Sample Application

Annex. “Ga”

Bangladesh Kreshi Bank

Jurain Branch/Office

Dhaka.

Member’s Secretary

Managing Committee, Employees Provident Fund

                 &

Deputy General Manager

Central Accounts and Managing Department-2

Bangladesh Kreshi Bank

Head Office, Dhaka.

Through : Competent authority

Subject : Regarding returning the deposited money deposited as provident fund after making final adjustment.

Dear Sir,

I/we, the under signed persons Md. Md. Humyon Kabir, the former Chief Officer, BKB, Jurain Branch/Office, Identity No.: H-139 titled by me. From dated 22/04/08 AD I/he do/does not have the service for retirement/death/discharge.

Therefore, in the identity No. : H-139 of provident fund for under taking the entire required steps to return the entire deposited money to me I have enclosed the under mentioned papers & documents/information herewith.

01. Father’s/Husband’s name of the officer/worker      : Late Md. Nurul Islam

02. (a) First date of joining to the service, designation

            and branch/office                                                       :  Date of Joining        Designation        Br/Office

                                                                                                    13/11/76 AD             Treasurer           BKB Nabinagar

                                                                                                                                                                       Br., B-Baria

(b) . Name of branch/office and designation at the time

             of retirement from service                                      : BKB-Jurain Branch, Dhaka, Chief Officer

                                                                                                   Vill.: Kantchonpur, P.O.: Soifullahkandi

                                                                                          Upazila : Bancharampur, District : B-Baria

03. Latest accepted basic salary                                        : TK. 13,375/-

04. Release letter and discharge letter from service        : Has been enclosed herewith.

05. Name of working place of latest three years and

      certificate regarding dues & liabilities (Original copy) : BKB Teliapara Br., Sundarpur Bazar Br. and

Jurain Br.-1, the certificate regarding dues & liability has been enclosed herewith.

06. (a) Amount of received non-refundable advance and date : Not applicable

      (b) Amount of received refundable advance and date         : 12,00,000/- Date : 23/07/07 AD

      (c) Total amount of received money and present balance

            (With interest) as advance for house construction         : Basic TK. 6,75,000/- Present balance

                                                                                                  Interest :       -

                                                                                                                  Total : 

      (d) Other advance (If any)                                                            : N.A.

07. As per administration letter No.: 10/2000 AD whether

      any  advance for house construction has been received or not? : Not

08. From 01-07-84 AD the name of present working place

      and period (Should be enclosed separately)                                   : Has been enclosed herewith

09. Date of stopping the subscription as provident fund                    : 07/08 Month

10. Copy of discharge letter/death certificate                                         : Enclosed/Not Applicable

Therefore, Sir, by the light of the above-mentioned situation I do hereby solemnly request you to return me he deposited money deposited in the identity No.: H-139. It is notable that the said P.F. account has not been liable/leaned for advance payment for house construction or any other way.

Sd/- Illegible Date : 22/10/07 AD Manager Bangladesh Kreshi Bank Jurain Branch, Dhaka.

Yours Truly, Sd/- Illegible Date : 22/10/07 AD Signature of the applicant Md. Humyon Kabir Identity No.: H-139 Mob.: 01819-599076 Tel. No.: (Res.) 7542858

Bangladesh Krishi Bank

Application for Retirement Allowance & Gratuity

(Applicable for getting retirement of the employee himself/herself)

Name : Mr. Md. Humayun Kabir

Latest Designation : Chief Officer

Last Working Place : BKB, Jurain Br., Dhaka, regarding his pension.

Directions

1.                    Within 02 months of going to LPR the officer/worker of Bangladesh Kreshi Bank by filling up the first portion of the  pension application form and required papers should be submitted to chief of the office chief/controlling officer. If he does not want to enjoy LPR he/she should submit the application before 06 months of receiving retirement.

2.                    The controlling office chief/03 Nos. copies of ‘Form’ of the office chief in the 1^st portion the attestation of specimen signature signed by the applicant and other information after being counter signed 02 copies of it  should be sent to the Human Resource Development Department (Pension Branch) of the Head Office directly and one copy should be preserved in this office file.

3.                    After checking the entire information in the head office after fulfilling the 2^nd portion of the said ‘Form’ for verifying it’s all sides regarding accuracy of pension should be sent to the audit section.