Missisng Credits Another Proforma

APPENDIX ­ V Statement showing the missing credits of G.P.F. Account G.P.F. Account No : Sl. No.

Month for which credit is missing

(1)

(2)

Name of the Subscriber: Designation Recovered in the pay bill for the month of (3)

Gross Net Amount Amount of the of the bill bill Challan Challan (4) (5)

Amount recovered towards G.P.F. Subscrip­ Refund tion (6)

(7)

Date of encashment of the bill

Place of encashment of the bill

(8)

(9)

Sub­Account and Huzur Voucher No. of the bill/ Challan (10)

Name of the fund under which the credit is classified (11)

Total Amount in which the credit is included (12)