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www.epfindia.gov.in~~1ffiI~~<f;~"'I~ 2 ~"'Ilffi1O~\iIl\[) (To be submitted in duplicated in respect of each person eligible for pension) ~ -M't <fiT fc'fcRur aIR~ ~ ~/~ f.rnT'l Descriptive roll of Pensioner and his/her Specimen SignaturefThumb impression
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www.epfindia.gov.in~ off./ Mobile Number <:TtITmsur/Clam I.D . lItF.H 1It.f.t FORM5IF ~ f.IItq ~ 1ftwn"~. 1978 THE EMPLOYEES' DEPOSIT- LINKED INSURANCE SCHEME, 1976 ~ ~ iI"RT3rof1T~ om ~, ~ ~ ~ ~ t<IT \ffiif; ~ iI"RTom ~, ~ ~ amtCf; ~ ~
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