JOINT DECLARATION FORM EMP ID:

Email id: _______________

To

The Regional PF Commissioner,

PF.No:
Employees PF Organisation. UAN :
Aadhaar No:

Sub: Request for correction in the details of the EPF Member Account.
Sir,
I, , an employee/ex-employee of the
Establishment M/s. wish to inform that the following
information is/are not correctly mentioned in the PF records and hence request you to correct the
same as furnished hereunder. The print out of the UAN/PF Member ID search screenshot from
Establishment Login is enclosed for reference.

PARTICULARS AS PER PF RECORDS TO BE CORRECTED AS

Name of the Employee
Father / Husband / Spouse Name
Gender
Date of birth (DD/MM/YYYY)
Date of Joining (DD/MM/YYYY)
Date of Joining EPS (DD/MM/YYYY)
Date of Leaving (DD/MM/YYYY)
Date of Leaving EPS (DD/MM/YYYY)
Relationship – Father / Husband
AADHAAR NUMBER
REASON FOR EXIT
# Fill the columns only where changes are required.
I am enclosing herewith self-attested copy of ID Proof (PAN Card/Election ID Card/School Certificate
/Birth Certificate/Pass Port/Driving License/Aadhaar Card/ESI Card/Medical Certificate from District
Civil Surgeon authenticated by the competent court/Wage register at the time of joining/Employer
office record, etc.) Which is approved in KYC for your ready reference. The documents are enclosed
as per the Annexure – A.

“I hereby give my consent to share my Aadhaar details/Aadhaar based authentication for the purpose
of establishing my identity and seeding it with UAN”.

All the documents (Xerox) enclosed are signed by me and attested by the employer.
Yours faithfully,

NAME AND SIGNATURE OF THE APPLICANT/MEMBER

Mobile No. :
Certified that the above information is correct and request as made by the member/applicant may
please be accepted and necessary changes in your records may be made. We regret for the
inconvenience caused, if any, in this regard.

Encl: As above Employer

Major / Minor corrections required list of documents are mentioned behind, refer the same enclose along with this JD form Seal and Signature
 Types of Corrections
1. MINOR MINOR CORRECTION SUPPORTING DOCUMENTS
2. MAJOR (Required online rejection screenshot from member portal)
SL.
No
Employee Name correction- supporting documents (Aadhaar copy, pan copy, school certificate, pay
1.
slip)
Father Name- supporting documents (Employee Aadhaar copy with father name, pan copy, school
2.
certificate, father Aadhaar copy.
Date of Birth- supporting documents (Aadhaar copy with DD/MM/YYYY, school certificate or
3.
birth certificate)
4. Date of Joining-supporting documents (Salary Slip or PF passbook, Aadhaar copy, pan copy)
5. Date of Leaving-supporting documents (Reliving letter or PF passbook Aadhaar copy, pan copy)
6. Gender correction- supporting documents (Aadhaar copy and pan copy)

MAJOR CORRECTIONS SUPPORTING DOCUMENTS

MAJOR NAME CORRECTION MAJOR FATHER NAME CORRECTION

Employee Aadhaar copy with father name updated
Employee New Aadhaar copy, Old Aadhaar copy
Employee Pan copy
New Pan copy, Old Pan copy
Father aadhaar copy/Pan copy
Government Gazette for Name Change
School certificate with father name updated
Salary slip before and after 3 months
Offer letter
Offer letter
Salary slip
AADHAAR UPDATE HISTORY (UIDAI)
Increment Letter (If any)
Wage register
Wage register
Detailed clarification on how name change has happened and
Evidence of Company Record where the corrected name is
reflected in the company’s record. (In AIMS & Harbour Portal MAJOR DATE OF BIRTH ABOVE 3 YEARS
Increment Letter (If any) Employee aadhaar copy with DD/MM/YYYY
Self-Declaration (manually written to RPFC) Pan copy
Online Rejection Screenshot Any Education certificate/Birth certificate/Passport
bank passbook (before and after the name change) Offer letter
Salary slip

MAJOR AFTER MARRIAGE NAME MAJOR AADHAAR NUMBER CORRECTION

CORRECTION
Employee Aadhaar copy
Joint Declaration
Old Aadhaar copy/ New Aadhaar copy Wage register
Old Pan copy/New Pan copy Pan Copy
Self-Declaration (manually written to RPFC) Offer Letter
Marriage Certificate Salary Slip
Government Gazette for Name Change
Employee Self Declaration
AADHAAR UPDATE HISTORY (UIDAI)
Evidence of Company Record where corrected Aadhaar
Husband Aadhaar Copy
Number is reflected in Company's Record for the employee. (in
Online Rejection Screenshot AIMS & HARBOUR Portal)
Service History in PF NOC from the member whose Aadhaar Card is wrongly seeded
Bank passbook front page (Before/After name change) to a different member.
School Certificate Increment Letter
Salary Slip (before and after 3 months)
Offer Letter Note: All the correction needs to be done as per
Increment Letter Aadhaar and its mandatory as per EPFO

IMP NOTE: Additional documents may be required post submission of JD and communication will be made
based on the required post submission of JD and merits each cases.