Sample Filled Form 15G & 15H for PF Withdrawal in 2019

EPF members who are withdrawing a PF amount of more than 50000 Rs in below 5 years of service need to submit 2 copies of form 15G and 1 copy of PAN card. If EPF members fail to submit form 15G then 34.6% tax will deduct from their PF claim amount or sometimes EPF officials will reject the EPF claim. EPF members whose age is below 60 years need to submit form 15G and for above 60 years form 15H is required.

Tax deduction situations during PF withdrawal

If the employee submits both PAN and 15GNo tax deduction
If the employee submits only PANTDS 10%
If the employee doesn’t submit PAN alsoTDS 34.6%

Download Form 15G PDF

Download Form 15H PDF

Sample Filled Form 15G for PF Withdrawal in 2019

Filled Form 15G Part 1

Sample Filled Form 15G For PF Withdrawal Part 1

Filled Form 15G Part 2

Sample Filled Form 15G For PF Withdrawal Part 2 in 2019

How to fill form 15G for PF withdrawal in 2019:

Field 1Name of assesseeWrite the name of the person who is submitting form 15G.
Field 2PAN of the assesseeWrit your PAN number
Field 3StatusMention Individual or HUF (Hindu Undivided Family) if applicable
Field 4Previous yearIf you are submitting form 15G form before 31 March 2019, then the previous year will be 2018-19.
Field 5Residential statusIndian
Fields 6 – 12AddressHere write your address details
Field 13Email idWrite your email id.
Field 14Mobile numberWrite your mobile number
Field 15 part(a)Already assessed or notIf you filed income tax returns under income tax act 1971 then tick Yes otherwise tick No
Part (b)Assessment yearMention the year for which you filed your IT returns
Field 16Estimated total income of the p.y. in which income mentioned in column 16 to be includedMention the estimated income, for example, if you are withdrawing a PF amount of 60,000 Rs then mention 60,000 as estimated income. (Don’t need to mention the exact amount)
Field 17Estimated total income of PYMention your total annual income for the previous year. This should be the income mentioned in form 16. (Don’t get confused,  just mention your previous year total income)
Field 18Total  number of Form 15Gs filedIf you have submitted any form 15Gs previously, then mention how many forms 15Gs you have submitted earlier, otherwise leave it blank.
The aggregate amount of income for which form 15G submittedIf you submitted form 15Gs previously then mention the total amount for which you submitted form 15Gs, otherwise leave it blank.
Field 19Details of the income for which declaration is made
Sl noWrite serial number
Identification number of relevant investment or accountFor PF withdrawal you can leave this field blank or you can mention your UAN(If you don’t fill this field, then it will be filled by PF officials). For FDs write your Fixed deposit account number.
Nature of incomeMention whether it is FD, or EPF, dividends, or interest on securities etc.
The section under which tax is deductibleYou can find sections in below table. If you don’t know the sections you can leave it blank. It is not a problem.
Amount of incomeMention the amount of income for which you are submitting form 15G.

Sample Filled Form 15H in 2019

Filled Form 15H Part 1

Sample Filled Form 15H part 1 in 2019

Filled Form 15 H Part 2

Sample Filled Form 15H part 2 in 2019

How To Submit Form 15G & 15H Online For PF Withdrawal

How To Fill Form 15G Online For PF Withdrawal

While applying PF amount online at UAN member portal we will get the following message…

“Dear member, As your service is less than five years and your verified PAN details are not available under the unified PF portal. Income tax at the highest slab of 34.6% is liable to be deducted if your settlement amount crosses Rs. 50000/-. You are advised to update your PAN details before filling for the online claim and also check your balance before proceeding to submit PF settlement claim.”

 But as we know there is no option to submit form 15G for online PF withdrawal, you need to submit 2 copies of form 15G directly to your regional EPF office after applying for the online claim. On each copy of form 15G on top side write your PF number and UAN number. You have to submit form 15G within 1 or 2 days from the date of online claim submission.

113 thoughts on “Sample Filled Form 15G & 15H for PF Withdrawal in 2019”

  1. Hello ,

    I worked in a company from 01/04/2014 to 24/09/2018. Employee share 58,981 employer share 18,044 pension 35,919 .In this duration my salary was 15583/Month. Currently i m not working. I want to withdrawl all of my pf amount now.
    What should be filled in following columns
    4 .should it be ?
    15. Coluumn ??
    15 b latest assesment year .?
    16 sum of emp , emplyr share and pension (112944)?
    17 is it the same amount as 16 (112944) or should i add my annual income in 2014-2018 year to column 16
    19. ??

  2. Dear Sir,

    One of our employee resigned in March/2018.
    now in order to fill form in feb/2019. what should be FY/PY to write in form 15G???

    kindly guide.

  3. in my pf account i have my contribution of 45879 and employee contribution of 12800. i not able to update my pan card details online as its keep saying that the uan name doesn’t match the name as per income tax department .please let me know if i need to submit the form 19 alone in pf office to claim my money with copy of pan card so that the tax doesn’t get deducted.please advise

    • Hi Jeetender,
      Submit PF form 19 and 10C in your PF office along with 1 copy of PAN card and 2 copies of form 15G, so that no tax will deduct from your PF claim amount.

  4. Hello,
    I worked for company A from May 2015 to April 2018.
    PF account shows –
    Employee Share 53,195.00,
    Employer Share 16,270.00
    Pension 33,375.00
    Now, I want to withdraw complete amount and clear the PF account, as I am now paying a Home loan.
    Also, After new days of leaving the company A, I got another offer from a different company with annual ctc of 4.5Lacks.
    I have not linked or transferred the previous PF account of Company A to new company.
    Please, I need urgent help me for fields of form 15G, Fields I need assistance with is – 4, 15, 16, 17, 18, and 19. Previously I have not withdrawn any PF, never had it actually. And I have no other income source.

  5. Hi sir,
    I have submitted the pf withdrawal through online. They rejected the claim saying i need to submit 2 copies of 15g form. Should i personally visit the office and submit the forms. In that case shall i visit my current city pf office or have to
    Go to my office location

    • Hi Rekha,
      You have to submit form 15G to the PF office where your PF amount is maintained i.e your previous employer’s PF office location.

  6. Hi Rajesh,

    I worked for 2 companies A ( 2015 – 2016) & B ( April 2016 – Nov 2016). My latest company was B and resigned in Nov 2016. Company A’ s total share ( including employer share + pension) is 40k. Company B’s total share is 50k. I haven’t transferred A company’s PF to company B. I have couple of queries.

    1. Since I have submitted for PF withdrawal online, I received a call to submit Form 15G to avoid deduction of tax. What is the previous year to filled in point 4 ?
    How should I proceed with points 16 & 17 in Form 15G ?

    2. Am i eligible to get PF total share of Company A which hasn’t been transferred ?

  7. Hello Sir,

    I want to do part withdrwal of my PF account, i have less than 5 year of service.
    i want to withdraw 3.5 Lakh amount.

    Please help me with section 4, 16, 17 and 19 in details.

    Section 19 i am not sure at all what to fill

    Thank you very much

  8. Hello ,

    I worked in a company from Aug -2016 to jan 2018. Employee share 27122 employer share 8288 pension 18834 .In this duration my salary was 16500/Month. Currently i m not working and dont have any source of income . I want to withdrawl all of my pf amount now.
    What should be filled in following columns
    4 .should it be 2016-2018?
    15. Coluumn ??
    15 b latest assesment year 2016-2018.?
    16 sum of emp , emplyr share and pension (54244)?
    17 is it the same amount as 16 since i dont have any income now (54244) or should i add my annual income in 2016-2018 year to column 16 (annual income 2 lakh+54244)
    19. ??

    what is PART II

  9. Dear Sir/Mem,
    I have sent my docs for PF withdrowls at your office.plz tell me about How many days will it take to get the amount in my bank account.
    Kindly settle my PF urgent basis & update me through call & mail…

    Thank’s & Regard’s

    EMP CODE – R26290
    UAN NO.- 100558682567
    MEMBER ID – MHBAN00453270000175921
    MO NO. – 9799514455

  10. Hello Sir,

    I quit my job on April 6th 2017. I had no income after that.
    My PF details are:
    Employee Share: 65403
    Employer Share: 19986
    Pension: 41082

    Could you kindly help me with what I should Fill in Section 4, 16 and 17?

    What about section 19? I dont understand what I should fill there…

    Thanks in Advance… Looking forward to your reply..

    • Hi Misbasheer,
      In field 4: 2017-218
      Field 16: 125000
      Field 17: 125000 + your annual income (Approximate value will be enough)
      Field 19: If you have submitted form 15G in past then write those details otherwise leave that field blank.

  11. Sir,
    I have worked in an organisation for 2 year 8 months. And my employee share – 17051, employer share-5215 and pension contribution-11228.
    Should I fill form no.15g to claim my PF money?

  12. If mention amount in 15G colum 17. is more than 2,50,000 then TAX deduct from PF amount or not ?
    My Employee Ded amount : 37000 Employer amount :11,000 and pension amount : 25000
    If i filled in Colum 16: 74000 and in Colum 17: 2,50,000

    Is it correct ?

  13. I would like to know about form 15G. I am not working anywhere and I will receive interest from FD – expected Rs 30000 in this financial year by March 2019. TDS is deducted over and above Rs 10000 interest amount, Am i eligible for 15G and what should I fill in column 16 & 17.

    • Hi Satheesh,
      If you are claiming more than 50000 Rs then submit 2 copies of form 15G, otherwise, there is no need to submit form 15G.

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