Different types of Forms used in Central Civil Services (Implementation of NPS) Rules 2021.
There are many Types of form used under CCS NPS Rules 2021 which can be downloaded here. The Details of different forms which downloadable link is provided below:
Form 1
OPTION TO AVAIL BENEFITS IN CASE OF DEATH OR DISCHARGE ON INVALIDATION OR
DISABILITY OF GOVERNMENT SERVANT / SUBSCRIBER DURING SERVICE
[See rule 10 )
* I, ………………………………………………………………………………., hereby exercise option that in the event of my discharge from service on the account of disability or retirement from service on account of invalidation or Death during service, benefits under CCS(Pension) Rules, 1972 or CCS(Extraordinary Pension) Rules, 1939 as the case may be, may be paid to me or my family.
OR
* I, ………………………………………………………………………………., hereby exercise option that in the event of my discharge from service on the account of disability or retirement from service on account of invalidation or Death during service, benefits may be paid to me or my family, as the case may be, based on the accumulated pension corpus in the Individual Pension Account under the National Pension System in accordance with the CCS (Implementation of National Pension System NPS) Rules 2021.
Signature of Government servant / Subscriber
Name——————————————————–
Designation————————————————
Office in which employed——————————
Telephone No.——————————————–
Place and date:
This option supersedes any other option made by me earlier.
* Completely strike out the benefits for which option is not intended to be made.
(To be filled in by the Head of Office or authorised Gazetted Officer)
Received the option dated ……………., under CCS( Implementation of National Pension System NPS) Rules 2021 made by Shri/Smt./Kumari……………………………, Designation……………………… Office……………………………………
Entry of receipt of option has been made in page …………… Volume…………. of Service Book.
Signature,
Name and Designation of Head of Office or authorized Gazetted Officer with seal
Date of receipt…………………………………..
The receiving Officer will fill the above information and return a duly signed copy of the complete Form to the Government servant who should keep it in safe custody so that it may come into the possession of the beneficiaries in the event of his/her death/ invalidation.
Download form: FORM 1 of rule 10 of CCS NPS Rules 2021.
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FORM 2
Details of Family
[See rule 10(3)]
Important
1. The original Form submitted by the Government servant / Subscriber is to be retained. All additions or alterations are to be communicated by the Government servant/retired Government servant / Subscriber alongwith the supporting documents and the changes shall be recorded in this Form under the signature of Head of Office in Col 7. No new Form will substitute the original Form.
However, the retiring Subscriber should submit the details of family afresh at the time of retirement.
2. The details of spouse, all children and parents (whether eligible for family pension or not) and disabled siblings (brothers and sisters) may be given.
3. The Head of Office shall indicate the date of receipt of communication regarding addition or alteration in the family in the ‘Remarks’ column. The fact regarding disability or change of marital status of a family member should also be indicated in the ‘Remarks’ column.
4. Wife and husband shall include judicially separated wife and husband. The retired Government servant shall attach the details of change in family structure after retirement in the proforma prescribed under Dept. of P.& P.W., O.M No. 1 (23)-P.&P. W/91-E, dated the 4th November, 1992.
5. Copies of birth certificates to be attached. Copies of any other relevant certificates, if available, should be attached.
| Name of the Government servant / Subscriber | Designation | Nationality |
Download Form: FORM 2 of rule 10(3) of CCS NPS rules 2021.
Details of family members:
| S.No | Name (Please see notes below before filling) (1) | Date of birth (DD/MM/YYYY) (2) | Aadhaar no.* (optional) (3) | Relationship with Govt. servant/ retired Government servant / Subscriber (4) | Marital status (5) | Remarks (6) | Dated (7) | signature of Head of Office (8) |
| 1. | ||||||||
| 2. | ||||||||
| 3. | ||||||||
| 4. | ||||||||
| 5. | ||||||||
| 6. | ||||||||
| 7. | ||||||||
| 8. |
I hereby undertake to keep the above particulars up to date by notifying to the Head of Office any addition or alteration.
E-mail:(Optional) Place:
Mobile:(Optional) Date
(Signature)
*Providing Aadhaar No. is optional. However, if it is provided, consent to link it to Bank Account and also for authentication of identity from UIDAI for pension related purpose only, is presumed.
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FORM 03
( See rule 16 )
Form of Medical Certificate
Certified that I/(We) have carefully examined ……………. (name of the Government servant / Subscriber)
son of ………………., a ……………………………… (Designation) in the …………………………………………
I/(We) consider …………… to be completely and permanently incapacitated for further service of any kind in the
Department to which he belongs to consequence of …………………………….. ( here state disease or cause).
(If the incapacity does not appear to be complete and permanent, the certificate should be modified accordingly and
the following addition should be made.)
“ I am / we are of opinion that ………… is fit for further service of a less laborious character than that which he had
been doing/may, after resting for …………………… months, be fit for further service of less laborious character than
that which he had been doing.”
Place……………..
Dated the ……………………………….
Medical Authority
Download Form: FORM 3 of rule 16 of CCS NPS Rules 2021.
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FORM 4- A
[See rule 24]
[Form of letter to the Accounts Officer forwarding the withdrawal papers of a Subscriber under the National Pension System on superannuation or voluntary retirement or Premature retirement or Special Voluntary retirement]
No ……………………..
Government of India
Ministry / Department/Office of
Dated the
To,
The Pay and Accounts Officer/Accountant-General
(Through – the Drawing and Disbursing Officer).
Sub: Processing of claim for benefits under the National Pension System on retirement on superannuation or voluntary
retirement or Premature retirement or Special Voluntary retirement case of Shri/Smt./Km……………… (PRAN………)
Sir,
I am directed to say that:
* Shri/Smt./Km…………………… (name and designation), PRAN…….. of this Ministry/ Department/office is due for retirement on superannuation on ……………
OR
* A notice for voluntary retirement of Shri /Smt. /Km …………….. (name and designation), PRAN ……..….. of this Ministry or Department or office with effect from ……….. under rule 12 of the Central Civil Services (Implementation of NPS) Rules 2021 or rule 56 (k) of the Fundamental Rules or Special Voluntary Retirement Scheme of Department of Personnel and Training has been accepted by the competent authority. A copy of the order issued in this regard is enclosed.
OR
* An order for retirement of Shri /Smt. /Km …………….. (name and designation), PRAN …….. of this Ministry or Department or office under rule 56 (j) of the Fundamental Rules with effect from ……….. has been issued by the competent authority. A copy of the order issued in this regard is enclosed.
2.The following documents (in physical form or printout of forms submitted online) prescribed by the Pension Fund Regulatory and Development Authority for release of terminal benefits under the National Pension System are enclosed:
1.
2.
3.
4.
3. On retirement from service, in accordance with rule 11/rule 12/rule 13, Shri …………… is entitled to benefits under the Pension Fund Regulatory and Development Authority (Exits and Withdrawals under National Pension System) Regulations, 2015 as admissible to the Subscribers retiring on superannuation. It is requested that the case of the Government servant/Subscriber for release of terminal benefits under the National Pension System may be processed accordingly.
Yours faithfully,
Head of Office
* Strike out if not applicable
Download Form: FORM 4A of rule 24 of CCS NPS Rules 2021.
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FORM 4-B
[See rule 24]
[Form of letter to the Accounts Officer forwarding the withdrawal papers of a Subscriber under the National Pension System on absorption in an autonomous body or Public Sector Undertaking]
No ……………………..
Government of India
Ministry / Department/Office of
Dated the
To
The Pay and Accounts Officer/Accountant-General
(Through – the Drawing and Disbursing Officer).
Sub: Processing of claim for benefits under the National Pension System on absorption in an autonomous body or
Public Sector Undertaking or resigned on technical ground – case of Shri /Smt. /Km…………….. (PRAN……………)
Sir,
I am directed to say that Shri/Smt./Km……………..(name and designation), PRAN………., of this Ministry or Department or office is deemed to have retired from Government service w.e.f. ……… on absorption in …………… ,
an autonomous body or Public sector undertaking or resigned on technical ground. A copy of order of his relieving from this Ministry or Department or office is enclosed.
2 * Since the scheme of the National Pension System exists in the new organisation, the Subscriber shall
continue to subscribe to the National Pension System with the same Permanent Retirement Account Number in the
new organisation. He shall not receive any benefit under the National Pension System at the time of such absorption
but shall receive benefits after exit from the new body or organisation etc. where Subscriber has been absorbed.
OR
* Since the scheme of the National Pension System does not exist in the new organisation, in accordance with
rule 15 of the Central Civil Services CCS (Implementation of NPS) Rules 2021, he or she shall be
eligible to receive benefits under National Pension System in accordance with the Pension Fund Regulatory and
Development Authority ( Exits and Withdrawals under National Pension System) Regulations, 2015 as admissible in
the case of exit of Subscriber on superannuation.
The following documents (in physical form or printout of forms submitted online) prescribed by the Pension Fund Regulatory and Development Authority for release of terminal benefits under the National Pension System are enclosed:
1.
2.
3.
4.
3 It is requested that the case of the Subscriber may be processed for transfer of the NPS Account to……………..or release of terminal benefits under the National Pension System in accordance with the Pension Fund Regulatory and Development Authority ( Exits and Withdrawals under National Pension System) Regulations, 2015 as admissible in the case of exit of Subscriber on superannuation.
.
Yours faithfully,
Head of Office
* Strike out if not applicable.
Download Form :FORM 4B of rule 24 of CCS NPS rules 2021.
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FORM 4- C
[See rule 24 ]
[Form of letter to the Accounts Officer forwarding the withdrawal papers of a Subscriber under the National Pension System on resignation or compulsory retirement as a measure of penalty or dismissal or removal from service]
No ……………………..
Government of India
Ministry / Department/Office of
Dated the
To ,
The Pay and Accounts Officer/Accountant-General
(Through – the Drawing and Disbursing Officer).
Sub: Processing of claim for benefits under the National Pension System on resignation or compulsory retirement as a measure of penalty or dismissal or removal from service of Shri /Smt…………………………….PRAN………………………)
Sir,
I am directed to say that:
* A penalty of compulsory retirement has been imposed on Shri/Smt./Km…………………………..(name and designation), PRAN…………… of this Ministry or Department or office vide Order No.………..dated………………. (Copy enclosed). Accordingly, Shri/Smt./Km……………..stands compulsorily retired from Government service with effect from ………
OR
* A penalty of dismissal or removal from service has been imposed on Shri/Smt./Km………..…..(name and designation), PRAN………….. of this Ministry or Department or office vide Order No. ………………..dated…….(Copy enclosed). Accordingly, Shri/Smt./Km…..………………stands dismissed/ removed from Government service with effect from ………
OR
* Shri/Smt./Km……………………………….(name and designation), PRAN………. of this Ministry or Department or office has resigned from Government service with effect from ……….. A copy of the Order No. ……………..dated………………. for acceptance of resignation is enclosed.
2. In terms of rule 17 or rule 14 of the Central Civil Services CCS ( Implementation of NPS) Rules 2021, the Subscriber is eligible for benefits under the National Pension System in accordance with the PensionnFund Regulatory and Development Authority (Exits and withdrawals under National Pension System) Regulations-2015 as admissible in the case of exit of Subscriber before superannuation.
3. The following claim papers (in physical form or printout of forms submitted online) prescribed by the
Pension Fund Regulatory and Development Authority for release of terminal benefits under the National Pension
System are enclosed:
1.
2.
3.
4.
4. It is requested that the case of the Subscriber for release of terminal benefits under the National Pension
System may be processed in accordance with the Pension Fund Regulatory and Development Authority ( Exits and withdrawals under National Pension System) Regulations-2015 as admissible in the case of exit of Subscriber before superannuation.
Yours faithfully,
Head of Office
*Strike out if not applicable
Download Form: FORM 4C of rule 24 of CCS NPS rules 2021.
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FORM 4-D
[See rule 24 ]
[Form of letter to the Accounts Officer forwarding the withdrawal papers of a Subscriber under the National Pension System on retirement on invalidation or disablement]
No ……………………..
Government of India
Ministry /Department/Office of
Dated the
To
The Pay and Accounts Officer/Accountant-General
(Through – the Drawing and Disbursing Officer).
Sub: Processing of claim for benefits under the National Pension System on retirement on invalidation or disablement of Shri /Smt. /Km…………….. (PRAN …………………..)
Sir,
I am directed to say that Shri/Smt./Km……………..(name and designation), PRAN …………………. of this Ministry or Department or office retired on invalidation (not attributable to Government service) or disablement (attributable to Government service) on ……………. As per the option exercised by Shri/Smt./Km……………../ default option under rule 10 of the Central Civil Services CCS ( Implementation of National Pension System NPS) Rules, 2021, the Subscriber is eligible for benefits under the Central Civil Services (Pension) Rules, 1972 or the Central Civil Services (Extraordinary Pension) Rules, 1939. A copy of the option exercised by the Government servant in Form -1 is enclosed.
Further action for disbursement of benefits in accordance with the Central Civil Services (Pension) Rules-1972 or Central Civil Services (Extraordinary Pension) Rules-1939 is being taken accordingly. In accordance with rule 16 or rule 17 of the Central Civil Services CCS (Implementation of NPS) Rules 2021, the Government contribution and returns thereon in the accumulated pension corpus of the Subscriber shall be transferred to Government account. The remaining accumulated pension corpus shall be paid in lump sum to the Subscriber.
OR
I am directed to say that Shri/Smt./Km……………..(name and designation), PRAN …………………. of this Ministry or Department or office retired on invalidation (not attributable to Government service) or disablement (attributable to Government service) on ……………. . As per the option exercised by Shri/Smt./Km……………../ default option under Rule 10 of the Central Civil Services (Implementation of NPS) Rules 2021 and in accordance with rule 16 or rule 17, the Subscriber is eligible for benefits under the National Pension System in accordance with the Pension Fund Regulatory and Development Authority (Exits and Withdrawals under National Pension System) Regulations, 2015 as admissible in the case of exit of Subscriber on superannuation.
A copy of the option exercised by Shri/Smt./Km…………….in Form -1 is enclosed. The following documents (in physical form or printout of forms submitted online) prescribed by the Pension Fund Regulatory and Development Authority for release of terminal benefits under the National Pension System. as submitted by the Shri / Smt./Km …………are also enclosed:
1.
2.
3.
4.
2. It is requested that the case of Shri/Smt./Km…………….for release of terminal benefits under the National Pension System may be processed in accordance with the option exercised by him or her and the provisions of the Pension Fund Regulatory and Development Authority ( Exits and Withdrawals under National Pension System) Regulations, 2015.
Yours faithfully,
Head of Office
*Strike out if not applicable.
Download Form: FORM 4D of rule 24 of CCS NPS rules 2021.
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FORM 4- E
[See rule 24
[Form of letter to the Accounts Officer forwarding the withdrawal papers of a Subscriber under the National Pension System on death in service]
No ……………………..
Government of India
Ministry / Department/Office of
Dated the
To,
The Pay and Accounts Officer/Accountant-General
(Through – the Drawing and Disbursing Officer).
Sub: Processing of claim for benefits under the National Pension System on death in service- case of Shri /Smt.
/Km…………….. (PRAN ………………………)
Sir,
I am directed to say that Shri/Smt./Km……………..(name and designation), PRAN………. of this Ministry or Department or office died on ……………. . The death of Shri/Smt./Km……………. is not attributable to Government service or attributable to Government service. As per the option exercised by Shri/Smt./Km…………….., default option under rule 10 of the Central Civil Services ( Implementation of National Pension System) Rules, 2021, his family is eligible for benefits under the Central Civil Services (Pension) Rules, 1972 or the Central Civil Services (Extraordinary Pension) Rules, 1939.
Further action for disbursement of benefits to the family in accordance with the Central Civil Services (Pension) Rules-1972 or Central Civil Services (Extraordinary Pension) Rules-1939 is being taken accordingly. In accordance with rule 20 of the Central Civil Services CCS (Implementation of NPS) Rules 2021, the Government contribution and returns thereon in the accumulated pension corpus of the Subscriber shall be transferred to Government account. The remaining accumulated pension corpus shall be paid in lump sum to the person(s) in whose favour a nomination has been made under the Pension Fund Regulatory and Development Authority (Exits and Withdrawals under National Pension System) Regulations, 2015.
If there is no such nomination or if the nomination made does not subsist, the amount of remaining accumulated pension corpus shall be paid to the legal heir(s). A copy of the option exercised by the Government servant / Subscriber in Form -1 is enclosed.
OR
I am directed to say that Shri/Smt./Km……………..(name and designation), PRAN………… of this Ministry or Department or office died on ……………. . As per the option exercised by Shri/Smt./Km…………….., default option under rule 10 and in terms of rule 20 of the Central Civil Services ( Implementation of National Pension System) Rules,
2021, his family is eligible for benefits under the National Pension System in accordance with the Pension Fund Regulatory and Development Authority (Exits and Withdrawals under National Pension System) Regulations, 2015
A copy of the option exercised by the Subscriber in Form -1 is enclosed. The following documents (in physical form or printout of forms submitted online) specified by the Pension Fund Regulatory and Development Authority for release of terminal benefits under the National Pension System, as submitted by the eligible member of the family are enclosed:
1.
2.
3.
4.
2. It is requested that the case of the Subscriber for release of terminal benefits under the National Pension System may be processed in accordance with the option exercised by him or her and the provisions of the Pension Fund Regulatory and Development Authority ( Exits and Withdrawals under National Pension System) Regulations, 2015.
Yours faithfully,
Head of Office
*Strike out if not applicable.
Download Form: FORM 4E of rule 24 of CCS NPS rules 2021.
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Download All form used in Central Civil Services CCS (Implementation of National Pension System NPS) Rules 2021. click on the form to download.
1. FORM 1 of rule 10 of CCS NPS Rules 2021.
2. FORM 2 of rule 10(3) of CCS NPS rules 2021.
3. FORM 3 of rule 16 of CCS NPS Rules 2021.
4. FORM 4A of rule 24 of CCS NPS Rules 2021.
5. FORM 4B of rule 24 of CCS NPS rules 2021.
6. FORM 4C of rule 24 of CCS NPS rules 2021.
7. FORM 4D of rule 24 of CCS NPS rules 2021.
8. FORM 4E of rule 24 of CCS NPS rules 2021.
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