Employees Pension Scheme 1995 Form Sample
EMPLOYEES’ PENSION SCHEME, 1995
Form 10-C (EPS)
Form for claiming withdrawal benefit / Scheme Certificate
Form No. 10-C is to be filled for up withdrawal benefit if service is 6 months or
Who can apply ?
1. A member of the Employees’ Family Pension Scheme, 1971 / Employees’
Pension Scheme, 1995.
(a) Who has lelf the employment before completion of 10 years service.
(b) Who has attained the age of 58 years before completion of 10 years
service – whether in service / left the service.
(c) Family / legal heir can prefer t he withdrawal benefit claim in the case of
a member, who attained the age of 58 years before completion of 10
years of eligible service and died thereafter without claiming the said
2. A member, who has completed 10 years service on the date of his leaving the
service and has not attained the age3 of 50 years on the date of a filing this
application or has attained the age of 50 years on the date of filing this
application or has attained the age of 50 years or more but less than 58 years
and not willing for reduced pension.
Note : 1. To determine the period of 10 years service rendered from 1-3-1971 to
15-11-1995 (if any) shall also be taken.
(i) A member, who has completed 10 years service and attained the
age of 58 years, whether in service or not, is eligible for Monthly
(ii) A member, who has completed 10 years service and also attained
the age of 50 years is eligible to draw pension at redu ced rate,
after leaving the employment.
(iii) A member, who has left the service on account of total and
permanent disablement, irrespective of his and period of service, is
eligible for monthly disablement pension.
(iv) To claim the Monthly pen s ion, application in Form 10-D should be
3. Type of benefit eligible
A member falling under item I above is eligible to get the amount towards
with drawal benefit.
However, a member failing under item 1(a) above is advised to opt for the
Scheme Certificate on account of following advantages:
(i) On taking up employment in another establishment, his earlier service
period will be carried forward and clubbing both the spells together
pension entitlement shall be regulated.
(ii) If the member does not take up employment and dies before attaing the
age of 58 years. His family will get family pension. On his survival, he
will get withdrawal benefit with weightage as may be prescribed.
(iii) While availing a Scheme Certificate, there is no bar to withdraw the P.F.
accumulation by the member.
(iv) From No. 10-C is to be filled up for withdrawal benefit if service is 6
months or more.
4. Guidance for filling the application :
(Sr. No. given below refers to the one given in the application.)
Employees Pension Scheme 1995 Form Sample PDF
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