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PF Account Correction Form

This document is a Joint Declaration by an employee/ex-employee and their employer to correct personal details related to the employee's Provident Fund account. It includes a request for updating information such as name, date of birth, and other particulars, along with a self-attested ID proof. The employer certifies the correctness of the information provided and requests prompt action on the application.

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poonia.praveen.alt
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248 views1 page

PF Account Correction Form

This document is a Joint Declaration by an employee/ex-employee and their employer to correct personal details related to the employee's Provident Fund account. It includes a request for updating information such as name, date of birth, and other particulars, along with a self-attested ID proof. The employer certifies the correctness of the information provided and requests prompt action on the application.

Uploaded by

poonia.praveen.alt
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 and the Employer

Date:

To
The Regional PF Commissioner,

SUB: Joint Declaration by the member and the employer.

Dear Sir,

I______________________ am / was an employee/ex-employee of ___________________________


furnishing below herewith correct details with aforesaid establishment.

UAN: Aadhar:

Particulars As in UAN CORRECT


Name*

Father/Husband Name

Relation

Date of Birth*: (DD/MM/YYYY)

Marital status

Gender

Date of joining : (DD/MM/YYYY)

Date of leaving : (DD/MM/YYYY)

PF/EPS Account No.

The reason for variation in Name/DOB is explained in the employer’s forwarding letter dated
___________. I am also enclosing herewith self-attested copy of ID proof (Pan Card/ Aadhar Card -
the same is approved in KYC). The same is attested by the Employer / Ex-employer.

(*Aadhar should be approved in KYC for Member Name & DOB corrections. If for any reason
Aadhaar is not seeded, reason for the same should be mentioned in the forwarding letter).

An early action in this regard will be highly appreciated.


Yours faithfully,

Name & Signature of the Applicant

Certified that the above information is correct & request was made by the applicant may please be
accepted.

Authorized officer seal & signature

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