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EPF Correction Request Form

This joint declaration by Radhika Sharma and her former employer BML Munjal Green medows School provides correct details regarding her employment. It notes that the date of joining was 01/04/2016, not 12/08/2014 as previously stated, and the date of exit was 31/03/2017, not 01/04/2016. It requests that the regional PF commissioner make any necessary changes to records based on this updated information and encloses an identity proof for reference.

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Radhika Sharma
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0% found this document useful (0 votes)
83 views2 pages

EPF Correction Request Form

This joint declaration by Radhika Sharma and her former employer BML Munjal Green medows School provides correct details regarding her employment. It notes that the date of joining was 01/04/2016, not 12/08/2014 as previously stated, and the date of exit was 31/03/2017, not 01/04/2016. It requests that the regional PF commissioner make any necessary changes to records based on this updated information and encloses an identity proof for reference.

Uploaded by

Radhika Sharma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Joint Declaration By the Member & The Employer

Date: 23.04.2019

To
The Regional PF Commissioner,
EPF OFFICE, DEHRADUN

 Subject: Joint Declaration by the Member & Employer

Dear Sir,
I, RADHIKA SHARMA was an ex-employee of BML Munjal Green medows School furnishing
below herewith correct details with aforesaid establishment:- 

Establishment Code: UKDDN0036910000

Particulars Correct Wrong


Name

Father/Husband Name

EPF/EPS Account No. UKDDN00369100000000111


UAN Number 100879094794
Date of Birth
(DD/MM/YYYY)

Date of Joining (DD/MM/YYYY) 01/04/2016 12/08/2014


Date of Exit (DD/MM/YYYY) 31/03/2017 01/04/2016

I also have enclosed herewith the self attested copy of ID proof (Any one- PAN Card, Voter ID
Card, Passport, Driving License, Adhaar Card) for your ready reference.
Therefore, you are requested to make the necessary changes in your records (if required)
under information to me. An early action in this regard will be highly appreciated.

Yours faithfully,
Name & Signature of the applicant: Radhika Sharma

Name of Authorized Signatory:

Signature with Establishment Seal:


Encl: As Above

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