Scribd
Upload
67 views1 page

Name Change Correction Form

na

Uploaded by

bisandreprayasun
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
67 views1 page

Name Change Correction Form

na

Uploaded by

bisandreprayasun
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
You are on page 1/ 1

Joint Declaration By the Member and The Employer

Date: 03/05/2024

To

The Regional P F Commissioner


______________________________

Sub: Joint declaration by the member and the employer

Dear Sir,

I, _____________________________________________
Saurabh sable am/ was an employee / ex employee of

______________________________________________ furnishing below herewith correct deails with aforesaid

establishment :­

Particulars Correct Wrong

Name Saurabh sable Sourbha

Father/ Husband Name Dilip Sable

PF / EPS Account No. 101616349845


Date of Birth (DD/MM/YYYY) 05/11/1997

Date of joining (DD/MM/YYYY) 09/09/2020


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 :


सौरभ
Saurabh sable
Name of Authorized Signatory :

Signature With Establishment Seal :

Encl.: As Above

You might also like