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Name Change Correction Form

This document is a joint declaration by Varsha Gupta, an employee of Himalaya International School, Ratlam, requesting corrections to her personal details in the employer's records. It lists incorrect and correct information regarding her name, father's name, and other personal details, and includes a request for necessary changes along with a self-attested ID proof. The declaration is addressed to the Regional PF Commissioner and signed by both the applicant and an authorized signatory.

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Himalaya Int. Ratlam
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4 views1 page

Name Change Correction Form

This document is a joint declaration by Varsha Gupta, an employee of Himalaya International School, Ratlam, requesting corrections to her personal details in the employer's records. It lists incorrect and correct information regarding her name, father's name, and other personal details, and includes a request for necessary changes along with a self-attested ID proof. The declaration is addressed to the Regional PF Commissioner and signed by both the applicant and an authorized signatory.

Uploaded by

Himalaya Int. Ratlam
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: 19-06-2025

To

The Regional P F Commissioner


___Ujjain__________________

Sub: Joint declaration by the member and the employer

Dear Sir,

I, __________VARSHA GUPTA ______________________________ am/ was an employee / ex employee of

HIMALAYA INTERNATIONAL SCHOOL, RATLAM furnishing below herewith correct deails with aforesaid

establishment :­

Particulars Correct Wrong

Name

Father/ Husband Name AJAY KUMAR GUPTA SHRIKANT GUPTA

PF / EPS Account No.

Date of Birth (DD/MM/YYYY)

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 : VARSHA GUPTA

Name of Authorized Signatory : SUNIL DORA

Signature With Establishment Seal :

Encl.: As Above

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