APPENDIX-“ONE”
MURATA MACHINERY BANGLADESH LTD.
EMPLOYEES CONTRIBUTORY PROVIDENT FUND
Paradise Tower (5th Floor), Plot # 11, Road # 02, Sector # 03, Uttara, Dhaka-1230, Bangladesh
(To be submitted in duplicate)
FORM OF APPLICATION TO BECOME A MEMBER OF THE PROVIEDNT FUND
[Pursuant to clause 4 of the Rules of the Provident Fund]
I do hereby declare that I intend to become a member of the Provident Fund of the Employees of MURATA MACHINERY BANGLADESH LTD. I have read the copy of the Rules relating to the said Fund and I agree to be bound by the said Rules and any subsequent alterations, amendments and/or modifications thereof.
Full Name of the applicant (Capital letters): __________________________________________________________
Father’s/Husband’s Name: _______________________________________________________________________
Permanent Address: _____________________________________________________________________________
_____________________________________________________________________________________________
Date of Birth: _______________ Designation: ___________________ Employee Identification No: _____________
Date of Joining in Service: ________________________ Date of confirmation in Service: _____________________
Basic Pay per month (at present): _____________ Nationality: ________________ NID No:___________________
Dated, this the __________ day of __________________ 20
Countersigned by:________________________________
HR & Admin
With date: Signature of Applicant
Forwarded to the Trustees
(Form of Intimation to the Member)
To
Mr/Ms
Dear Member,
Re: Provident Fund A/C No.
We are pleased to inform you that your application to become a member of the Provident Fund has been considered and your name has been enrolled as member of the Fund on……………………………..as such, we have allotted P.F. A/C No. …………………………………… against your Provident Fund.
Member-Secretary
Dated: MURATA MACHINERY BANGLADESH LTD. EMPLOYEES CONTRIBUTORY PROVIDENT FUND
APPENDIX-“TWO”
MURATA MACHINERY BANGLADESH LTD.
EMPLOYEES CONTRIBUTORY PROVIDENT FUND
Paradise Tower (5th Floor), Plot # 11, Road # 02, Sector # 03, Uttara, Dhaka-1230, Bangladesh
PROVIDENT FUND LOAN APPLICATION FORM
[Pursuant to clause 9 of the Rules of the Provident Fund]
To be filled by Applicant
Purpose of Loan:
Loan Requested:
Proposed Installment:
I declare that the purpose of loan stated above is correct
Name of Employee: PF No.
Designation:
Signature:
Date:
To be filled by Accounts/HR Officer
Employee No:
Department:
Date of Joining:
Basic Salary:
Gross Salary:
Outstanding Loan:
Name:
Signature:
Date:
To be filled by Director/General Manager
The above information and the reason for requesting loan is correct to the best of my knowledge and belief.
Name:
Signature:
Date:
To be filled by Trustee
Amount Approved: No. of Installments:
Rate of Interest:
Installment: Installment Start Month:
Installment Close Month:
Reason for Refusal:
Trustee 1
Name:
Signature and Date:
Trustee 2
Name:
Signature and Date:
To be filled by Data Entry Staff ( PF )
(for after approval processing)
Cheque No:
Amount:
Date:
Cheque Received by:
Name:
Signature:
Date:
APPENDIX-“THREE”
MURATA MACHINERY BANGLADESH LTD.
EMPLOYEES CONTRIBUTORY PROVIDENT FUND
Paradise Tower (5th Floor), Plot # 11, Road # 02, Sector # 03, Uttara, Dhaka-1230, Bangladesh
[Pursuant to clause 10 of the Rules of the Provident Fund]
Attach Photo
To
The Trustees
MURATA MACHINERY BANGLADESH LTD.
EMPLOYEES CONTRIBUTORY PROVIDENT FUND
Paradise Tower (5th Floor),
Plot# 11, Road # 02, Sector # 03,
Uttara, Dhaka-1230, Bangladesh
NOMINATION
I, ………………………… ………… of ………………………… , do hereby nominate the person(s) mentioned below to receive in the event of my death, the amount that may stand to my credit in the Funding the manner shown against his/her name.
I hereby appoint the person named in column 5 hereof to receive payment on behalf of the nominee(s) who is/are minor(s) or is/are suffering from a legal disability:
Name and address of the nominee(s)
Relationship with the employee
Whether minor or suffering from any legal disability
Amount or share of accumulation be paid to each nominee(s) [“”]
Name and address of the person to whom payment is to be made on behalf of minor or legally disabled person
1
2
3
4
5
[“”] The amount stated here must represent the full amount standing to the credit of the employee in the Fund.
Dated, this the ………day of………….20
Signature of the member:
Name:
Designation at the company:
Identification No:
P.F. Account No. :
Approved:
Signature:
Name:
Secretary of the Fund
Dated