"H"
  Form "H"

[See Sub-Paragraph 2 (A) of paragraph 9 ]

Application for continuance of account under Public Provident
Fund    Scheme, 1968 beyond 15 Years.


To,

The Senior Post Master
..............................,
..............................

………………………………… ……

………………………………… ……

\\\....................................................... ………………………………… …… ………………………………… ……
My Public Provident Fund Account No. ……………………………has completed 15 years after the initial year of its commencement on……………………………


* I wish to continue to subscribe to my above referred account for a further block period of 5 years according to the limits prescribed in paragraph 3 of the Scheme.



* I do not wish to make any further subscription to my above account.

/Date:

........................
Signature or thumb impression of
Subscriber/Guardian
................................................................................................

. * Delete whichever is not applicable


For use in account office
………………………………… ……
The account completed 15 years after the year of initial subscription on………………………...................…Subscriber's request has been noted .
/Date:
Account Officer