Hi Murgun,
It is very easy to fill out this form:
1. Full Name
2. Father's Name
3. Company Address: (Leave Blank)
4. PF Number: If you know, please write it; otherwise, leave blank
5. Date of Leaving: Suggested to leave blank
6. Reason for Leaving: Why?
7. Full Name: Write your full name again
8. Father's Name: ===="====
9. Address: Your complete residential address
10. Bank Account Number: _________
11. Bank Name, Branch & Complete Postal Address of the Bank
Sign and submit to your company. It's that simple. If you still encounter any issues, please contact me at 9820592842.
Regards,
Chandrakant