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Joint Declaration

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Sravan
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58 views1 page

Joint Declaration

Uploaded by

Sravan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, 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,
------------------------------------

Subject: Joint Declaration by the Member

Dear Sir,
I, -------------------------------------------------------- an employee of ------------------------------------------------------
furnishing below herewith correct details with aforesaid establishment:-

Establishment Code: UAN:

Particulars Correct Wrong


Name

Father/Husband Name

Relationship

EPF/ EPS Account No.

Marital Status

Date of Birth (DD/MM/YYYY)

Date of Joining (DD/MM/YYYY)

Date of Exit (DD/MM/YYYY)

Exit Reason

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.
Encl.: As above

Yours faithfully,

Name & Signature of the applicant:

Authorized signatory sign with Establishment Seal:

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