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Joint Declaration Form - Ganga

This joint declaration by Rathamani and Mohammed Ali Moideen and their employers SCHOOL ESTATE and SONSHY ESTATE respectively contains requests to correct incorrect personal details on file with the Regional PF Commissioner. Both employees provide their correct names, father's names, PF account numbers, dates of birth, and dates of joining. They have enclosed ID proofs and request the PF Commissioner make any necessary changes and notify them. The employer representatives for both SCHOOL ESTATE and SONSHY ESTATE have signed to validate the requests.
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0% found this document useful (0 votes)
50 views2 pages

Joint Declaration Form - Ganga

This joint declaration by Rathamani and Mohammed Ali Moideen and their employers SCHOOL ESTATE and SONSHY ESTATE respectively contains requests to correct incorrect personal details on file with the Regional PF Commissioner. Both employees provide their correct names, father's names, PF account numbers, dates of birth, and dates of joining. They have enclosed ID proofs and request the PF Commissioner make any necessary changes and notify them. The employer representatives for both SCHOOL ESTATE and SONSHY ESTATE have signed to validate the requests.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Joint Declaration By the Member and The Employer

Date: 16.08.2023

To UAN: 1003 1706 1080

The Regional P F Commissioner Ph: 9655968927


Coimbatore

Sub: Joint declaration by the member and the employer

Dear Sir,

I, RATHAMANI am/ was an employee / ex employee of CBCBE0004795000 - SCHOOL


ESTATE furnishing below herewith correct deails with aforesaid establishment.

Particulars Correct Wrong


Name RATHAMANI RADHA MANI
Father/ Husband Name MOHAN V MOHAN
PF / EPS Account No. CBCBE00047950000000009 -
Date of Birth (DD/MM/YYYY) 01/01/1978 02/06/1976
Date of joining (DD/MM/YYYY) 11/09/2013 -
Date of leaving (DD/MM/YYYY) - -

I am also enclosing herewith self attested copy of ID proof (Any one PAN card/ Voters’ Identity
Card/ Passport/
Driving License/ Aadhar Card) for your ready reference.
Therefore, you are requested to make necessary changes in your records (if required) under
intimation to me. An early action in this regard will be highly appreciated.
Yours Faithfully

Name & Signature of Applicant : RATHAMANI

Name of Authorized Signatory : Ms. GANGA MADAPPA

Signature With Establishment Seal :

Joint Declaration By the Member and The Employer


Date: 16.08.2023

To UAN: 100242578260

The Regional P F Commissioner Ph: 8489143790


Coimbatore

Sub: Joint declaration by the member and the employer

Dear Sir,

I, MOHAMMED ALI MOIDEEN am/ was an employee / ex employee of


CBCBE000479500A - SONSHY ESTATE furnishing below herewith correct deails with aforesaid
establishment.

Particulars Correct Wrong


Name MOHAMMED ALI MOIDEEN MOHAMED AL K A
Father/ Husband Name MOIDEEN -
PF / EPS Account No. CBCBE000479500A0000007 -
Date of Birth (DD/MM/YYYY) 02/10/1972 -
Date of joining (DD/MM/YYYY) -
Date of leaving (DD/MM/YYYY) - -

I am also enclosing herewith self attested copy of ID proof (Any one PAN card/ Voters’ Identity
Card/ Passport/
Driving License/ Aadhar Card) for your ready reference.
Therefore, you are requested to make necessary changes in your records (if required) under
intimation to me. An early action in this regard will be highly appreciated.
Yours Faithfully

Name & Signature of Applicant : MOHAMMED ALI MOIDEEN

Name of Authorized Signatory : Ms. GANGA MADAPPA

Signature With Establishment Seal :

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