Beruflich Dokumente
Kultur Dokumente
3. The Person is going abroad post leaving services as a proof of which copy of VISA and Airticket
would be required.
If you meet any of the above conditions, kindly send your following two duly filled forms (Form
19 & Form-10C)
A. Form 19 :
5) Date of Leaving Service - << Pls. mention your Last Working day as per
your relieving letter >>
7) Full Postall Address - << Pls. mention your full postal address >>
Date of Joining - << Pls. mention your Date of Joining in Bharti >>
Sign at two places on page no. two. One on the beginning of the page at the space provided and the
other below the non-employment statement. In addtion, in the space provided please affix Re 1
revenue stamp and sign across on the same
3) Father's Name / Husband's Name - << Pls. mention your Father's Name >>
8) Accept Scheme Certificates - If you require the certificate to get the pension benefit
Tick on 'Yes' else tick 'No' to withdraw the amt.
11) Mode for Remittance - Tick 'Option B' - Credit in Saving Account
Please mention:Saving Account No.
Bank Name
Bank Branch
Full Address of the Branch
(it is mandatory without which the
form will not be accepted)
12) Availing Pension - Tick 'Yes' if availing pension from PF else tick 'NO'
Sign on at the end of the page at the space provided for signature of the member
Advanced Stamped Receipt (page 3) - In the space provided please affix Re 1 revenue stamp and
sign across on the same.