PR-03-A Insured Person's Self Contribution - under rule 3 (9)

If the employer does not deduct or deposit the insured persons' contribution payable under section 9B of the Act, the registered insured person can deposit, his own share of contribution in Challan as set out in Form PR03A and produce a copy of said Challan alongwith Pass Book to the nearest office of the Institution for entry of the particulars regarding payment. The Incharge of said office shall acknowledge the receipt on the basis of paid Challan, determine the jurisdiction of the establishment and pass on to concerned office of the Institution a copy of the Challan collected from the concerned bank for further action under the Act.