Joint Declaration By the Member and The Employer
Date: 22/05/2025
To
The Regional P F Commissioner
______________________________
Sub: Joint declaration by the member and the employer
Dear Sir,
I, N Lavanya am/ was an employee / ex employee of Cognizant technology solutions Pvt LTD furnishing
below herewith correct details with aforesaid
establishment:
Particulars Correct Wrong
Name
Father/ Husband Name
PF / EPS Account No.
Date of Birth (DD/MM/YYYY) 28-12-1997 28-12-1998
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 : N Lavanya
Name of Authorized Signatory :
Signature With Establishment Seal :
Encl.: As Above