that scheme. If the Scheme details are not filled, default scheme as approved by PFRDA will be applicable. Scheme Contribution Value will be in terms of percentage. It cannot be in terms of amount. Percentage contribution value for all the schemes must be integer. Fractional value will not be accepted. 10 Percentage Share If the sum of contributions (in percentage) across all the schemes is not equal to 100, the balance will be allotted to the default scheme approved by PFRDA.

a) b)

c) d)

GENERAL INFORMATION FOR PRAN SUBSCRIBERS Subscribers can obtain the application form for PRAN in the format prescribed by PFRDA (Pension Fund Regulatory & Development Authority) from DDO or can freely download from the CRA website (http://www.npscra.nsdl.co.in). The request for a reprint of PRAN card with the same PRAN details or/and changes or correction in PRAN data can be made by filling up 'Request for change/correction in subscriber master details and/or re-issue of I-Pin/T-Pin/PRAN card’ or/and ‘Request For change in signature and/or change in photograph’. The form is available from the sources mentioned in (a) above. The Subscriber can obtain the status of his/her application from the CRA website or through the respective DTO. For more information Visit us at http://www.npscra.nsdl.co.in Call us at 022-24994200 e-mail us at [email protected] Write to: Central Recordkeeping Agency, National Securities Depository Limited, 4th Floor, „A‟ Wing, Trade World, Kamala Mills Compound, Senapati Bapat Marg, Lower Parel (W), Mumbai - 400 013.