Form for maintaining accounts of subscribers to a recognised provident fund

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..... n col. 7 1 2 3 4 5 6 7 8 * Balance brought forward April May June .....

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..... Adjustment on account of temporary withdrawals account (columns 9, 10 and 11 only) Adjustment on account of nonrepayable withdrawals account (columns 12, 13 and 14) Total carried over Exempt Not exempt Year and month .....

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..... August September October November .....

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..... Total carried over NON-REPAYABLE WITHDRAWALS ACCOUNT TEMPORARY WITHDRAWALS ACCOUNT Amount Advance Repayment Interest Balance brought forward April April .....

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