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Joint Declaration Form

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Bhuvanesh Reddy
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0% found this document useful (0 votes)
34 views1 page

Joint Declaration Form

Uploaded by

Bhuvanesh Reddy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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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

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