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.

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

  1. Hi Sir,
    I worked for 6.6yrs and my accumulated amount is 170000(including all contribution), currently I don’t have any source of income.plz inform what should I write for Sec14 – last yr in which assessed.
    Sec23- estimated income of previous yr mentioned in sec 22.

    Reply
  2. Hi

    I worked in a company from jan 2014 to jan 2016. Employee share 50352 employer share 20902 pension 25004. Currently i m not working and dont have any source of income .
    What should be filled in following columns
    4 .should it be 2014-2015?
    15 b latest assesment year 2015 -2016.?
    16 sum of emp , emplyr share and pension (96258)?
    17 is it the same amount as 16 since i dont have any income now (96258) or should i add my annual income in 2014 -2015 year to column 16 (annual income 5lakh+96258)
    19. Except for this pf i dont have anyother investments so what needs to be filled in here
    It would be of great help if you could answer these questiond

    Reply
  3. Sir,
    I have worked in an organisation for 11 months. And my employee share – 8248, employer share-2524 and pension contribution-5713.
    Should I fill form no.15g to claim my PF money?
    Kindly do reply.
    Thanks.

    Reply
  4. I want to withdrawal my PF Amount. Employee Share 23000, Employer Share 7000 and EPS 16000.
    Please help me to fill Column 16 of 15G as I need to fill up 2 copies of 15G. In 1st copy of 15G in Column I put 30000 and in 2nd Copy I put 16000. It is correct ? It wrong please tell the correct.
    And also help to fill column 19. It is mandatory to fill colum 19

    Reply
    • Hi Sourav Dev,
      You have to mention 46000 in both form 15G copies. If you haven’t submitted any previous form 15Gs then just leave field no 19 as blank.

      Reply
  5. Hello Sir,

    I am planning to withdraw my PF from my previous employer. PF amount almost Employee : 193106, employer: 43262 and Pension: 19197. I have came out of the employer by 30/04/2015;
    My Present income is 16L

    Please help me to fill the below columns.
    column 4:
    column 16:
    column 17:
    column 18:

    Thank you so much in advance,

    Reply
  6. Hi Rajesh,

    I need you help to fill form 15G. I have PF balance more than 2 lakh and my annual income is 10.5 Lak.

    Please help me to fill the below columns.
    column 4:
    column 16:
    column 17:
    column 18:

    Reply
    • Hi Gowtham,
      In column 4: 2017-2018
      Column 16: 200000
      Column 17: 1250000
      Column 18: If you have haven’t submitted any previous form 15G then just leave that field blank. If you have submitted any previous form 15G then mention how many times you have submitted and total amount for which you have submitted your form 15G.

      Reply
  7. Hi sir,
    I have worked for a company till dec 2106. My Employee share -26,117, Employer share-8,341, Pension-15,848. Now i want to apply for PF withdrawal. I Don’t have any source of income now. what should I fill in 15G form. In column 4, column 16, column 17,and what years i should mention in declaration/verification.

    Reply
    • Hi Prabha,
      In column no.4 mention 2016-2017
      Column 16: 50000
      Column 17 is also 50000
      In declaration: the previous year 31 March 2017
      Assessment year: 2017-2018

      Reply
  8. Hi,
    I resigned in nov 2017 nd now im applying to withdraw pf . I wanted to know what should be mentioned in column 4 of form 15g.

    Reply
  9. Hi,
    I have below queries regarding withdrawal of my PF amount from my previous company.

    1) I worked in the company for 3 years and 10 months and i want to withdraw that money now. Should i need to fill 15G form along with the composite claim form (non-aadhaar) .My salary was not taxable during those period.
    2) Secondly when i spoke to my company MD he asked to share the filled forms.He gave me the address of the company where he is working presently and not to the address where he was working earlier since he has left that company and founded the new one.
    When i submit the form i want to know which company seal will be added in the PF withdrawal forms.

    Thanks and Regards,
    Suresh

    Reply
    • Hi Suresh,
      If you are claiming more than 50000 Rs then you should submit form 15G & copy of PAN card, you can check your PF balance in your PF passbook.
      You have to put the company seal of the employer under whom you have made the contribution to PF.

      Reply
  10. Hi, Sir,

    I have just worked for 6 months and my PF amount is 10,000. I haven’t filled any Tax returns.
    Should I need to fill form 15G to withdraw PF without any tax deductions.

    Also, I received a different Form 15G other than the one you have filled above (with schedule’s, code, etc.,) .
    So, which form should I need to use.
    Your response is very much appreciated.

    Thanks!

    Reply
  11. Pention amt can I transfered to present company? What is the procedure? My previous company expr 4 yrs 11 months.
    Bec now I m applying PF..

    Reply
    • Hi RGK,
      You can transfer your PF and pension amounts online at uan member portal or in offline by filling by submitting EPF transfer form 13.

      Reply
  12. Dear Sir/Mam,
    My prev company wrkng expr 4 yrs 11 months 6 days
    Now I m gng to apply PF, present my annual package 6.53 lakh/annum. Nearly pf I can get 2.2 lakh & pension amt 50000.
    Now along with PF settlement amt cum pention amt can I get Tax 10% free? Is there any eligibility for me.
    Can I submit 15G?
    That time can I get any tax free?

    Pention applying process….

    Reply
    • @ RGK,
      You need to submit Form 15G and PAN card copy along with PF claim forms so that no tax will be deducted from your PF & Pension amounts.

      Reply
  13. Hi
    At present my annual package is 420000 per annum and company is deducting the tds as per rules. Now i want to PF amount which is nearly 51k of previous organisation. can i submit form 15g? if yes waht should i write in columns 4, 15, 16, 17 and 18. [please suggest me sir

    Reply
  14. Hi
    I have seen three columns in pf passbook that is employee share, employer share and pension fund. during pf full settlement all the three columns amount will get credit or only 1&2?

    Reply
    • Hi Rajesh Neelam,
      You will get all the three amounts, first PF amount of employee and employer will be credited to your bank account, after 2-3 days pension amount will be credited to your bank account.

      Reply
  15. Hi
    At present my annual package is 420000 per annum and company is deducting the tds as per rules. Now i want to PF amount which is nearly 51k of previous organisation. can i submit form 15g? if yes waht should i write in columns 4, 15, 16, 17 and 18. [lease suggest me sir

    Reply
  16. Hi sir, I am Abhijit Mondal, if my total pf amount less than 50000/- then 15G form is require or not. Please note my pf passbook total is showing except the pension amount, my question is if I withdrawl entire pf amount then total amount (including pension amounts) will get or not?

    Reply
    • Hi Abhijit Mondal,
      If your PF amount is less than 50000 then there is no need to submit form 15, after submission of PF claim forms you will get both your PF and pension amounts.

      Reply
  17. I will have to withdraw my pf balance of around 50k.. but having problem while filling the 15G form in the points of 4no , 16no , 17no in part 1 and also on the 19 no.. please explain

    Reply
  18. i have filled return of 2016-2017 then should i tick yes on coloum 15 and if yes then on 15(b) but will i filled?
    and on 19 coloum but will be filled?
    PLease let me know

    Reply
    • Hi Sonal,
      We are not mentioning exact amounts on form 15G, so it is not a problem. Even if you don’t mention pension amount also you will get that amount.

      Reply

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