NPS Withdrawal Forms
NPS Withdrawal Forms
NPS Withdrawal Forms
Entered By: ___________________ Date: ________________ Verified By: ___________________ Date: __________________
Sir/Madam,
I hereby submit a request for withdrawal under NPS and give below the necessary details:
1. PRAN *:
Middle Name
Last Name
3. Father’s/Spouse name*:
First Name*
Middle Name
Last Name
4. Address*:
Flat/Unit No, Block no.*
Name of Premise/Building/Village
Area/Locality/Taluka
District/Town/City*
Country*
1. The Lump-sum amount to be withdrawn and amount to purchase annuity in case of normal withdrawal*(Please refer
General Instruction no.4)
Lump-Sum amount Amount to purchase life annuity
Description Total
(Maximum of 60%) (Minimum of 40%)
% share 100%
Form 301 Page 2
Note: A separate form NPS – AP needs to be filled in for purchase of Annuity and for arranging the monthly
pension/annuity. The subscriber is required to follow the procedure laid down by Annuity Service Provider (ASP).
2. Type of withdrawal*:
One Time Withdrawal Phased Withdrawal
3. In case of Phased Withdrawal#, please mention the percentage of lump-sum amount to be withdrawn this year (Please
refer General Instruction no.5)
For subscriber opting for phased withdrawal, the Central Recordkeeping Agency (CRA) maintenance charges would be
deducted from the corpus/units lying in the account of the subscriber
1. For Electronic transfer or Direct Credit through ECS/NEFT/RTGS, Proof attached for Bank Details*:
4. Bank Name*
5. Bank Branch*
6. Bank Address*
Date :
D D M M Y Y Y Y
Signature/Left Thumb
*Note: Left thumb impression in case of illiterate male claimants and Right thumb impression in case Impression of the Subscriber
of illiterate female claimants must be obtained.
Form 301 Page 3
TO BE FILLED/ATTESTED BY POP/POP-SP
Certified that the above declaration and nomination details has been signed / thumb impressed before me by ________________________________
____________________________after he / she has read the entries / entries have been read over to him / her by me and got confirmed by him / her.
The date of attaining the age of 60 years of the subscriber is as given below:
(DDMMYYYY)
4. Percentage Share*:
1st Nominee % 2nd Nominee % 3rd Nominee %
#Please note that in case of demise of the subscriber after opting for phased withdrawal, all the outstanding pension wealth out of
the phased lump sum withdrawal in the account of the subscriber will be paid to the nominees as mentioned in this form and the
same would be treated as full and final discharge of the obligation.
Address
Signature
Date :
D D M M Y Y Y Y Signature/Left Thumb
Impression of the Subscriber
*Note: Left thumb impression in case of illiterate male claimants and Right thumb impression in case
of illiterate female claimants must be obtained.
Form 301 Page 5
INSTRUCTIONS FOR FILLING UP THE FORM
This application should be filled by the Subscriber seeking to withdraw the pension wealth benefits on attaining 60
years of age
In case if the address is not present on any of the above documents or differs with address provided in this form, proof in
respect of current residential address like latest telephone bill, electricity bill in the name of the subscriber should be submitted.
GENERAL INSTRUCTIONS:
1. All the columns in the form should be filled with black ink pen without any overwriting.
2. Fields marked with (*) are mandatory.
3. Correct postal address, including the pin code should be provided.
4. Percentage of allocation for amount to be withdrawn as Lump-sum and amount to purchase life annuity. Subscriber can
withdraw maximum 60% of pension wealth and is required to transfer minimum 40% of pension wealth to annuity. For
example, for a total corpus of Rs.1000/-, if subscriber wants Rs.300 as lump-sum and Rs.700 for annuitisation, subscriber
to select 30% and 70%.
5. Please select the type of lump-sum withdrawal as one-time or phased. For e.g. for a total corpus of Rs. 1000/- subscriber has
selected Rs. 300 as lump-sum amount. For one time withdrawal subscriber will be given Rs. 300 as lump-sum amount on
processing of withdrawal request. For phased withdrawal subscriber will be given minimum of 10% i.e. Rs. 30 for the period of
10 years, at the age of 70 years, subscriber would compulsorily withdraw any amount lying to their credit.
6. Instructions for nomination
Subscriber can nominate maximum of three nominees.
Subscriber can not fill the same nominee details more than once.
Percentage share value for all the nominees must be integer. Fractional value will not be accepted.
Sum of percentage share across all the nominees must be equal to 100. If sum of percentage is not equal to 100,
entire nomination will be rejected.
If a nominee is a minor, then nominee’s guardian details will be mandatory
For the purpose of this document Pension Wealth means: The total amount of contributions made by the subscriber in the
scheme plus the investment income derived from the investment of the contributions made by the subscriber from the date of
joining of National Pension System till the date of execution of withdrawal request in the CRA System.
Form 301 Page 6
Affix 1 Rupee
Revenue Stamp
and sign across
(*Note: Left thumb impression in case of illiterate male claimants and Right thumb impression in case of illiterate
female claimants must be obtained.)
Form 301 Page 7
ACKNOWLEDGMENT RECEIPT
Acknowledgment slip to the NPS Subscriber on receipt of completed application form for Withdrawal
(To be filled by POP/POP-SP)
Acknowledgement Number :
(Generated by CRA)
Form 401-AN Page 1
I, ____________________________________ hereby nominate the person(s) mentioned below who is/are member(s)/non-
member(s) of my family to receive the amount that may stand to my credit in the National Pension System as indicated below, in
the event of my death before that eligible accumulated pension wealth amount has become payable or having become payable or
having become payable has not been paid.
5. Percentage Share*:
1st Nominee % 2nd Nominee % 3rd Nominee %
Address
Signature/Left Thumb
Signature Impression of the Subscriber
*Note: Left thumb impression in case of illiterate male Subscriber and Right thumb impression in case of illiterate female subscriber
must be obtained.
TO BE FILLED/ATTESTED BY DDO/POP-SP
Certified that the above declaration and nomination details has been signed / thumb impressed before me by Sh/Smt/Ms._____________________
____________________________after he / she have read the entries / entries have been read over to him / her by me and got confirmed by him / her.
TO BE FILLED/ATTESTED BY PAO/DTO/POP/POP-SP
PAO/DTO/POP Registration Number (Allotted by CRA):_____________
___________________________________________________________
1. List of documents acceptable as Proof Identity and Address for exit under NPS (for all
variants):-
Sl. Proof of Identity (Copy of any one Proof of Address (Copy of any one of the given
No of the given below documents) below documents)
Passport issued by Government of Passport issued by Government of India
a
India
Ration Card with Photograph Ration card with photograph and residential
b address
Bank pass book or Certificate with Bank Pass book or certificate with photograph and
c Photograph residential address
Voters Identity card with Voters Identify card with photograph and
d photograph and residential address residential address
Valid Driving license with Valid Driving license with photograph and
e photograph residential address
PAN Card issued by income tax Letter from any recognized public authority at the
department level of Gazetted officer like District Magistrate,
f
Divisional Commissioner, BDO, Tehsildar,
Mandal Revenue Officer, Judical Magistrate etc.
Certificate of identify with Certificate of address with photograph signed by a
photograph signed by a Member of Member of Parliament or member of Legislative
g
Parliament or Member of Legislative Assembly
Assembly
Aadhar Card/letter issued by Adhar Card/Letter issued by unique
h Unique Identification Authority of identification Authority of India Clearly showing
India the address.
Job Cards issued by NREGA duly Job cards issued by NREGA duly signed by an
i signed by an officer of the State Officer of the State Government
Government
Photo Identity card issued by Latest Electricity/Water bill in the name of the
j Government Defence, Paramilitary subscriber / Claimant and showing the address
and Police Department's (Less than 6 months old)
Ex-Service Man Card issued by Latest Telephone bill in the name of the
k Ministry of Defence to their subscriber/ Claimant and showing the address
employees (less than 6 months old)
Photo credit Card Latest property/house Tax Receipt (not more than
l one year old)
Existing Valid registered lease agreement of the
house on stamp paper (in case agreement of the
m - house on stamp paper (in case of rented/leased
accommodation)
Page 1 of 2
2. In addition to the above, Original PRAN card is required. In case PRAN card is not
available, the subscriber needs to submit a duly notarized Affidavit as to the reasons of
non-submission of the PRAN card.
3. Cancelled cheque (containing Subscriber Name, Bank Account Number and IFS Code) or
Bank Certificate Containing Name, Bank Account Number and IFS Code, if opted for
direct credit or electronic transfer.
4. A pre-signed receipt acknowledging the receipt of the proceeds under NPS by the
subscriber/claimant/nominee.
-----------------x-------------------x---------------------x----------------
Page 2 of 2
Annexure II
(As per Regulation 4(a) of PFRDA (Exits & Withdrawals) Regulations, 2015)
REQUEST CUM UNDER TAKING FORM FOR WITHDRAWAL OF TOTAL PENSION WEALTH AT
SUPERANNUATION OR ATTAINMENT OF 60 YEARS AND WHERE THE TOTAL PENSION WEALTH
IS EQUAL TO OR LESS THAN RS. 200, 000/-
Basing on the above, I hereby opt to withdraw my complete pension wealth lying to my credit in my
aforesaid PRAN account being the full and final benefits receivable by me.
I also understand that with the aforesaid withdrawal, I or my family members shall not be entitled to
receive any other or further benefits under the National Pension System (NPS) including the benefits as
provided under PFRDA (Exits and Withdrawals under the National Pension System) Regulations 2015.
Date:
Attested by:
*In case of female, Right Thumb Impression and in case of males Left Thumb Impression may be taken
1