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PF Joint Declaration

This joint declaration by a member and employer provides corrected personal details of a current or former employee to the Regional Provident Fund Commissioner. It notes discrepancies between the details in the Universal Account Number and correct details, and includes the member's name, father/husband's name, PF/EPS account number, date of birth, date of joining, and date of leaving. Identification documents like PAN card or Aadhar card are also enclosed to verify the corrected details. The employer certifies that the information provided is correct and requests the changes be made.

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Vijay Babu
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4K views1 page

PF Joint Declaration

This joint declaration by a member and employer provides corrected personal details of a current or former employee to the Regional Provident Fund Commissioner. It notes discrepancies between the details in the Universal Account Number and correct details, and includes the member's name, father/husband's name, PF/EPS account number, date of birth, date of joining, and date of leaving. Identification documents like PAN card or Aadhar card are also enclosed to verify the corrected details. The employer certifies that the information provided is correct and requests the changes be made.

Uploaded by

Vijay Babu
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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Jpint Declaration by the Memb~r and the EmllLoyer

Date:
To .~

The Regional PF Commissioner.


RO, Bommasandra.

SUB: Joint Declaration by the member and the employer.

Dcar Sir,

_ _ _ _ am / was an employee/ex-employee of ______--'-____


furnishing below herewith correct details with aforesaid establishment.
" ' 11 I

DAN: [_I 1 1 IlL 1 1 liD Aadhar :

Particulars As in UAN CORRECT .

- --
Name*
~ '--._-.-­

Father/I-Iusband Name
-,--,._--­
PF/EPS Account No.

Datc ofBir1h*: (DD/MMIYYYY)

-.­
Date ofjoining : (DD/MMIYYYY)

Date of leaving : (DD/MMIYYYY)

GENDER
.­
-
The reason for variation in N arne/DOB is explained in the employer's forwarding letter
datcd ._.______. I am' also enclosing herewith self attested copy of ID proof (PAN Card /
Aadhar Card - the same is approved in KYC). The same IS attested by the Employer /
Ex-employer.

," Aadhar should be approved in KYC for Membel Name & DOB corrections. If for any
rcason' Aadhaar is not seeded, reason for the same shoulci be mentioned in the forwarding letter.

I\n early action in this regard will be highly appreciated.

Yours faithfully,

Name & Signature of the Applicant

Certified that the above information is correct & request as made by the applicant may
please be accepted.

Enel : as above
;~

Authorised officer
seal & signature

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