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Joint Declaration Form - Delhi

1. This document is a joint request from an employee and employer to update the employee's details in the EPF records as the details submitted previously contained errors. 2. It provides the employee's correct and previously wrong details for name, father/husband name, relation, PF/EPS account number, date of birth, date of joining, gender, date of exit, contact number, and Aadhar number. 3. The employer and employee take responsibility for any incorrect or wrong information and agree to refund any overpayments with interest if any issues are discovered in the future.

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Krishna Jha
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6K views1 page

Joint Declaration Form - Delhi

1. This document is a joint request from an employee and employer to update the employee's details in the EPF records as the details submitted previously contained errors. 2. It provides the employee's correct and previously wrong details for name, father/husband name, relation, PF/EPS account number, date of birth, date of joining, gender, date of exit, contact number, and Aadhar number. 3. The employer and employee take responsibility for any incorrect or wrong information and agree to refund any overpayments with interest if any issues are discovered in the future.

Uploaded by

Krishna Jha
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 OF E.P.F.

BY THE MEMBER & EMPLOYER

To, Date
The Regional Provident Fund Commissioner
EPF Organization, EPFO Complex,
Plot No. – 23, Sector No. – 23, Dwarka
New Delhi – 110075

Subject: Joint Request to update employee’s details.

Dear Sir,
It is stated that Mr. /MS……………………………………………………………...Joined service on …………………………..and
PF A/c No. …………………………………………….........................and UAN………………………………………was allotted
to him/her. It is informed that at the time of submission of Form 9/3A/6A/Annexure II, wrong details were submitted due to an
oversight/clerical lapse which need to be corrected. Hence, we are submitting correct details of the member as mentioned below: -

Particulars Correct Wrong


Name
Father / Husband Name
Relation
PF / EPS Account No.
Date of Birth
Date of Joining
Gender
Date of Exit
Contact Number
Aadhar Number
Name in Aadhar

2. Certified copy of the below mentioned document is enclosed as proof of genuineness of the member. You are requested to
update member details in your records.
(i) Voter ID Card (ii) Aadhar Card (UID) (iii) PAN Card (iv) Passport
(v) Driving License (vi) School Certificate
(vii) Any other document (Please Specify) …………………………………..

3. It is hereby declared that the above contents and information is true. In case of any wrong/over payment or any wrong
information is found to be in future, we shall be responsible and liable to refund the entire amount with penal interest charges.

(Member’s Signature) (Authorized Signatory)

Name:
Place & Date:
Contact No. ……………………………..
Email id: …………………………………

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