Ver 1.

FORM: 601 PW NATIONAL PENSION SYSTEM (NPS)

(Under Regulation 8 of PFRDA (Exits & Withdrawals under NPS) Regulations 2015 and amendments thereto)

Partial Withdrawal Form for Tier I account under NPS

(Please fill all the details in CAPITAL LETTERS & in BLACK INK only.)
For Nodal Office use
2001226
PAO/DTO/POP/POP-SP Reg. No.

Receipt No.:

110074638201
PRAN
Ack No.
1001413766
(Generated by CRA System)

Entered By: CGV004213G00 Date: 10/09/2025

Verified By: Date: 10/09/2025

Please select your Category (please tick √ )

√ Government Sector Corporate Sector

All Citizens of India NPS Lite/ Swavalamban

To,
NPS Trust
Sir/Madam,

I CHANDAN DAS holding a Permanent Retirement Account under National Pension

System, hereby submit partial withdrawal request for withdrawal from my Tier I account under NPS and give below the necessary details:

Section A – Subscriber’s Personal Details:

PRAN* 110074638201
Name of the Subscriber* CHANDAN DAS

a. % of Partial Withdrawal* 25 % (Maximum 25% of own contribution (without accrued income earned thereon) only)
b. Purpose of withdrawal* (please tick √ on box below with reason applicable )

1. For Higher education of children including a legally adopted child

2. For the marriage of children, including a legally adopted child

3. For the purchase or construction of a residential house or flat in own name or in a joint name with legally wedded spouse (it is
not available for already owned flat/house)
4. For treatment of specified illnesses: for subscriber, his legally wedded spouse, children, including a legally adopted child or
dependent parents (please tick √ )

a. Cancer b. Kidney Failure (End Stage Renal Failure)

c. Primary Pulmonary Arterial Hypertension d. Multiple Sclerosis
e. Major Organ Transplant f. Coronary Artery Bypass Graft
g. Aorta Graft Surgery h. Heart Valve Surgery
i. Stroke j. Myocardial Infarction
k. Coma l. Total blindness
m. Paralysis n. Accident of serious/ life threatening nature
o. COVID-19
5. To meet medical and incidental expenses arising out of the disability or incapacitation suffered by the subscriber
√ 6. For skill development/re-skilling or any other self-development activities (Please refer instruction no 11)
Enter course fee:* Rs. 30000.0
*mandatory if subscriber opts for withdrawal under skill development
7. For establishment of own venture or any start-up (Please refer instruction no 12)

c. Bank Account details of the Subscriber (Details of Bank Account registered in CRA system)

Bank Account No. 20061730572

Bank Name STATE BANK OF INDIA

Type of Account Savings Account √ Current Account

Branch Name & Address PO UDAYAN BIHAR GUWAHATI DISTKAMRUP,ASSAM 781171

IFS Code SBIN0002093

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Ver 1.2

Section B – Declarations
Declaration by the Subscriber*:

1. I hereby declare that information stated above is true and correct to the best of my knowledge & belief and that I have completed minimum of three
years in to the NPS as required for partial withdrawal and eligible to withdraw the amount requested above due to the urgent need of funds to support
the reason mentioned above.

2. I CHANDAN DAS (name) with PRAN 110074638201 agree that in case

of any failure of Direct Credit, for any reason whatsoever or wrong credit to another account (but as per my details), NPS Trust / CRA shall not be
responsible. I also agree that NPS Trust / CRA shall not be responsible/liable for any losses that may arise due to incorrect Bank Account details
registered in the CRA system.

3. Self Declaration:- I submit the request for partial withdrawal and the amount thus withdrawn shall be utilised for the purpose of declared reasons as
specified by PFRDA exit regulations. I am fully responsible and accountable to spend the amount thus withdrawn for the stated reason.

Date 10/09/2025

Place :
Signature / Thumb Impression of the Subscriber**
** Left thumb impression in case of illiterate male claimant and Right thumb impression in case of illiterate female

Declaration by Nodal Office - For Government sector Subscribers (Not Applicable if Subscriber has submitted online request in CRA):*

I/We hereby declare that the subscriber Sh./Smt/Kum CHANDAN DAS

with PRAN 110074638201 is employed with us and Self Declaration for partial withdrawal has been accepted by him/her
and bank details submitted in respect of partial withdrawal are correct.

Date 10/09/2025

CGV004213G
Registration No. of DDO
Signature & stamp of the DDO

Date 10/09/2025

2001226
Registration No. of PAO/CDDO/DTO
Signature & stamp of the PAO/CDDO/DTO

Declaration by POP/Aggregator - For Non Government sector Subscribers (Not Applicable if Subscriber has submitted online request in CRA):*

I/We hereby declare that the subscriber Sh./Smt/Kum

with PRAN has signed/thumb impressed before me after he/she has read the entries/have been
read over by him/her for the request of partial withdrawal under [Link] Declaration for partial withdrawal has been accepted by him/her and bank details
submitted in respect of partial withdrawal are correct.

Date

Registration No. of POP-SP/NL-CC/CHO

Signature & stamp of the Authorised person at POP-SP/NL-CC/CHO

Date

Registration No. of POP/NL-AO

Signature & stamp of the Authorised person at POP/NL-AO

ACKNOWLEDGMENT RECEIPT
Acknowledgment slip to the NPS Subscriber on receipt of partial withdrawal application form
(To be filled by DDO/CDDO/PAO/DTO/POP/Aggregator)

Received from PRAN

110074638201

DDO/POP-SP/NL-CC Registration Date 10/09/2025

Number: CGV004213G

PAO/CDDO/DTO/POP/NL-AO Received at
Registration Number 2001226

Acknowledgement Number
1001413766

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Ver 1.2

FORM: 601 PW
(Under Regulation 8 of PFRDA (Exits & Withdrawals under NPS) Regulations 2015 and amendments thereto)

Instructions
Instructions for filling up the form:

1. All fields marked with * are mandatory. All dates should be in DDMMYYYY format.
2. The Subscriber shall initiate the Partial Withdrawal request online in the CRA system ([Link]) through OTP Authentication/eSign. On
successful OTP Authentication/eSign, submission of physical Form/documents to your Nodal Office and/or authorization of request by Nodal Office is
not required.
3. Subscriber’s Mobile No. and Email ID are mandatory. For updation of Mobile No. and Email ID in CRA records, the Subscriber has an option to update
the same online in CRA system ([Link]) or submit Form S2 – Subscriber details change Form to associated Nodal Office. The Form S2 is
available on CRA website ([Link]).
4. No supporting documents (w.r.t. stated withdrawal reason) are required to be submitted by the Subscriber for availing Partial Withdrawal. The
Subscriber is required to accept the “Self-declaration’’ for Partial Withdrawal which is provided on Page 2 under section - Declaration by the
Subscriber.
5. The withdrawal amount shall directly be credited to the bank account of the subscriber as registered in the CRA System. Before submitting the withdrawal
request, subscriber should ensure that the bank account details registered in CRA are correct. If Subscriber wishes to update any other Bank Account
details, then the Subscriber has an option to update the same online in CRA system ([Link]) or submit Form S2 – Subscriber details change
Form to associated Nodal Office before initiating withdrawal request.

6. Withdrawal amount received after the execution of the withdrawal request can be different from the requested amount to the extent of difference in NAV
of two different days.
7. Subscriber should specify the purpose of Partial Withdrawal.
8. Subscriber should be in the NPS at least for a period of 3 years. A subscriber shall be permitted to withdraw not exceeding 25% of the contributions
made by such subscriber to his/her individual pension account.
9. In case, the subscriber already owns either individually or in the joint name a residential house or flat, other than ancestral property, no withdrawal under
PFRDA regulations is permitted.
10. Treatment of specific illness covers the subscriber, his legally wedded spouse, children, including a legally adopted child or dependent parents suffer
from the specified illness, which shall comprise of hospitalization and treatment.
11. Withdrawal under skill development/re-skilling is applicable as per following conditions:
• Skill Development program/activities sponsored by employer for employees is not eligible for partial withdrawal.
• Amount which can be released under Skill Development option shall be subject to the actual fee of the course/training, subject to the maximum
ceiling of 25% of employees own contribution without considering returns thereto.
• Duration of the course should be of 3 months or more.
• The course should be either a regular program or distance education program or a skill development program.

12. Withdrawal under establishment of own venture or any start up is applicable to subscribers registered under All India Citizen (UOS) sector only.

13. For further details regarding point no 11 & 12 kindly refer PFRDA Circular No: PFRDA/2018/55/Exit/5 dated August 06, 2018.

14. The permitted withdrawal shall be allowed only if the eligibility criteria and limit for availing the benefit are complied with by the subscriber.

15. Frequency: the subscriber shall be allowed to withdraw only a maximum of three times during the entire tenure of subscription under the National
Pension System.
16. In OTP Authentication, two distinct OTPs will be sent on your registered Mobile Number and email ID respectively. In case, you update Mobile Number
and/or email ID after initiation of request, then OTPs will be sent on updated Mobile Number and/or email ID.
17. For more detailed description of Partial Withdrawal option under NPS, please refer Regulation 8 of PFRDA (Exits & Withdrawals under NPS) Regulations
2015 and amendments thereto.

18. If OTP Authentication/eSign is not possible/not successful or if Subscriber is not able to initiate online request, then,
• The Subscriber shall submit the physical Partial Withdrawal Form to the respective Nodal Office/POP/Aggregator for processing of request.
Subscriber should also attach the bank proof (cancelled cheque/copy of bank passbook/bank certificate) with the Form submitted.
• The Nodal Office/POP/Aggregator must verify the details of the bank account of subscriber. If the Bank Account details given in the application are
different from the Bank Account details registered in CRA system, then request shall be rejected by Nodal Officer/POP/ Aggregator.
• The Nodal Office/POP/Aggregator shall capture and authorise Partial Withdrawal request in CRA system ([Link]).
19. Physical Withdrawal Form is not required to be submitted to CRA.
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 Form 601 - PW
(Under Regulation 8 of PFRDAExits &Withdrawals Regulations, 2015)
Instructions Page
Instructions for filling up the form:
1. All fields marked with * are
mandatory. All dates should be in DDMMYYYY format.
2. The Subscriber shall submit the application to the respective Nodal
request.
Office/POPIAggregator for processing of
3. Before submitting the withdrawal form, subscriber should ensure that the bank account details are matched
Trom the bank passbook/ bank statement or cheque etc to ensure that the details are correct. Subscriber
should also attach the bank proof (cancelled cheque/copy of bank passbook/bank certificate) with the Partial
Withdrawal Form submitted.
4. Subscriber should specify the purpose of Partial Withdrawal and a proof need to be submitted for the same.
5. Subscriber should be in the NPS atleast fora period of 10 years.
Asubscriber shall be permitted to withdraw not exceeding 25% of the contributions made by such subscritber
to his/her individual pension account,
6. The Nodal officer/POPIAggregator must verify the details of the bank account of subscriber.
7. Withdrawal amount received after the execution of the withdrawal request can be different from the
requested
amount to the extent of difference in NAV of two different days.
8. The withdrawal amount shall directly be credited to the bank account of the subscriber as mentioned in the
withdrawal form.
or flat, other
9. In case, the subscriber already owns either individually or in the joint name a residential house
than ancestral property, no withdrawal under PFRDA regulations is permitted.
10. Treatment of specific illness covers the subscriber, his legally wedded spouse, children, including a legally
adopted child or dependent parents suffer from the specified illness, which shall comprise of hospitalization
and treatment.
benefit are
11. The permitted withdrawal shall be allowed only if the eligibility criteria and limit for availing the
complied with by the subscriber.
during the entire
12. Frequency: the subscriber shall be allowed to withdraw only a maximum of three times
tenure of subscription under the National Pension System and not less than a period of five years shall have
elapsed from the last date of each of such withdrawal. Five years should have elapsed between two
withdrawals shall not apply in case of "treatment for specified illnesses or in case of withdrawal arising out of
exit from National Pension System due to the death of the subscriber.
13. For more detailed description of Partial Withdrawal option under NPS, please refer Regulation 8 of PFRDA
(Exits &Withdrawals) Regulations, 2015.
14. The Nodal office/POPIAggregator shall capture the details of the subscriber mentioned on the form
and forward the same to NPS Claims Processing Cell (NPS CPC) at address mentioned below:
NPS Claim Processing Cell,
Central Record Keeping Agency, NSDL,
10th Floor, Times Tower, Kamala Mills Compound,
Senapati Bapat Marg, Lower Parel West, Mumbai - 4000013