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Joint Declaration Form

This document is a joint declaration from an employee and employer to a regional PF commissioner regarding corrections to the employee's PF account details. It provides the correct personal details of the employee such as name, father/husband's name, PF account number, date of birth, date of joining, and date of leaving. It also encloses an attested copy of the employee's ID proof for reference in making any necessary changes to records.

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Hari Gopala
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101 views1 page

Joint Declaration Form

This document is a joint declaration from an employee and employer to a regional PF commissioner regarding corrections to the employee's PF account details. It provides the correct personal details of the employee such as name, father/husband's name, PF account number, date of birth, date of joining, and date of leaving. It also encloses an attested copy of the employee's ID proof for reference in making any necessary changes to records.

Uploaded by

Hari Gopala
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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Date:

To

The Regional P F Commissioner


, .•.

Sub; Joint declaration by the member and the employer

Dear-Sir.

i
t , am! was an employee i ex employee .of

furnishing below herewith correct deans \v:th

aforesaid establishment

j Particulars Correct Particulars Wrong Particulars


I
I Name
i
I
I
I

I Father! Husband Name

I, PF !EPS Account No. I


I
~--------------------------~--------------------------~------------------~------
! Date of Birth (DD/MMiYYYY) i
~----------------------- I j
1Date of joining (DD/MM{yYYY) i
----------------------------b---------------------------~I----------------------------~
I
I/ Date of leaving (DD/MMlYYYY) I j
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I am also enclosing herewith ~ttestedt?py of ID proof (~~ - PAN ca~\dl Voters' identity Card!
Passport! Driving Licensel Aadhar Card) for your ready reference. .,,',
Therefore, you are requested to make necessary changes in your records (if required) under intimation to me
Arrearly action in this regard will be highly appreciated

Yours Faithfully

Name & Signature of Applicant

Name of Authorized Signatory

Signature VVith Establishment Seal

~, Encl. As Above

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