act 019 of 1952 : Employees' Deposit-linked Insurance Scheme, 1976

Employees' Deposit-linked Insurance Scheme, 1976

ACTNO. 19 OF 1952
28 July, 1976
Chapter I

PRELIMINARY

In exercise of the powers conferred by Section 6-C of the Employees' Provident Funds and Miscellaneous Provisions Act, 1952 (19 of 1952), the Central Government hereby make the following Scheme namely:

Section 1. Short title, commencement and application

(1) This Scheme may be called the Employees' Deposit-linked Insurance Scheme, 1976.

(2) The provisions of this Scheme shall come into force on the 1st day of August, 1976.

(3) Subject to the provisions of sub-section (2) of Section 16 and Section 17(2-A) of the Employees' Provident Funds and Miscellaneous Provisions Act, 1952, this Scheme shall apply to the employees of all factories and other establishments 2[to which the said Act applies]:

Provided that the provisions of this Scheme shall not apply to tea factories in the State of Assam.

Section 2. Definitions

In this Scheme, unless the context otherwise requires,

(a) Act means the Employees' Provident Funds and Miscellaneous Provisions Act, 1952 (19 of 1952);

(b) assurance benefit means a payment linked to the average balance in the Provident Fund Account of an employee, payable to a person belonging to his family or otherwise entitled to it in the event of death of the employee while being a member of the Fund;

(c) All other words and expressions used herein but not defined shall have the meaning respectively assigned to them in the Act or the Employees' Provident Funds Scheme, 1952.

Section 3. Administration of the Scheme

This Scheme shall be administered by the Central Board constituted under Section 5-A of the Act.

Section 4. Regional Committee

The Regional Committee set up under Paragraph 4 of the Employees' Provident Funds Scheme, 1952 shall advise the Central Board on such matters, in relation to the administration of this Scheme, as the Central Board may refer to it from time to time and in particular on:

(a) progress of recovery of contributions, under this Scheme, both from factories and establishments exempted under Section 17 of the Act and other factories and establishments covered under the Act; and

(b) expeditious disposal of prosecutions.

Section 5. Delegation of power by the Central Board

(1) The Central Board may, by a resolution, empower its Chairman or the Commissioner or both, to sanction expenditure, subject to such limits as may be specified in the resolution, on contingencies, supplies and purchases of articles required for administering the Insurance Fund subject to financial provision in the Budget, where such expenditure is beyond the limits up to which the Chairman or the Commissioner is authorised to sanction expenditure on any single item.

(2) The Central Board may also by a resolution empower its Chairman or the Commissioner or both, to appoint such officers and employees other than those mentioned in sub-sections (2) and (3) of Section 5-D of the Act, as the Chairman or the Commissioner may consider necessary for the efficient administration of this Scheme.

(3) All sanctions of expenditure made by the Chairman or Commissioner in pursuance of sub-paragraph (1) shall be referred to the Central Board as soon as possible after the sanction of the expenditure.

Section 6. Administrative and financial powers of the Commissioner

The Commissioner may, without reference to the Central Board, sanction expenditure on contingencies, supplies and services and purchase of articles required for administering the Insurance Fund, subject to financial provision in the Budget and subject to the limits up to which he may be authorised to sanction expenditure on any single item from time to time by the Central Board.

Section 7. Contribution

(1) The contribution payable by the employer and the Central Government under sub-section (2) and sub-section (3) of Section 6-C of the Act, shall be calculated on the basis of the basic wages, dearness allowance (including the cash value of any food concession) and retaining allowance, if any, actually drawn during the whole month whether paid on daily, weekly, fortnightly or monthly basis:

3[Provided that where the monthly pay of an employee exceeds 4[fifteen thousand rupees], the contribution payable in respect of him by the employer and the Central Government shall be limited to the amounts payable on a monthly pay of 5[fifteen thousand rupees] including dearness allowance retaining allowance (if any) and cash value of food concession.]

(2) Each contribution shall be calculated to the 6[nearest rupee, 50 paise or more to be counted as the next higher rupee and fraction of a rupee less than 50 paise to be ignored].

Section 8. Mode of payment of contribution

(1) The contribution by the employer shall be remitted by him together with administrative charges at such rate as the Central Government may fix from time to time under sub-section (4) of Section 6-C of the Act, to the Insurance Fund within fifteen days of the close of every month by a separate bank draft or cheque or by remittance in cash in such manner as may be specified in this behalf by the Commissioner. The cost of remittance, if any, shall be borne by the employer.

(2) It shall be the responsibility of the employer to pay the contribution payable by himself in respect of the employees directly employed by him and also in respect of the employees employed by or through a contractor.

(3) The Central Government shall credit its contribution to the Insurance Fund as soon as possible after the close of every financial year.

(4) The Commissioner shall deposit the bank draft or cheque received from the employers in the State Bank of India or any Bank specified in the First Schedule to the Banking Companies (Acquisition and Transfer of Undertakings) Act, 1970 (5 of 1970).

7[8-A. Recovery of damages for default in payment of any contribution. 8[(1) Where a employer makes default in the payment of any contribution to the Insurance Fund, or in the payment of any charges payable under any other provisions of the Act or the Scheme, the Central Provident Fund Commissioner or such officer as may be authorised by the Central Government by notification in the Official Gazette in this behalf, may recover from the employer by way of penalty, damages at the rates given in the table below:

TABLE

Sl. No.

Period of default

Rates of damages (percentage of arrears per annum)

(1)

(2)

(3)

(a)

Less than 2 months

Five

(b)

Two months and above but less than four months

Ten

(c)

Four months and above but less than six months

Fifteen

(d)

Six months and above

Twenty-five.]

(2) The damages shall be calculated to the nearest rupee, 50 paise or more to be counted as the next higher rupee and fraction of a rupee less than 50 paise to be ignored.

8-B. Terms and conditions for reduction or waiver of damages. The Central Board may reduce or waive the damages levied under Section 14-B of the Act in relation to an establishment specified in the second proviso to Section 14-B subject to the following terms and conditions, namely,

(a) In case of a change of management including transfer of the undertaking to workers' cooperative and in case of merger or amalgamation of the sick industrial company with any other industrial company, complete waiver of damages may be allowed;

(b) in cases, where the Board for Industrial and Financial Reconstruction, for reasons to be recorded in its scheme, in this behalf recommends, waiver of damages up to 100 per cent may be allowed;

(c) in other cases, depending on merits, reduction of damages up to 50 per cent may be allowed.]

Section 9. Employer's contribution not to be deducted from the wages of the employees

Notwithstanding any contract to the contrary, the employer shall not be entitled to deduct the employer's contribution payable by him under this Scheme from the wages of the employees or to recover it from them in any other manner.

Section 10. Duties of employers

9[(1) Every employer shall send to the Commissioner, within fifteen days of the commencement of the Scheme, a consolidated return in such form as he may specify, of the employees who are entitled and required to become members of the Insurance Scheme showing inter alia, the Insurance Scheme Number, name, accumulations in the Insurance Scheme as at the end of the financial or accounting year preceding the date on which this Scheme comes into force together with certified copies of nomination executed by each employee under the rules of the Provided Fund of the establishment.]

10[(1-A) Every employer shall send to the Commissioner within fifteen days of the close of each month, a return in 11[Form 5 of the Employees' Provident Fund Scheme] of the employees,

(a) qualifying to become members of the Insurance Fund, for the first time during the preceding month together with the certified copies of nomination made by each such qualifying employee; and

(b) leaving service of the employer during the preceding month [* * *]12:

Provided that if there is no employee qualifying to become a member of the Insurance Fund for the first time or there is no employee leaving the service of the employer, during the preceding month, the employer shall send a NIL return.

(1-B) Every employer shall send to the Commissioner, within twenty-five days of the close of the month, in such form as he may specify, a monthly abstract showing, inter alia, the aggregate amount of wages of all the members on which contributions are payable and the employer's contribution in respect of all such members for the month.]

(2) Every employer shall maintain such accounts in relation to the amounts contributed to the Insurance Fund by him as the Central Board may, from time to time, direct, and it shall be the duty of every employer to assist the Central Board in making such payments from the Insurance Fund 13[* * *] as are sanctioned by or under the authority of the Central Board.

14[(3) Every employer shall send to the Commissioner, an electronic format of the returns referred to in sub-paragraphs (1), (1-A) and (1-B), in such form and manner as may be specified by the Commissioner.]

(4) 15[* * *]

Section 11. Inspection of records and registers by the Commissioner or Inspector

Every employer shall, whenever the Commissioner or any other officer authorised by him in this behalf or an inspector so requires, produce before him the records and other registers then in his possession, for inspection.

Section 12. Supply of forms to employers

The Commissioner shall supply to employers free of charge, on demand, forms referred to in this Scheme to the extent absolutely necessary.

Section 13. Administration Account

The contributions received from the employers and the Central Government under sub-section (4) of Section 6-C of the Act shall be credited to a separate account called The Insurance Fund Central Administration Account and all expenses in connection with the administration of this Scheme, other than the cost of benefits provided by or under this Scheme, shall be met out of this account.

Section 14. Deposit-linked Insurance Fund Account

The amount received as the employer's contribution and also the Central Government's contribution to the Insurance Fund under sub-sections (2) and (3) of Section 6-C shall be credited to an account called the Deposit-Linked Insurance Fund Account , and all expenses towards the cost of any benefits provided by or under the Scheme shall be met out of this account.

Section 15. Investment of moneys belonging to the Insurance Fund

16[(1) All moneys standing to the credit of the Insurance Fund as on 31st March, 1997 shall be kept in deposit with the Central Government in the Public Account, and the Central Government shall allow interest at a rate not less than 8% per annum.

(2) The moneys credited as contributions to the Insurance Fund on and from the 1st day of April, 1997 shall be invested as per the investment pattern notified under Paragraph 52 of the Employees' Provident Funds Scheme, 1952.]

Section 16. Interest

All interest, rent and other income realised and net profits or losses, if any, from the sale or investments, not including therein the transaction of the Insurance Fund Central Administration Account shall be credited or debited as the case may be to the Insurance Fund.

Section 17. Disposal of the Insurance Fund

(1) Subject to the provisions of the Act and of this Scheme, the Insurance Fund, not including therein the Insurance Fund Central Administration Account, shall not, except with the previous sanction of the Central Board, be expended for any purpose other than the payment of the benefits in accordance with the provisions of this Scheme.

(2) The Insurance Fund shall be operated upon by such officers as may be authorised in this behalf by the Central Board.

Section 18. Expenses of Administration

All expenses relating to the Administration of this Scheme including the expenses incurred on Regional Committee shall be met from the Insurance Fund Central Administration Account .

Section 19. Form of accounts

17[The accounts of the Employees' Deposit Linked Insurance Fund and also the Employees' Deposit Linked Insurance Administration Accounts shall be maintained by the Commissioner in such form and in such manner as may be specified by the Central Board with the approval of Central Government.]

Section 20. Audit

(1) The accounts of the Insurance Fund, including the Insurance Fund Central Administration Account, shall be audited in accordance with the instructions issued by the Central Government in consultation with the Comptroller and Auditor-General of India.

(2) The charges on account of audit shall be paid out of the Insurance Fund Central Administration Account.

Section 21. Budget

(1) The Commissioner shall place before the Central Board each year before the first fortnight of February a budget showing separately the probable receipts from the contributions and from the levy of administrative charges and the expenditure which is proposed to be incurred during the following financial year. The budget as approved by the Central Board shall be submitted for sanction to the Central Government within a month of its being placed before the Central Board.

(2) The Central Government may make such modification in the budget as it considers desirable before sanctioning it.

(3) The Commissioner may, at any time during the year, make budgetary reappropriation of funds sanctioned in the budget by the Central Government, provided that,

(i) the total amount sanctioned in the budget by the Central Government is not exceeded;

(ii) it is made only for meeting such expenses of administration as are to be met from the Insurance Fund Central Administration Account in accordance with Paragraph 18; and

(iii) every reappropriation so made shall be reported by him to the Central Board at its next meeting.

(4) The Commissioner shall place before the Central Board a supplementary budget for a financial year, giving detailed estimates and reasons, of inescapable expenditure which is likely to be incurred during the year for which no provision has been made in the sanctioned budget and which cannot be covered under the provisions of sub-paragraph (3). The supplementary budget as approved by the Central Board shall be submitted for sanction to the Central Government within a month of its being placed before the Central Board.

(5) Any expenditure incurred by the Commissioner over and above the sanctioned budget of the financial year and not covered under the provisions of sub-paragraphs (3) and (4), shall be reported to the Central Board at the earliest practicable moment after the excess is established for its consideration and for obtaining sanction of the Central Government.

Section 22. Scales of assurance benefits and the minimum average balance to be maintained by an employee

18[(1) On the death of an employee, who is a member of the Fund or of a provident fund exempted under Section 17 of the Act, as the case may be, the persons entitled to receive the provident fund accumulations of the deceased shall, in addition to such accumulations be paid an amount, equal to the average balance in the account of the deceased in the Fund or of a provident fund exempted under Section 17 of the Act, as the case may be, during preceding twelve months or during the period of his membership, whichever is less, except where the average balance exceeds Rupees Fifty thousand, the amount payable shall be Rupees Fifty thousand plus 40% of the amount in excess of Rupees Fifty thousand subject to a ceiling of Rupees One lakh.]

(2) In the case of a part-time employee who was a member of the Fund 19[or of a provident fund exempted under Section 17 of the Act, as the case may be] while serving in more than one factory or establishment the quantum of benefit under this Scheme shall be determined with reference to the average of the aggregate balance in all his accounts in the Fund 20[or of a Provident Fund exempted under Section 17 of the Act, as the case may be,] during the preceding 21[twelve months].

22[(3) On the death of an employee, who is a member of the Fund or of a provident fund exempted under Section 17 of the Act, as the case may be, who was in the employment of the same establishment for a continuous period of twelve months, preceding the month in which he died, the persons entitled to receive the provident fund accumulations of the deceased shall, in addition to such accumulations be paid an amount, equal to:

23[(i) the average monthly wages drawn (subject to a maximum of fifteen thousand rupees), during the twelve months preceding the month in which he died, multiplied by thirty times plus fifty per cent of the average balance in the account of the deceased in the fund or of a provident fund exempted under Section 17 of the Act or under Paragraph 27 or 27-A of the Employees' Provident Funds Scheme, 1952, as the case may be, during the preceding twelve months or during the period of his membership, whichever is less subject to a ceiling of one lakh and fifty thousand rupees:

Provided that the assurance benefit shall not be less than two lakh and fifty thousand rupees:

Provided further that the assurance benefit shall not exceed six lakh rupees:]

(ii) the amount of benefit under sub-paragraph (1), whichever is higher.

Explanation. In the case of a part-time employee who is a member of the Fund or of a provident fund exempted under Section 17 of the Act, as the case may be, who was serving in more than one factory or establishment for a continuous period of twelve months, preceding the month in which he died, the quantum of benefit under this Scheme shall be determined with reference to the average wages of the aggregate of all the wages wherever he was continuously working for more than twelve months, subject to the wage ceiling of 24[fifteen thousand rupees].]

25[(4) The benefit under this Scheme shall be further increased by twenty per cent in addition to the benefit admissible under 26[sub-paragraph (1) or (2)] of Paragraph 22, as the case may be.]

Section 23. Assurance benefit to whom payable

(1) The nomination made by an employee under the Employees' Provident Funds Scheme, 1952 27[or under the Provident Fund exempted under Section 17 of the Act, as the case may be] shall be treated as nominations under this Scheme and the assurance amount shall become payable to such nominee or nominees.

(2) If no nomination subsists or if the nomination relates only to part of the amount standing to his credit in the Fund 28[or of a provident fund exempted under Section 17 of the Act, as the case may be], the whole amount or the part thereof to which the nomination does not relate, as the case may be, shall become payable to the members of his family in equal shares:

Provided that no share shall be payable to

(a) sons who have attained majority;

(b) sons of a deceased son who have attained majority;

(c) married daughters whose husbands are alive;

(d) married daughters of a deceased son, whose husbands are alive; if there is any member of the family other than those specified in clauses (a), (b), (c) and (d):

Provided further that the widow or widows, and child or children of a deceased son shall receive between them in equal parts only the share which that son would have received if he had survived the employee and had not attained the age of majority at the time of his death.

(3) In any case to which the provisions of sub-paragraphs (1) and (2) do not apply the whole amount shall be payable to the person legally entitled to it.

29[(4) If a person who is eligible to receive assurance Scheme benefit of the deceased member in terms of sub-paragraph (1), (2) or (3) is charged with the offence of murdering the member or for abetting in the commission of such an offence, his claim to receive assurance benefit shall remain suspended till the conclusion of the criminal proceedings instituted against him. If on the conclusion of the criminal proceedings the person concerned is:

(a) convicted for the murder or abetting in the murder of the member, he shall be debarred from receiving his share of deposit-linked assurance benefit which shall be payable to other eligible members if any of the family; or

(b) acquitted of the charge of murdering or abetting in the murder of the member, his share shall be payable to him.]

Explanation. For the purpose of this paragraph an employee's posthumous child, if born alive shall be treated in the same way as a surviving child born before his death.

Section 24. Assurance amount How to be paid

(1) The nominee or nominees or other claimants shall send a written application to the Commissioner through the employer in such form as the Commissioner may specify, to claim payment under this Scheme.

(2) If the person to whom any amount is to be paid under this Scheme is a minor or a lunatic, the payment shall be made in accordance with the provisions in the Employees' Provident Funds Scheme, 1952 relating to payment to such persons.

30[(3) The payment may be made to the person, to whom payment is to be made through electronic or digital funds transfer system in any Scheduled Commercial Bank or any Post Office.]

31[(4) The claims, complete in all respects submitted along with the requisite documents shall be settled and benefit amount paid to the beneficiary within 32[twenty days] from the date of its receipt by the Commissioner. If there is any deficiency in the claim, the same shall be recorded in writing and communicated to the applicant within 33[twenty days] from the date of receipt of such application. In case the Commissioner fails without sufficient cause to settle a claim complete in all respect within 34[twenty days], the Commissioner shall be liable for the delay beyond the said period and penal interest @12% per annum may be charged on the benefit amount and the same may be deducted from the salary of the Commissioner.]

Section 25. Registers, Records, etc

The Commissioner may with the approval of the Central Board specify the registers and records to be maintained in respect of the employees, the form or design of any identity card, token or disc for the purpose of identifying any employee or his nominee or nominees or a member of his family entitled to receive the benefit under this Scheme and such other formalities as have to be completed in connection with the payment of the said benefit, subject to such periodical verification as may be considered necessary.

Section 26. Annual Report on the working of this Scheme

The Central Board shall approve before the 35[tenth of December] and submit to the Central Government before the 36[twentieth of December] each year, a report on the working of the Scheme during the previous financial year.

Section 27.

27. 37[* * *]

Section 28. Special provisions relating to coal mines in respect of which applications are received for exemption from the provisions of this Scheme

(1) (i) A Commissioner may by order and subject to such conditions as may be specified in the order exempt from the operation of all or any of the provisions of this Scheme an employee to whom the Scheme applies on receipt of application from such an employee:

Provided that such an employee is without making any separate contribution or payment of premium, in enjoyment of benefits in the nature of life assurance, whether linked to their deposits in provident funds or not, according to the rules of the factory or other establishment and such benefits are more favourable than the benefits provided under this Scheme.

(ii) Where an employee is exempted, as aforesaid, the employer shall in respect of such employee maintain such accounts, submit such returns, provide such facilities for inspection as the Commissioner may direct and pay such inspection charges and make such investments as the Central Government may direct.

(2) An employee exempted under sub-paragraph (1) may, by an application to the Commissioner, make a request that the benefits of the Scheme be extended to him.

(3) No employee shall be granted exemption or permitted to apply out of exemption more than once on each account.

(4) (i) The Central Government may by order and subject to such conditions as may be specified in the order exempt from the operation of all or any of the provisions of this Scheme any class of employees to whom this Scheme applies, on receipt of an application therefor, in such form as the Commissioner may specify:

Provided that such class of employees is, without making any separate contribution or payment of premium, in enjoyment of benefits in the nature of life assurance, whether linked to their deposits in Provident Fund or not, according to the rules of the factory or other establishment and such benefits are more favourable than the benefits provided under this Scheme.

(ii) Where any class of employees is exempted as aforesaid, the employer shall in respect of such class of employees maintain such accounts, submit such returns, provide such facilities for inspection, pay such inspection charges and make investments in such manner as the Central Government may direct.

(5) A class of employees exempted under sub-paragraph (4) or the majority of employees constituting such class may, by an application to the Commissioner, make a request that the benefits of this Scheme be extended to them.

(6) No class of employees or the majority of employees constituting such class shall be granted exemption or permitted to apply out of exemption more than once on each account.

(7) Notwithstanding anything contained in this Scheme the Commissioner may in relation to a factory or other establishment in respect of which an application for exemption under Section 17(2-A) of the Act has been received, relax pending the disposal of the application, the provisions of this Scheme in such manner as he may direct.

38[(8) Every employer shall send to the Commissioner, an electronic format of the returns referred to in clause (ii) of sub-paragraph (1) and clause (ii) of sub-paragraph (4), in such form and manner as may be specified by the Commissioner.]

39[28-A. Special provision in respect of Employees' Enrolment Campaign, 2017. The exceptions and modifications subject to which the provisions of this Scheme shall apply, in relation to the employees' whose membership have been declared under Paragraph 82-A of the Employees' Provident Funds Scheme, 1952, in accordance with the Employees' Enrolment Campaign, 2017, shall be as follows, namely

In Paragraph 8-A, in sub-paragraph (1), for the Table, the following Table shall be substituted, namely

Table

(Applicable for remittances in respect of valid declarations under Employees' Enrolment Campaign, 2017)

Period of default

Rate of damages

(1)

(2)

Between the 1st day of April, 2009 to the 31st day of December, 2016

One rupee per annum.]

Section 29. Punishment for failure to submit returns, etc

40[If any person,

(a) deducts or attempts to deduct from the wages or other remuneration of a member the whole or any part of the employer's contribution; or

(b) fails or refuses to submit any return, statement or other documents required by this Scheme or submits a false return, statement or other documents, or makes a false declaration; or

(c) obstructs any Inspector or other official appointed under the Act or this Scheme in the discharge of his duties or fails to produce any record for inspection by such Inspector or other official; or

(d) is guilty of contravention of or non-compliance with any other requirements of this Scheme,

he shall be punishable with imprisonment which may extend to one year or with fine which may extend to four thousand rupees, or with both.]

Form 1(IF)

(For exempted establishments only)

THE EMPLOYEEs' DEPOSIT LINKED-INSURANCE SCHEME, 1976

(Para 10)

Code No. of the Establishment . . . . . . . . . . .

Consolidated Return of employees who are entitled and required to become members of the Insurance Fund on the date of Scheme comes into force.

Name and Address of the Establishment. . . . . . . . . . . . . Date of Coverage. . . . . . . . . . . . . . . . . .

Industry in which the Establishment is engaged. . . . . . . . Registration No. of the Estt.. . . . . . . . . . .

Sl. No.

Account No. as in P.F.

Name of the Employee (in block capitals)

Father's name or husband's name (in the case of married woman)

Sex

Remarks

1

2

3

4

5

6

Date:

Signature of the Employer or

other Authorised Officer

Station:

Note: Remarks for the missing A/c No. (i.e. those in respect of employees who had left service etc. should be given at the end).

Stamp of the Establishment

Form 2(IF)

(For exempted establishments only)

THE EMPLOYEEs' DEPOSIT-LINKED INSURANCE SCHEME, 1976

(Para 10)

Return of employees entitled for membership of Insurance Fund

Name and Address of the Establishment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

during the month. . . . . . . . . . . . . . . . . . . . . . . . . . 20. . . . . . . . . . . . . . . . . . . . . . . . . . .

Code No. of the Establishment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sl. No.

Account No. as in P.F.

Name of the Employee (in block capitals)

Father's name or husband's name (in the case of married woman)

Sex

Date of entitlement for membership

REMARKS Previous Account No. in Provident Fund Particulars of prev. employer & the amount of accumulation

1

2

3

4

5

6

7

Date:

Signature of the Employer or other Authorised Officer of the Establishment

Note: This form should be accompanied by certified copies of the nomination(s) and/or changes therein made by each employee under Provident Fund Rules of the Establishment.

Stamp of the Establishment

Form 3(IF)

(For exempted establishments only)

THE EMPLOYEEs' DEPOSIT-LINKED INSURANCE SCHEME, 1976

(Para 10)

Name of the members of Insurance Fund leaving service during the month of. . . . . . . . . . . . . . . 20 . . . .

Name and Address of the Establishment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Code No. of the Establishment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sl. No.

Account No.

Name of the Member (in block capitals)

Father's name or husband's name (in the case of married woman)

Date of Leaving Service

Reason for Leaving Service

Remarks

1

2

3

4

5

6

7

Date:

Signature of the Employer

Stamp of the Establishment

Note: In case of death of a member, while in service, furnish:

(a) Date of payment of P.F. dues.

(b) Amount paid.

(c) To amount paid? (In shares, if any).

Form 4(IF)

(For exempted establishments only)

Total No. of Employees

Contract Rest Total

THE EMPLOYEEs' DEPOSIT-LINKED INSURANCE SCHEME, 1976

(Para 10)

Monthly Statement of Contributions for the month of . . . . . . . . . . 20. . . .. . . . . Currency Period from 1st April, 20 . . . . . . . . . .to 31-03-200. . . . . . . . . .

Total No. of members. . . . . . . . . .

Name & Address of the Establishment . . . . . . . . . . . . . . . . . . . Statutory Rate of Contribution 0.5%

Code No. of the Establishment. . . . . . . . . .

Wages on which contributions are Payable

Amount of employer's share of contribution due @0.5% of the amount of wages shown in col. 1

Amount of administrative charges due at 0.01% of the amount of wages shown in col. 1

Employer's share of contribution remitted in A/c No. 21

Amount of administrative charges remitted in A/c No. 22

Date of remittance

Name & location of the Bank in which remitted of No. & date of the cheque/draft sent to Regional Office

Whether the triplicate challan receipt is enclosed, if not state reasons

Re-marks

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

Date:

Signature of the Employer

(with office seal)

No. as per last month's return (+) No. of new members vide Form 2(IF)(-) No. of members left service vide Form 3(IF).

*Net Total *This should tally with the figures given at the top right hand corner of the form.

Note: (1) If there is any substantial variation between the wages and amount of contribution shown above and those shown to the last month's return, suitable explanation should be given in the Remark's column.

(2) If any arrears of contribution of damages are included in the figures under column 4, suitable details indicating the circumstances, Account No. of members and the period involved should be furnished in the Remark's column or on the reverse.

Regn. No.

Form 5(IF)

THE EMPLOYEEs' DEPOSIT-LINKED INSURANCE SCHEME, 1976

(Form to be used by a nominee/Legal heir of the deceased or guardian of the minor nominee(s)/Legal heir under Paragraph 23 of this Scheme)

(Note: Read the instruction carefully before completing this form)

(Through the employer under whom the deceased was last employed)

I, being a nominee/Legal heir/guardian of minor nominee(s) or minor heir(s) of the deceased employee, apply for the payment of the Assurance Benefit under the Employees Deposit-Linked Insurance Scheme, 1976.

(FOR USE BY THE NOMINEE/LEGAL HEIR, OTHER MINORS)

Name and address of the applicant

Sex

Age or year of birth

Marital Status

Relationship with the deceased

Remarks

(1)

(2)

(3)

(4)

(5)

(6)

FOR USE IN RESPECT OF MINOR NOMINEE(S)/HEIR(S)

Name and address of the applicant

Sex

Age or year of birth

Name of minor nominee/heir(s)

Sex

Age or year of birth

Relationship of the guardian with the minor nominee/heir(s)

Remarks

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

2. The particulars in respect of the deceased member are furnished below.

(a) Name of the deceased. . . . . . . . . . . . . . . . . . . . . . . . . .

(b) Father's name/or Husband's name (in the case of married women)

(c) Date of Death . . . . . . . . . . . . . . . .

(d) Last employed in . . . . . . . . . . . . . . . .

(e) Account No. in Provident Fund/Insurance Fund . . . . . . . . . . . . . . . .

3. The particulars of the Savings Bank Account into which the amount is to be deposited.

Paragraph 24(3) of the Employees' Deposit-Linked Insurance Scheme, 1976

(a) Name and address of the claimant

(b) Name and full address of the Bank specified in the First Schedule to the Banking Companies (Acquisition and Transfer of Undertaking Act, 1980).

(c) Savings Bank Account No. of claimant.

4. I declare that above particulars are true to the best of my knowledge.

Date:

Signature of the left/right hand thumbimpression of Shri/Smt./Km. (the applicant)

(Left thumbimpression in the case of illiterate male applicants and right thumb impression in the case of illiterate female applicants).

Advance Stamped Receipt

Received a sum of Rs*. . . . . . . . . . . . (Rupees*. . . . . . . . . . . .) from Regional Provident Fund Commissioner/Officer-in-Charge of Sub-Regional Office. . . . . . . . . . . . by deposit in my Savings Bank

Account towards the Employees' Deposit-Linked Insurance Benefit.

Date. . . . . . . . . . . . 20.

Affix Rupee 1 Revenue stamps

*The space should be left blank which shall be filled in by

RPFC/Officer-in-Charge of S.R.O.

Signature or right hand thumb-

impression of the claimant

______________________________________________________________________________________

Certified that the CLAIMANT signed/thumb impressed before me.

Enclosure:

Signature of the Authorised Officer

Date. . . . . . . . . . . . 20.

Designation: Stamp of the Factory/Estt.

Note: The employer of unexempted establishments should fill in the column 2 and 3 only and the employer of exempted establishments should in all the column.

Balance in Provident Fund at the end of the month preceding the 36 months immediately preceding the death of member.

TO BE FILLED IN BY EMPLOYER ON DUE BASIS

Month

Both shares of contribution

Refund of withdrawal

Interest

Withdrawal

Progressive Balance

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

Total of 36 months Provident Fund

Balance Rs. . . . . . . . . . . .

Average Balance Rs. . . . . . . . . . . . . . . . .

CERTIFICATE

(1) Certified that the particulars furnished above are correct.

(2) Certified that the member died on . . . . . . . . . . .while in service.

(3) Certified that the Provident Fund accumulations of the deceased employee, late Shri/Smt/Km .. . . . . . . . . . A/c No. . . . . . . . . . .were paid to Shri/Smt/Km

(i) . . . . . . . . . .

(ii) . . . . . . . . . .

(iii) . . . . . . . . . .

(The employer of exempted establishment shall send an attested copy of nomination of the deceased employee)

Date:

Signature of the employer

(Name and designation with official seal)

______________________________________________________________________________________

(FOR THE USE OF COMMISSIONER's OFFICE)

Entered in F-21-A/9 (Revised)/IFI/Withdrawal Register.

Clerk

Head Clerk

______________________________________________________________________________________

(Under Rs.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

P.I. No. . . . . . . . . . .

Account No. . . . . . . . . . .

Section. . . . . . . . . .

Passed for payment for Rs . . . . . . . . . . . . . . . . . . . .) and the amount may be remitted for credit to the Savings Bank Account No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . in respect of Shri/Smt/Kumari . . . . . . . . . .. . . . . . . . . . maintained at . . . . . . . . . . . . . . . . . . . . (Banks).

Account Officer

Date:

______________________________________________________________________________________

Paid by inclusion in Cheque No.

Clerk

Head Clerk

Assistant Provident Fund Commissioner

or

Regional Provident Fund Commissioner

Form 1 41[* * *]

Form 2 42[* * *]

Form 3 43[* * *]

EMPLOYEEs' DEPOSIT-LINKED INSURANCE ACCOUNT SCHEDULES

SCHEDULE NO. I

Sundry Creditors:

1. Excess credit in A/c No. 21

2. Excess credit in A/c No. 25

3. Excess credit in R.B.I. A/c

4. Excess credit in A/c No. 22

5. Excess credit in A/c No. 24

Balance as on 31st March:

SCHEDULE NO. II

Investment in securities:

Balance as per last Balance Sheet

Less:

Securities redeemed during the year

Balance as on 31st March:

SCHEDULE NO. III

Amount deposited in Public A/c

Balance as per last Balance Sheet

1. Deposits made during the year

2. Government share of contribution for

3. Government share of arrears up to

4. Interest on balance in Public Account

Balance as on 31st March:

SCHEDULE NO. IV

Amount invested

Balance as per last Balance Sheet

Add:

Amount deposited during the year

Less:

Amount redeemed during the year:

Balance as on 31st March:

SCHEDULE NO. V

Amount due from EPF Admn. A/c

(a) Transaction in A/c No. 24

Balance as per last Balance Sheet

Add:

During the year

Less:

Amount received back

Balance as on 31st March:

Transaction in regard to Account No. 22

(b) Amount transferred to EPF Account No. 2

Balance as on 31st March: (a) (b)

SCHEDULE NO. VI

Cash Book Balance:

1. Account No. 21

2. Account No. 25

3. Account No. 22

4. Account No. 24

Balance as on 31st March:

SCHEDULE NO. VII

Remittance in Transit:

1. From A/c No. 21 to 25

2. From RBI A/c to A/c No. 25

3. From A/c No. 22 to 24

Balance as on 31st March:

SCHEDULE NO. VIII

Sundry Debits

1. Account No. 21

2. Account No. 25

3. Account No. 22

4. Account No. 24

Balance as on 31st March:]

EMPLOYEEs' FAMILY PENSION CONTRIBUTION @ 11/6;%
of the total wages paid to the subscriber during the month

Wages

Contribution

Wages

Contribution

Rs

Rs

Rs

Rs

0 42

NIL

2529 2613

30

43 128

1

2614 2699

31

129 213

2

2700 2785

32

214 299

3

2786 2870

33

300 385

4

2871 2956

34

386 470

5

2957 3042

35

471 556

6

3043 3128

36

557 642

7

3129 3213

37

643 728

8

3214 3299

38

729 813

9

3300 3385

39

814 899

10

3386 3470

40

900 985

11

3471 3556

41

986 1070

12

3557 3642

42

1071 1156

13

3643 3728

43

1157 1242

14

3729 3813

44

1243 1328

15

3814 3899

45

1329 1413

16

3900 3985

46

1414 1499

17

3986 4070

47

1500 1585

18

4071 4156

48

1586 1670

19

4157 4242

49

1671 1756

20

4243 4328

50

1757 1842

21

4329 4413

51

1843 1928

22

4414 4499

52

1929 2013

23

4500 4585

53

2014 2099

24

4586 4670

54

2100 2185

25

4671 4756

55

2186 2270

26

4757 4842

56

2271 2356

27

4843 4928

57

2357 2442

28

4929 5000

58

2443 2528

29

EMPLOYEEs' PROVIDENT FUND @ 0.65%
Administrative Charges

Wages

Contribution

Wages

Contribution

0 11

0.05

304 311

2.00

12 19

0.10

312 319

2.05

20 27

0.15

320 326

2.10

28 35

0.20

327 334

2.15

36 43

0.25

335 342

2.20

44 50

0.30

343 349

2.25

51 58

0.35

350 357

2.30

59 66

0.40

358 365

2.35

67 73

0.45

366 373

2.40

74 81

0.50

374 380

2.45

82 89

0.55

381 388

2.50

90 96

0.60

389 396

2.55

97 104

0.65

397 403

2.60

105 112

0.70

404 411

2.65

113 119

0.75

412 419

2.70

120 127

0.80

420 426

2.75

128 135

0.85

427 434

2.80

136 143

0.90

435 442

2.85

144 150

0.95

443 449

2.90

151 157

1.00

450 457

2.95

158 164

1.05

458 465

3.00

165 173

1.10

466 473

3.05

174 180

1.15

474 480

3.10

181 188

1.20

481 488

3.15

189 196

1.25

489 496

3.20

197 203

1.30

497 503

3.25

204 211

1.35

504 511

3.30

212 219

1.40

512 519

3.35

220 226

1.45

520 526

3.40

227 234

1.50

527 534

3.45

235 242

1.55

535 542

3.50

243 249

1.60

543 549

3.55

250 257

1.65

550 557

3.60

258 265

1.70

558 565

3.65

266 273

1.75

566 573

3.70

274 280

1.80

574 580

3.75

281 288

1.85

581 588

3.80

289 296

1.90

589 596

3.85

297 303

1.95

597 603

3.90

604 611

3.95

874 880

5.70

612 619

4.00

881 888

5.75

620 626

4.05

889 896

5.80

627 634

4.10

897 903

5.85

635 642

4.15

904 911

5.90

643 649

4.20

912 919

5.95

650 657

4.25

920 926

6.00

658 665

4.30

927 934

6.05

666 673

4.35

935 942

6.10

674 680

4.40

943 949

6.15

681 688

4.45

950 957

6.20

689 696

4.50

958 965

6.25

697 703

4.55

966 973

6.30

704 711

4.60

974 980

6.35

712 719

4.65

981 988

6.40

720 726

4.70

989 996

6.45

727 734

4.75

997 1000

6.50

735 742

4.80

743 749

4.85

1000

6.50

750 757

4.90

2000

13.00

758 765

4.95

5000

32.50

766 773

5.00

10,000

65.00

774 780

5.05

50,000

325.00

781 788

5.10

1,00,000

650.00

789 796

5.15

797 803

5.20

804 811

5.25

812 819

5.30

820 826

5.35

827 834

5.40

835 842

5.45

Illustration

843 849

5.50

2509

850 857

5.55

2000 13.00

858 865

5.60

509 3.30

866 873

5.65

16.30

EMPLOYEEs' DEPOSIT-LINKED INSURANCE CONTRIBUTION
@ 0.50% of the Total Wages

0 99

NIL

7900 8099

40

100 299

1

8100 8299

41

300 499

2

8300 8499

42

500 699

3

8500 8699

43

700 899

4

8700 8899

44

900 1099

5

8900 9099

45

1100 1299

6

9100 9299

46

1300 1499

7

9300 9499

47

1500 1699

8

9500 9699

48

1700 1899

9

9700 9899

49

1900 2099

10

9900 10099

50

2100 2299

11

10100 10299

51

2300 2499

12

10300 10499

52

2500 2699

13

10500 10699

53

2700 2899

14

10700 10899

54

2900 3099

15

10900 11099

55

3100 3299

16

11100 11299

56

3300 3499

17

11300 11499

57

3500 3699

18

11500 11699

58

3700 3899

19

11700 11899

59

3900 4099

20

11900 12099

60

4100 4299

21

12100 12299

61

4300 4499

22

12300 12499

62

4500 4699

23

12500 12699

63

4700 4899

24

12700 12899

64

4900 5099

25

12900 13099

65

5100 5299

26

13100 13299

66

5300 5499

27

13300 13499

67

5500 5699

28

13500 13699

68

5700 5899

29

13700 13899

69

5900 6099

30

13900 14099

70

6100 6299

31

14100 14299

71

6300 6499

32

14300 14499

72

6500 6699

33

14500 14699

73

6700 6899

34

14700 14899

74

6900 7099

35

14900 15099

75

7100 7299

36

15100 15299

76

7300 7499

37

15300 15499

77

7500 7699

38

15500 15699

78

7700 7899

39

15700 15899

79

15900 16099

80

18100 18299

91

16100 16299

81

18300 18499

92

16300 16499

82

18500 18699

93

16500 16699

83

18700 18899

94

16700 16899

84

18900 19099

95

16900 17099

85

19100 19299

96

17100 17299

86

19300 19499

97

17300 17499

87

19500 19699

98

17500 17699

88

19700 19899

99

17700 17899

89

19900 20099

100

17900 18099

90

Note:

For calculating contribution more than wages 20,099 please multiply the figure shown above up to your figure as:

Calculation of total wages of Rs 1,10,556 = w,

First multiply 20,000 5=100000=100 5= 500

10556 = 53

First amount may please see in the chart.

Net contributionRs 553.00

1. Vide G.S.R. 488(E), dt. 28-7-1976, published in the Gaz. of India, Extra., Pt. II, S. 3(r), dt. 28-7-1976, p. 1910.

2. Subs. by G.S.R. 1788, dt. 7-12-1976 (w.e.f. 1-8-1976).

3. Ins. by G.S.R. 969, dt. 14-7-1978 (w.e.f. 29-7-1978).

4. Subs. for six thousand five hundred rupees by G.S.R. 610(E), dt. 22-8-2014 (w.e.f. 1-9-2014).

5. Subs. for six thousand five hundred rupees by G.S.R. 610(E), dt. 22-8-2014 (w.e.f. 1-9-2014).

6. Subs. by G.S.R. 547, dt. 19-7-1983 (w.e.f. 1-4-1983).

7. Ins. by G.S.R. 522, dt. 16-8-1991 (w.e f. 1-9-1991).

8. Subs. by G.S.R. 690(E), dt. 26-9-2008 (w.e.f. 26-9-2008).

9. Subs. by G.S.R. 420, dt. 31-8-1992 (w.e.f. 19-9-1992).

10. Ins. by G.S.R. 420, dt. 31-8-1992 (w.e.f. 19-9-1992).

11. Subs. by G.S.R. 292, dt. 24-5-1994 (w.e.f. 1-3-1994).

12. Omitted by G.S.R. 24, dt. 31-12-1996 (w.e.f. 11-1-1997).

13. Omitted by G.S.R. 329, dt. 20-2-1978 (w.e.f. 4-3-1978).

14. Ins. by S.O. 1810(E), dt. 5-8-2011 (w.e.f. 5-8-2011). Prior sub-paragraph (3) was omitted by G.S.R. 329, dt. 20-2-1978 (w.e.f. 4-3-1978).

15. Omitted by G.S.R. 648, dt. 4-5-1977 (w.e.f. 21-5-1977).

16. Subs. by G.S.R. 334, dt. 29-8-1997 (w.e.f. 13-9-1997).

17. Subs. by G.S.R. 286(E), dated 4-4-2019 (w.e.f. 4-4-2019). Prior to substitution it read as: [19. Form and manner of maintenance of accounts. The Central Board shall maintain the accounts of its income and expenditure including its administrative account in Form 1 and Form 2 and the balance-sheet in Form 3. The accounts shall be prepared for the financial year and the books shall be balanced on the thirty-first March each year.]

18. Subs. by G.S.R. 523(E), dt. 18-6-2010 (w.e.f. 18-6-2010).

19. Ins. by G.S.R. 329, dt. 23-2-1978 (w.e.f. 4-3-1978).

20. Ins. by G.S.R. 329, dt. 23-2-1978 (w.e.f. 4-3-1978).

21. Subs. for three years by G.S.R. 354, dt. 22-5-1990 (w.e.f. 1-3-1990).

22. Ins. by G.S.R. 9(E), dt. 8-1-2011 (w.e.f. 8-1-2011), as corrected by G.S.R. 83(E), dt. 11-2-2011.

23. Subs. by G.S.R. 170(E), dt. 15-2-2018 (w.e.f. 15-2-2018). The provisions of the first proviso of clause (i) of sub-paragraph (3) of Paragraph 22 shall be in force for a period of two years from the date* of publication of this scheme in the Official Gazette. * (15-2-2018)

24. Subs. for six thousand five hundred rupees by G.S.R. 610(E), dt. 22-8-2014 (w.e.f. 1-9-2014).

25. Ins. by G.S.R. 610(E), dt. 22-8-2014 (w.e.f. 1-9-2014).

26. Subs. for sub-paragraph (1), (2) or (3) by G.S.R. 543(E), dt. 24-5-2016 (w.e.f. 24-5-2016).

27. Ins. by G.S.R. 329, dt. 23-2-1978 (w.e.f. 4-3-1978).

28. Ins. by G.S.R. 329, dt. 23-2-1978 (w.e.f. 4-3-1978).

29. Ins. by G.S.R. 420, dt. 31-8-1992 (w.e.f. 19-9-1992).

30. Subs. by G.S.R. 438(E), dt. 4-5-2017 (w.e.f. 4-5-2017).

31. Ins. by G.S.R. 334, dt. 29-8-1997 (w.e.f. 13-9-1997).

32. Subs. for thirty days by G.S.R. 527(E), dt. 2-7-2016 (w.e.f. 2-7-2016).

33. Subs. for thirty days by G.S.R. 527(E), dt. 2-7-2016 (w.e.f. 2-7-2016).

34. Subs. for thirty days by G.S.R. 527(E), dt. 2-7-2016 (w.e.f. 2-7-2016).

35. Subs. by G.S.R. 354, dt. 22-5-1990 (w.e.f. 1-3-1990).

36. Subs. by G.S.R. 354, dt. 22-5-1990 (w.e.f. 1-3-1990).

37. Omitted by G.S.R. 648, dt. 4-5-1977 (w.e.f. 21-5-1977).

38. Ins. by S.O. 1810(E), dt. 5-8-2011 (w.e.f. 5-8-2011).

39. Ins. by G.S.R. 1192(E), dt. 30-12-2016 (w.e.f. 1-1-2017) and shall cease to operate on June 30, 2017 as subs. by G.S.R. 301(E), dt. 29-3-2017 (w.e.f. 1-4-2017).

40. Ins. by G.S.R. 420, dt. 31-8-1992 (w.e.f. 19-9-1992).

41. Form 1 omitted by G.S.R. 286(E), dated 4-4-2019 (w.e.f. 4-4-2019).

42. Form 2 omitted by G.S.R. 286(E), dated 4-4-2019 (w.e.f. 4-4-2019).

43. Form 3 omitted by G.S.R. 286(E), dated 4-4-2019 (w.e.f. 4-4-2019).