Form for maintaining accounts of subscribers to a recognised provident fund
Year and month | Part-A | |||||||||||||
Salary | Amount transferred from any other recognised provident fund | Contributions by employee | Regular contributions by employer | Employer's contribution of a contingent nature | Total of cols. 3, 4, 5 and 6 | Total interest on col. 7 | Non-taxable contribution as per rule 277 | Taxable contribution as per rule 277 | Interest on non-taxable contribution as per rule 277 (interest on 9) | Interest on taxable contribution as per rule 277 (interest on 10) | Remarks | |||
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | |||
(a) | Balance brought forward | |||||||||||||
(b) | April | |||||||||||||
(c) | May | ||||||||||||
(d) | June | ||||||||||||
(e) | July | ||||||||||||
(f) | August | ||||||||||||
(g) | September | ||||||||||||
(h) | October | ||||||||||||
(i) | November | ||||||||||||
(j) | December | ||||||||||||
(k) | January | ||||||||||||
(l) | February | ||||||||||||
(m) | March | ||||||||||||
(n) | Total | ||||||||||||
(o) | Adjustment on account of temporary withdrawals account | ||||||||||||
(p) | Any other adjustment | ||||||||||||
(q) | Total (after adjustment) |
Part-B | |||||||||||
NAME | Summary of the account – [as given in Row (q) of Part-A of each employee] | ||||||||||
Sala ry | Amount transfer red from any other recognis ed provide nt fund | Contributi ons by employee | Regular contributi ons by employer | Employe r's contribut ion of a continge nt nature | Tot al of cols . 3, 4, 5 and 6 | Non- taxable contribut ion as per rule 277 | Taxable contribut ion as per rule 277 | Interest on non- taxable contribut ion as per rule 277 | Interest on taxable contribut ion as per rule 277 | Remar ks | |
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 |
Emplo yee 1 | |||||||||||
Emplo yee 2 | |||||||||||
Emplo yee 3 | |||||||||||
Emplo yee 4 | |||||||||||
Emplo yee 5 | |||||||||||
Emplo yee 6 | |||||||||||
Emplo yee 7 | |||||||||||
Repeat, as required | |||||||||||