OPS Option form for NPS covered government employees. Download NPS to OPS Option form pdf for Government Employees Govt OM dated 20.04.2023. (Please refer government order dated 20.04.2023).
NPS to OPS OPTION FORM
(3 copies - one copy should be pasted to service book, one copy may be returned to employees, one copy to be retained in official record)
Name of the orgaization..........................................................................................................
A. To be filled by employees who were in service / retired and also eligible family member of deceased employee who were earlier governed by NPS/No Scheme for switching over to Old Pension Scheme.
1. I, ................................(name) the undersing, hereby e-option/option for old pension scheme of the organization and exercise the option to be governed by the provision of already existing GPF linked pension regulations named as ..................................................................................... or new Pension Regulations..........................................................................................................................................
2. I am aware the option for pension once exercised will be final and irrevocable.
1. Full Name: ..........................................................................................................................................
2. Designation: .......................................................................................................................................
3. DEpartment / Office : ........................................................................................................................
4. EPF /EPF No. (If any) : ....................................................................................................................
5. Employee ID / GPF SAB No. : ........................................................................................................
Note: If dependent of the family member is applying for old pension scheme then relevant documents should also be attached to ascertain eligibility under pension related provisions.
Signature of employee / dependent member with date
Witness :
Witness 1. Signature and date
Name in Full :
Designation:
Witness 2. Signature and date
Name in Full :
Designation:
B. To be filled by office :
Received from ......................................................................................( Name and Designation) regarding option for ............................................Pension Scheme.
Note: In case of family pension the relevant documents should also be submitted with option form.
(Signature & Seal, Name and designation of receiving officer)
Date:
C. To be filled by officer of the authorized officer of the organization who is accepting the option
(i) Details of amount deposited/transferrred one time by the employee / dependent with interest (as applicable ) Rs.................................
(ii) Details of amount deposited / transferred one time by the employer (as applicable) Rs.....................
(iii) Total amount one time deposited / transferred Rs..............................................................................
Note:
1. This option form shall be accepted on ly after deposition / transfer of one time amount as per order issued by State Government.
2. The last date of deposition / transfer of all amount is 30.06.2023. However, in case there is difference in calculated amount and the deposited / transferred amount, the remaining amount can be deposited / transferred by the employee / employer / dependent on time up to 15.07.2023.
3. It is certified that the calculation of deposited / transferred amount has been checked & the amount has been deposited / transferred in the pension fund on...........................
As all due amount has been deposited / transferred in the pension fund, therefore the option of Mr. / Mrs. ............................................................................. is accepted for pension/family pension from ............................. (date).
Dated:
Time:
Signature with Seal
of the designation officer of the organization
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