Sample Filled Form 15G for PF Withdrawal in 2022

Form 15G is a self-declaration to declare that the total income in a financial year is less than the income tax slab limit. It should be filled by the citizens of India whose age is ≤ 60 years. If the age is above 60 years then they have to submit form 15 H in place of form 15G. By submitting form 15G we can avoid TDS on PF withdrawals and fixed deposit interest

When it comes to PF withdrawal if the total PF amount ( employee + employer share) is above 50,000 Rs and the total service is below 5 yrs then that EPF member should submit form 15G along with PF claim form 19.

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.

Form 15G is not required If your PF amount is less than 50,000 Rs (or) the total service is above 5 years.

Tax on 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%

EPFO Circular on TDS Deduction

Download in PDF Format

Form 15G Filled Sample for PF Withdrawal in 2022

Form 15G consists Two parts, we need to fill only part 1 of form 15G there is no need to fill part 2 of form 15G, just leave that page blank.

Here is an example of a sample filled form 15G part 1 and part 2, which will guide you on how to fill form 15G correctly for PF claim…

Sample Filled Form 15G Part 1

sample filled form 15G for PF withdrawal.

Sample Filled Form 15G Part 2

How to Fill Form 15G for PF Withdrawal in 2022

Field 1 (name of the assessee): Name of the person who is withdrawing PF amount.

Field 2 (PAN of the assessee): PAN number of the person withdrawing PF.

Field 3 (Status): Individual

Field 4 (Previous Year): 2021- 22
[note: until the end of the 31 March 2022 the previous year is 2021-22, later the previous year changes to 2022-23]

Field 5(Residential status): Indian

Fields 6 to 14: Address, mobile number, and email id of the person claiming PF.

Field 15: If you filed any IT returns then tick Yes, otherwise tick No. If you tick Yes then mention the assessment year. (Assessment year is the year followed by the financial for which you paid income tax).

Field 16 (Estimated income): PF amount ( employee and employer contribution), not pension amount.

Field 17 (Estimated total income): Mention your estimated annual income and PF amount together. For example, if you mentioned 60000 Rs in field 16 and your annual estimated income is 1,00,000 Rs then mention 1,60,000 Rs

Field 18: If any form 15Gs were submitted earlier then mention those details, otherwise leave this field blank.

Field 19: Write your UAN, PF number, and the section as 192 (A).


Previous year ending on 31 March 2022
[note: if you submit form 15G before 31 March 2022, later it will be 31 March 2023]

Assessment year: 2022 – 23
[note: until the end of the 31 March 2022 the assessment year is 2022-23, later the assessment year changes to 2023-24]


(Previous year and assessment year change every year, if you are withdrawing PF amount in between 1 April 2021 to 31 March 2022 then mention the above details). The changes will be updated every year here.

Form 15G Part 2: You don’t need to fill part 2 of form 15G, it will be filled by the EPF officers. But you have to upload the blank copy of form 15G part 2 while claiming for PF using form 19 at the UAN member portal.

Difference Between Form 15G and Form 15H

  1. Form 15G will be submitted by the resident individuals whose age is below 60 years and their taxable income should be less than 2,50,000 Rs for Fy 2020-21.
  2. Form 15H will be submitted by the resident individuals whose age is 60 or above 60 along with below income tax slab criteria
  • For senior citizens, the annual income should be less than 3 lakhs, and for super senior citizens of age above 80 yrs, the annual income should be less than 5 lakhs.
  • Income from fixed deposit interests and post office deposit interests should be less than 50,000 Rs.

Form 15H Filled Sample for PF Withdrawal in 2021 – 22 ( If Age is Above 60 Years)

Filled Form 15H Part 1

Filled PF Form 15H for PF withdrawal part 1

Filled Form 15 H Part 2

Filled PF Form 15H for PF withdrawal part 2

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

Now EPF members can upload form 15G and form 15H online at the UAN member portal while applying for the PF claim. Here is the step-by-step process of uploading forms 15G and 15H for online PF claims.

Step 1: EPF members who select form 19 i.e PF amount withdrawal in the UAN member portal will get an option to upload form 15G. You don’t need to submit form 15G for pension amount withdrawal i.e form 10C amount.

how to submit form 15g for online pf withdrawal

Step 2: To upload form 15G in the member portal, first, download form 15G in this post and fill it with blue or black ball pen and scan it and save the document in PDF format, and size should be less than 1 MB. Now upload this form 15G in the UAN member portal.

But remember to upload form 15G your PAN number must be linked with your UAN number otherwise UAN portal will not accept the form 15G and you will get the following message that “Verified PAN not available cannot upload form 15G”.

In this case, you need to submit 2 copies of form 15G and 1 copy of your PAN card to your regional EPF office, within 1 or 2 days after applying for the online claim, then no tax will deduct from your PF claim amount.

Form 15G for PF Withdrawal FAQs

# Is form 15G mandatory for PF withdrawal?

If your total PF amount is 50,000 Rs or above and your service is below 5 years then only you need to submit form 15G, otherwise, you don’t need to submit form 15G.

If you don’t submit the form 15G eligible case, then EPFO will reject your PF claim and ask you to reclaim your PF along with form 15G. But in very rare cases your claim will be settled with tax deduction.

# What is estimated income on form 15G

While filling form 15G in field numbers 15 and 16, we will see estimated income details. Estimated income for which this declaration made means the amount which you are withdrawing. You can find the amount on your PF passbook.

In field no 16 you need to mention your estimated annual income. ( You don’t need to mention the exact amount, just mention the estimated amount.)

# Will service period in multiple companies consider for PF Withdrawal

Yes, if employees work in multiple companies and transfer PF contributions every time they join in a new job then all service periods will be merged. Even though the employees have gaps in their jobs still when they join a new job and transfer their PF, then their old service period will be merged with the present service period.

# Can I fill form 15G online?

No, you cannot fill forms 15 G & 15H online, you have to fill it with a ball pen manually, but you can upload copies of form 15G part 1 and part 2 online at the UAN member portal.

# Is form 15G required for PF withdrawal after 5 years?

Not required, If you are withdrawing your PF amount after 5 years then you don’t need to submit form 15G even though you are withdrawing above 50000 Rs of PF claim amount.

# Should I submit form 15G for pension form 10C?

No, form 15G is not required for pension withdrawal. You need to submit or upload form 15G only for PF claim amount i.e for form 19 only. For form 10C you don’t’ need to submit form 15G.

184 thoughts on “Sample Filled Form 15G for PF Withdrawal in 2022”

  1. Hi ,

    I left my organization in 2014 . Now i want to withdraw the pf amount. currently i am working .
    What to fill in Column no. 4 , 15 , 16 , 17 ,18 & 19.

    Kindly suggest .

    Reply
  2. Hi I m BalaKrishnan my office payroll dept given form 15g its totally differ from above sample but i download from google new one i confused 16 – 19column please guide

    Reply
  3. Hello Sir/Madam,

    I worked with the company from 30-08-2014 to 10-06-2017 and my CTC was 2,32,000 Rs ( Monthly I was getting 15000 Rs to 16000 Rs ) . I want to apply for the PF withdrawal so I need a help from you to fill the form 15G. What should I mention in the column 4, 15, 16, 17, 18 and 19 ( Nature of Income and amount of Income ) and am not assessed under Income-tax Act. Please reply me as soon as possible.

    Thanks and Regards,
    SUMA N

    Reply
    • Hi Suma,
      Please find below details…
      In Column 4 : 2016-2017
      Column 15: Tick No
      Column 16 : Your Estimated Pf withdrawal amount (you can find it in your PF passbook)
      Column 17: Your estimated PF amount + 232000
      Column 18: In your case leave blank.

      Reply
      • I worked with the company till 22-10-2016 and my CTC was 2,60,000 Rs ( Monthly I was getting 18500 Rs ) .Now i my CTC 47000(Monthly I was getting 24500 Rs ) from my new company.I want to apply for the PF withdrawal so I need a help from you to fill the form 15G. What should I mention in the column 4, 17, 18 19 .
        Please reply me as soon as possible

        Reply
  4. Useful Article

    hi Rajesh, planning to withdraw my pf balance of 20k under my previous employer cognizant(resigned on oct 2012)..
    Currently I’m a central govt employee working for Southern railways and had filled income tax for the financial year 16-17…
    what amount should i need to mention in column 17…is that my total ctc with railways plus pf amount?
    i dont have any other income apart from my salary…
    Please help thank you

    Reply
  5. I am planing to withdrawal pf amout more than 58 thousand. From last two year i am filling ITR .
    I filled 2016-17 and 2017 – 18. i am taking only 20000 salary from my company but in ITR i shows my income more than 4.5 lac and i am not taking salry from may 2017.
    Now what i have to mention my total income in form 15g.

    Reply
      • Dear Sir,

        I need clarification regarding entering Previous year ( FY) for particular employee.

        Suppose employee left his job in dec – 2017, in that case what to write in PY column?

        what is the criteria , basis on which that year is ascertained?

        kindly clarify it.

        Reply
          • Thank you for response.

            But How to ascertain what year to write can you clarify please?
            as empl left job in 2016-2017 year

          • Hi Imran,
            If an employee left on 1 April 2017-31 March 2018 then his earnings will belong to 2017-2018 financial year, for that period earnings assessment will be done in the 2018-2019 financial year. So assessment year will be 2018-2019 and previous year will be 2017-2018.

          • as you clarified, employee left in Dec – 2017 , so Previous year would be 2016-2017. isn’t it??

  6. Currently I am not working I left the job August 2016 , now I want to claim pf Amount I have doubts in filling form 15g

    Column 15 yes or no , I made a tick on no
    Column 16 ( I have reviewed other posts above you are suggesting them to fill Pf amounts withdrawal (employee share +employer share + pension contributions) do I need to add all this three or any 2 excluding pension contributions) please
    Clarify clarify me on this

    But if I add employee share + employer share the amount is below 50000 only s

    Column 18 has two sections first left blank
    I don’t know which amount to be filled over there

    Reply
    • Hi Abdul Kareem,
      If income tax is deducting from your salary then you have to tick YES, other wise keep it as NO.
      In column 16 there is no need to mention pension amount.
      If you have submitted any previous form 15Gs in last year then mention those details in the field 18. For an example, if you have submitted One form 15G in last year for an amount of 60000. Then mention 1 in left blank and 60000 in right blank. If you haven’t submitted any previous form 15Gs then leave those fields blank.

      Reply
      • Thanks for your acknowledgement

        my salary not exceed above tax slab 2,50,000 recently I received form 16 from my previous organisation in which for the finically year 2016~2017 gross income 1,51,461 tax payable 0 income from other source also 0

        Then by adding employee plus employers share i get total Rs 46000 pf withdrawal amount as you said I not including pension amounts

        Then I have to fill 46000 column 16
        And in column 17 I have to fill 46000+151461= 1,97,461

        If I not mentioned pension contributions amount will be 20000 how can I withdraw this amount please clarify this alone.

        while filling form 10c I have ticked there is no requirement of scheme cerficate so that I can withdraw pension contributions am I right or not

        Reply
        • Hi Abdul Kareem,
          In form 15G we are mentioning just estimated income so it is not a problem.
          While coming to scheme certificate, it is for members who contribute minimum 10 years for EPF other wise you can tick on NO.

          Reply
  7. Dear sir,
    My employer have submitted my pf claim form to pf regional office. now howmuch days after i can check claim status

    Reply
  8. Hi, I am planning to withdraw P.F.
    I worked for a company from oct 2013 to JAN2015 and I would like to withdraw my p.f ,
    after that i went saudi arabia form jan 2015 to may 2017.
    i am confused about 15 g colom no4 (previous year) , colom no 16, 17, 18

    sirr i saw lot of yoututube vidios about 15g but i didnit under stand ,please give a reply

    Reply
    • Hi Ravi,
      If your PF claim amount is less than 50000 Rs then you don’t need to submit form 15 G. You can check your PF balance at Download PF Passbook
      While coming to column numbers 16, 17, 18 in Form 15G
      Column 16 : Write estimated PF claim amount which you are going to withdraw. For example, if you are withdrawing a PF amount of 55000 then mention 55000 in column 16.
      Column 17: Write your estimated total income for the financial year 2016-17. Suppose if your monthly wage is 20000 Rs then your total income for 2016-17 will be 240000. To this amount add your Pf claim amount. Eg : 240000+55000 = 295000 Rs
      Column 18: If you didn’t submit any previous form 15G then leave this blank.

      Reply
  9. Hi, I am planning to withdraw P.F.
    I worked for a company from oct 2015 to nov 2016 and I would like to withdraw my p.f of these 13 months.

    In form 15G, with respect to my 13 months work(oct 2015 to nov 2016), on what basis I can do calculation to fill column 4 , 17

    Reply
    • Hi Bravo,
      In column 4 mention 2016-2017 and in column 17 mention your estimated income for the financial year 2016-2017 plus estimated amount of your PF withdrawal amount. For example, if your estimated income in 2016-2017 is 2 lakhs and you are withdrawing 60000 Rs of PF amount then mention 260000 in column 17.

      Reply
  10. Hi,
    I applied for pf withdrawl with all the required documents. But after few months when i didnt get any SMS alert regarding this,i checked the claim status online .and there it was showing that my request is not being processed because cancelled cheque is not signed by the applicant.

    Now again i am appling for pf withdrawl.so plz tell me where to sign on a cancelled cheque.bcz as far as i know signature on this is not required.

    Reply
    • Hi Ankita,
      Yes, no signature is required on cancel cheque. If your name was printed on cheque then it is enough for PF withdrawal. May be your name was not printed on your cancelled cheque.

      Reply
    • Hi Carol,
      In fields 16 and 17 mention your estimated, for example if you are withdrawing PF amount of 80000 Rs then mention that amount in those fields.

      Reply
      • Hi Rajesh,

        Which means that I need to know my total pf withdrawal amount to fill column 16 from my employer ?

        Regarding column 17, do I need to fill in my income for P.Y i.e. 2016-17 (for eg. if my income for P.Y. is 1,00,000 and pf withdrawal is 60000, then the total amount I need to fill is 1,60,000) ?

        Reply
        • Hi Carol,
          Yes you have to mention PF amount in column 16 ( you can mention estimated amount, no need to write exact amount)
          In column 17 you have to mention 160000.

          Reply
  11. Hi,

    My Total income from my salary was 252000 and the of is below 30k.
    I left my previous employer and need to withdraw pf.

    Need help in filling the form 15g from fields 15 till 19 and the Declaration fields.

    Can you help me.

    Thank you,
    Rishi

    Reply
  12. Hi,
    What should I fill in
    Whether assessed to tax under the income tax act 1961?

    I file it return/form 16 each year but my mom does not?

    So should I tick yes for my 15g form n tick no for my mom’s 15g?

    Reply
    • @ ashiq nabi bhat
      In sample s no 4, I have mentioned 2017 but actually it is 2016-2017 , so you have to replace it with 2016 -2017.

      Reply
  13. Actually I’m really confused, im trying to fill the form 15g from last 2 months but there’s a lot of confusion.i have no one to guide.
    I started working in 2015 (23-03-2015) to (18-11-2015) and currently I’m not working nor I have any other source of income like FD, POLICY, DEPOSITE ETC.i was actually getting in-hand salary around 10k, so I want some to guide me how to fill the form no 15g with this information.OR plz provide me Ur phone no or email id so that I can contact u.

    Reply
    • @ Ashiq Nabi Bhat
      You can fill Form 15 G by replacing the details I mentioned in above image, you have to mention your estimated income as 120000 Rs @ sl no 16 & 17. If you have any doubts in sl no 18 & 19 just leave them.

      Reply

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