Break in Service Certificate

Sample Template Letter for No Break in employment for PF & FPF as per rules in India

EMPLOYEE’S PENSION SCHEME 1995

DETAILS OF BREAK IN SERVICE

PART – I

1.  Name of the Member                     :         Ms. Neetu Singh

2.  Account Number                           :          DL/-----------

3. (A) Date of commencement of

     Family Pension Fund                    :           N.A.

     Membership

    (B) Date from which Family

     Fund Contribution Recovered       :            N.A.

    (C) Date of Commencement of

     Pension Fund Membership            :          15.10.2008

    (D) Last date upto which wages

    were paid and contributions            :         31.03.2014

    recovered  

4.  Period of Break in reckonable

     Service (Indicate number of

     Days for which no Wages were

     Paid to the Member)

     Month & Year                                 :         NIL

5.  Last Salary Drawn                          :         Rs.275890.00     

6.  Pensionable Salary                         :         Rs .35200.00

PART – II

      Certified that there are no periods of Break on Account of leave without Wages, Strike, Lock out etc. during reckonable service of Ms Neetu Singh, Account No. DL/------------

Date :

Seal:                                                            Signature of the       

Employer or Authorized  Official             

Delhi: 

Note:           (I) Fill up the Appropriate Portion Only.

                   (II) Whenever there is drop in contribution to Family Pension Fund as compared to the preceding and succeeding months suitable explanation indicating the reason for such variation may please be furnished in cases which there was no event affecting the reckonable services.