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New JDL Form

The Joint Declaration Form is a request for updating incorrect personal details of an employee associated with Nokia Solutions and Networks India Private Limited. The form includes a list of particulars that need correction, along with a verification statement from an authorized signatory. Both the employee and the signatory declare the accuracy of the provided information and accept joint responsibility for any discrepancies resulting from the updates.

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0% found this document useful (0 votes)
193 views1 page

New JDL Form

The Joint Declaration Form is a request for updating incorrect personal details of an employee associated with Nokia Solutions and Networks India Private Limited. The form includes a list of particulars that need correction, along with a verification statement from an authorized signatory. Both the employee and the signatory declare the accuracy of the provided information and accept joint responsibility for any discrepancies resulting from the updates.

Uploaded by

guptarpg.1784
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Joint Declaration Form

I ___________________________________ having UAN _______________________ PF account


_______________________________________And Aadhar _____________________________
is/was with establishment M/s Nokia Solutions and Networks India Private Limited
The personal details furnished to EPFO earlier were found to be incorrect/blank and therefore request
for change/updation in the member profile as follows:

Sl No PARTICULARS Incorrect details Correct details


1 Name
Nokia Solutions and Networks India Pvt. 2 Gender
Ltd. 3 Date of Birth
(Formerly known as Nokia Siemens 4 Father’s / mother
Networks Pvt. Ltd.) Name
5 Relationship
6 Marital Status
L-5, Manyata Embassy, Business Park, 7 Date of Joining
Hebbal, Outer Ring Road, 8 Reason of leaving
Nagavara, Bangalore-560045 9 Date of Leaving
India 10 Nationality
11 Aadhar No.

Corp Identity No.


U72900DL2006PTC155149 I _______________________________S/O ___________________________________
authorized signatory of the establishment have verified the request documents attached and the
records of the establishment and certify that the facts mentioned above are correct. I am also
enclosing
________________________________________________________________________________
___, (documents of establishment) in support of the request of the employee mentioned above.
We __________________________ (Employee) and _________________________ (Authorized
signatory) hereby declare we have not concealed any facts and the above mentioned facts are
correct. We also indemnify that in case of wrong payment/over payment/under payment because of
the above furnished information shall be jointly held responsible.

Signature Of the authorised Signatory Signature of Member

With seal

Regd. Address :
Nokia Solutions and Networks India Pvt. Ltd.
1507 Regus Business Center
Eros Corporate Tower Level 15,
Nehru Place, New Delhi – 110019, India

© Nokia 2014

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