Joint Declaration By the Member and The Employer
Date:-
To
The regional PF Commissioner
EPFO Complex, Plot no 23, Sector 23
Dwarka, New Delhi -110020
Subject: - Joint Declaration By the Member and The Employer
I, Pawan, UAN no - 101183534352, am an employee of Minus30 Private Limited
(DSNHP2593372000) furnishing below herewith correct details with aforesaid establishment.
Particulars Correct Wrong
Name Pawan
Father /Husband Name Lokendra
PF/EPS Acc no DSNHP25933720000010139
Date of Birth 30/06/1994 30/01/1991
Date of Joining 01-April-2023
Date of Leaving NA
I am also enclosing herewith self-attested copy of ID proof (Any one- PAN / voter Id / Passport / DL /
Adhar 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
Name of Authorized Signatory
Signature with Establishment Seal
Encl. as above