PF Form 10c Download

The Employees Provident Fund Organization provides this Form 10c. Form 10 c is applicable for the EPF account holders for claiming the EPF withdrawal benefits.

EPF Form 10 C Sample Form PDF:

How to Fill EPF Form 10C to for Claiming Withdrawal benefits Online & Offline?

  • EPF 10C Claim Form consists of 12 fields which are mandatory to fill by the applicant at the time of applying for withdrawal of EPF funds.
  • Enter the name of the claimant in capital letters.
  • Enter the Date of Birth.
  • Enter the Father name or Husband name.
  • Enter the name & address of the company in which the EPF member last worked
  • Enter the date of joining the company or factory or establishment.
  • Enter the date of leaving the service.
  • Enter the full address in block letters.
  • Tick whether you are willing to accept the scheme certificate or not.
  • Enter the details of the family members like name, date of birth, relationship with the member and name of the guardian.
  • Enter the name of the Nominee.
  • Enter the bank account details or attach a cancelled cheque.
  • Enter the bank name, Bank address, Branch name, and IFSC code.
  • Enter your full postal address.
  • After entering all the details check once and sign the application form with date.