EPF Withdrawal Form

EPF WITHDRAW/CLAIM FORM (EPF)

Application Date *

Student Full Name *

Matric ID *

IC Number *

Contact Number *

Email *

PTPTN Sponsor *

Purpose For E-pengeluaran *

Withdraw and pay to UniCAM

Claim

Parents Full Name *

Contact Number *

Have you apply on E-Pengeluaran

Applicant Name (EPF Membership)

IC Number

KWSP Branch

Withdrawal Amount

Date Application

Have you apply on E-Pengeluaran

Applicant Name (EPF Membership)

IC Number

KWSP Branch

Claim Amount (must be tally with your portal account for amount and date):

Date Application

If you are human, leave this field blank.