How to Fill PF Form 10C Sample

PF form 10C is used to claim pension amount of EPF members when they have less than 10 years of service. As we know every employer will contribute 8.33% of employee basic salary to the pension account of the employee in EPF. In order to withdraw this pension amount, EPF members need to submit PF form 10C. Don’t be confused between form 10C and 19. Form 19 is used to withdraw PF amount of the employee and form 10C is used to withdraw pension amount of employee, when the service is below 10 yrs.

Download PF Form 10C PDF

Form 10 C consists of 4 pages, an employer needs to do 3 signatures and the employee also needs to do 3 signatures. There is no need to attest revenue stamp on Form 10 C

Form 10C Filled Sample 2018

Sample Filled PF Form 10 C Page 1

Sample Filled PF Form 10 C Page 1

PF Form 10 C Page 2

Sample Filled PF Form 10 C Page 2

PF Form 10 C Page 3

Sample Filled PF Form 10 C Page 3

PF Form 10 C Page 4

There is no need to fill anything on Page 4


↓  Download Sample Filled PF Form 10 C

How To Fill PF Form 10C

  • Field 1 name of the member or name of the claimant, write the name of the member who is claiming for pension amount if the member dies then write the name of the claimant such as nominee.
  • Field 2 date of birth, write the date of birth of the member.
  • Field 3 Father’s name or husband’s name, write father’s name or husband’s name of the EPF member who is claiming pension amount.
  • Field 4 name and address of the establishment, put address stamp of the establishment.
  • Field 5 PF account number, mention your PF account number.
  • Filed 5 A date of joining, mention your date of joining in the establishment.
  • Field 6 reason for leaving service and date of leaving, mention the reason for leaving such as resigned or retirement etc… and mention the date of exit.
  • Field 7 Full Address, write your complete address here, in case your claim get rejected then rejected claim forms will be sent to this address.

Now sign on the first page of PF form 10C and take your employer attestation also.

  • Field 8  Are you willing to accept scheme certificate, if you don’t have 10 yrs of service then tick no.
  • Field 9 & 10 leave this fields blank, these are required when EPF member dies and his family members claim the pension amount.
  • Filed 11 bank account details, write your bank account details such as the name of the bank, bank a/c number, IFSC code and address of the bank. Bank account details are very important because if you write incorrect bank account details then your claim will not get settled.
  • Field 12 are you availing pension under EPS 95, tick this field No.

Now sign on the Second page & Third page of PF form 10C and take your employer attestation also. There is no need to fill page 4 in PF form 10C.

Note: Recently Employee Provident Fund Organization(EPFO) has introduced new EPF composite claim forms, you can use either those EPF composite claim forms or old PF form 19 and 10 C to claim your PF amount and pension amount.

Here are the differences between PF form 10C, Form 10C UAN and PF composite claim forms Aadhar & Non Aadhar.

Form 10C Form 10C UAN EPF Composite Claim forms Aadhar & Non Aadhar
  • Form 10C is old Pension withdrawal form. Still it is in use, employees can submit this form to PF office to withdraw their pension amount below 10 yrs of service.
  • Employees can also submit form 10C online at UAN member portal
At present UAN based form 10C is not in use.
  • PF composite claim forms are new PF withdrawal forms. Employees can submit PF composite claim form Aadhar or non Aadhar to claim their pension and PF amount.
  • These are single page forms and easy to fill.
  • PF composite claim form Aadhar doesn’t require employer attestation also, but employee KYC has to be linked with UAN.

How To Fill PF Form 10C In Online

  • Login to UAN member portal with UAN number and password.
  • Now go to online services in primary menu and click on claim form 31, 19 & 10C.
  • Now in new page you will find your details like name, dob, father name or husband name and mobile number along with your KYC details like Aadhar, bank account details and also your service details.
  • If you find everything is correct then click on proceed for online claim.
  • Now you have to choose the type of the claim i.e whether it is PF advance withdrawal (Form 31) or PF withdrawal(Form 19) or pension withdrawal(Form 10C).
  • After selecting the claim an OTP will be sent to your registered mobile number, now enter that OTP and submit your claim.
  • After successful submission of claim, you will receive an SMS confirmation to your mobile number.
  • Remember you need to submit both form 19 and form 10C separately in online PF withdrawal process.

Still, if you have any question on filling PF form 10C then ask those questions in below comments section.

38 thoughts on “How to Fill PF Form 10C Sample”

    • No, there is no option. But you can try sending a scanned copy to your PF office mail id. During Covid situation, they may accept it, give it a try.

  1. I have Scheme certificate from my previous EPFO Office (Karnataka), and now I am continuing my service in another state(Andhra Pradesh). Is it necessary to Submit scheme certificate to existing EPFO Office ?
    If not submitted what will be the issue ?

    • Now you can get a scheme certificate online also, for that you need to upload a scanned copy of your previous scheme certificate. You can do this process in Umang mobile app. ( But you have to do it whenever you leave your present job.
      If you are continuing the same UAN then it will not be a problem, but it is better to have an updated scheme certificate whenever you change your job.

  2. I have requested to rectify my DOB in pf portal as per adhar card but still not updated for last 3 month. how is it possible pl suggest

  3. In form No 19 composite claim from col. no. 7 which Amount to be filled? PF Final settlement + Pension withdrawal benefit

  4. My daughter Pooja Arora was employee of IBM since 2004. Later on in the year 2017, she left the company and joined one other company. In January 2018, she left that company. She got the EPF settled from both the companies.
    Now she wants to have a pension certificate. Form No.10C it is an old one. Please guide me how to proceed further for Pension Certificate.

    • Hi Madan Lal Arora,
      Still, form 10c is working, on form 10C in the field no 8 tick Yes and submit it to the PF office.

  5. Hi, I have transferred my PF of previous employment to new employer PF account. Pls suggest if i can withdraw my pension amount of previous employer. If yes, how can i do it as in EPFO website the option for Form 31 is only showing not 10C for pension withdraw. If not, when will i get the pension amount fully. Not monthly.

  6. Sir,

    My UAN number is same but Member ID is different….

    Present member ID only showing in this option If i try to claim my previous company PF amount….

    How to change member ID while claiming????

    • Hi Thyagarajan J,
      You have to transfer your previous PF amount contribution to new PF account number, once it transfers into new PF member ID then you can claim it.

    • Dear Sandeep Kumar,
      If you haven’t completed 58 years then you can get pension scheme certificate by submitting PF form 10C, once you attain 58 yrs of age then submit that scheme certificate to your regional PF office to get monthly pension. If you already 58 yrs old then submit form 10D to PF office to get monthly pension.

  7. I completed 58 Years . I want to initiate the monthly Pension through EPS. But I didn’t collected the Scheme certificate from the previous employer. My PF amount was transferred to the new Employer.Form 10D should include reference of Scheme certificate of all the employer. My Query are :

    a) I have to file Two 10C form :
    1st a) Last Employer at the time of Retirement : This can be done Online ?
    2nd b) Previous Employer : It has to be done manually by filling the 10 C form. Can I submit this to the same PF establishment ot It should be submitted toPF establishment of my Previous Employer.


    Ravi Shekhar

    • Dear Ravi Shekhar,
      If your previous PF amounts are transferred to new PF account then you can claim your monthly pension by submitting PF form 10D to your regional EPF office and there is no need to submit Two form 10Cs. But before that you have to confirm whether your previous PF and pension amounts were transferred to your new PF account or not, you can check it in your PF passbook. Finally, you can withdraw your PF amount by submitting PF form 19 and to get the monthly pension submit form 10D.

  8. Hi sir
    I have applied for pf amount form 19 and form 10c. But it is rejected due to “advised to submit form 15g along with claim form” – for form 19. Form 10c rejected due to”advised to submit form 15g and pan card along with claim form “. Please help me what to do now.

    • Hi Srikanth Sunketa,
      When your claim amount is more than 50000 Rs and if you have less than 5 yrs of service then you need to submit Two copies of form 15G and 1 copy of PAN card. Once you receive your rejected claim forms then resubmit them along with form 15G and PAN.

  9. Hello,
    I want to withdrawing my pf fully amount, so what is procedure and if i am use non adhar than what form is require.

    • Hi Piyush Patel,
      If your Aadhar and bank account details are not linked with your UAN then you can claim your PF amount by using PF composite claim form non aadhar.

    • Hi Vasumathi Srinivasan,
      When an employee who completes a minimum of 10 years of service but doesn’t attain an age of 58 years and when he wants to withdraw his pension amount they he will get the scheme certificate. He has to submit this scheme certificate to PF office when he attains 58 years, once he submits scheme certificate then he will get monthly pension amount.

    • Hi Prabhakaran Nair,
      If you are withdrawing pension amount before 10 years then there is no need to mention your family and nominee details. If you are claiming after 10 years for scheme certificate or monthly pension then you need to mention those details.

  10. HI Rajesh,

    Pls advice if I have to select any of the tick boxes in point 8 and should I have to affix a revenue stamp on point 12 ?

    • Hi Vinodhini,

      Employer means authorized signatory in your office whose name has given during PF registration of your organization. Stamp means authorized signatory stamp which contains employer designation or you can also use authorized signatory stamp.


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