Joint Declaration By the Member and The Employer

Date: 10 / 12 / 2019

To

The Regional P F Commissioner

EPFO, RO, PUNE
Golibar Maidan, Pune Camp,
Pune- 411 001.

Sub: Joint declaration by the member and the employer for name/father’s name/date of birth
correction bearing PF/EPS account no PUPUN15109040000000001 (EST.ID- PUPUN1510904000)

Dear Sir,

I, Bidabag Satish Manohar was an employee of PIC Labour Solutions LLP furnishing below herewith
correct details with aforesaid

Establishment:-

Particulars Correct Wrong

Name BIDABAG SATISH MANOHAR SATISH BIDABAG

Father/ Husband name MANOHAR

PF / EPS Account No. PUPUN15109040000000001

UAN Number 100937681335

Date Of Birth (DD/MM/YYYY) 10/06/1982

Date Of joining (DD/MM/YYYY) 06/05/2016

Date of Leaving (DD/MM/YYYY) 31/01/2019
I am also enclosing herewith self attested copy of ID proof (Any One – PAN card/Voter’s 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

Above mentioned information in this letter are correct and as per our office record correct & wrong
both person name is same, If any wrong/over/excess/short payment occur at the time of settlement of
PF/EPS claim or after name correction by the EPFO office our establishment is fully responsible and
refund the said withdrawal amount in r/o PF and EPS settlement to the EPFO PUNE.

Name of Authorized Signatory :

Signature with Establishment Seal:
Encl.: As Above
 Joint Declaration By the Member and The Employer

Date: 10 / 12 / 2019

To

The Regional P F Commissioner

EPFO, RO, PUNE
Golibar Maidan, Pune Camp,
Pune- 411 001.

Sub: Joint declaration by the member and the employer for name/father’s name/date of birth
correction bearing PF/EPS account no PUPUN19462110000010010 (EST.ID- PUPUN1946211000)

Dear Sir,

I, Bidabag Satish Manohar am an employee of RUBS Staffing LLP furnishing below herewith correct
details with aforesaid

Establishment:-

Particulars Correct Wrong

Name BIDABAG SATISH MANOHAR SATISH BIDABAG

Father/ Husband name MANOHAR

PF / EPS Account No. PUPUN19462110000010010

UAN Number 100937681335

Date Of Birth (DD/MM/YYYY) 10/06/1982

Date Of joining (DD/MM/YYYY) 01/02/2019

Date of Leaving (DD/MM/YYYY)
I am also enclosing herewith self attested copy of ID proof (Any One – PAN card/Voter’s 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

Above mentioned information in this letter are correct and as per our office record correct & wrong
both person name is same, If any wrong/over/excess/short payment occur at the time of settlement of
PF/EPS claim or after name correction by the EPFO office our establishment is fully responsible and
refund the said withdrawal amount in r/o PF and EPS settlement to the EPFO PUNE.

Name of Authorized Signatory :

Signature with Establishment Seal:
Encl.: As Above
 Joint Declaration By the Member and The Employer

Date: 10 / 12 / 2019

To

The Regional P F Commissioner

EPFO, RO, PUNE
Golibar Maidan, Pune Camp,
Pune- 411 001.

Sub: Joint declaration by the member and the employer for name/father’s name/date of birth
correction bearing PF/EPS account no PUPUN15109040000000002 (EST.ID- PUPUN1510904000)

Dear Sir,

I, Sunil Waman Sawant was an employee of PIC Labour Solutions LLP furnishing below herewith
correct details with aforesaid

Establishment:-

Particulars Correct Wrong

Name SUNIL WAMAN SAWANT SUNIL SAWANT

Father/ Husband name WAMAN

PF / EPS Account No. PUPUN15109040000000002

UAN Number 100938407085

Date Of Birth (DD/MM/YYYY) 02/06/1969

Date Of joining (DD/MM/YYYY) 06/05/2016

Date of Leaving (DD/MM/YYYY) 31/01/2019
I am also enclosing herewith self attested copy of ID proof (Any One – PAN card/Voter’s 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

Above mentioned information in this letter are correct and as per our office record correct & wrong
both person name is same, If any wrong/over/excess/short payment occur at the time of settlement of
PF/EPS claim or after name correction by the EPFO office our establishment is fully responsible and
refund the said withdrawal amount in r/o PF and EPS settlement to the EPFO PUNE.

Name of Authorized Signatory :

Signature with Establishment Seal:
Encl.: As Above
 Joint Declaration By the Member and The Employer

Date: 10 / 12 / 2019

To

The Regional P F Commissioner

EPFO, RO, PUNE
Golibar Maidan, Pune Camp,
Pune- 411 001.

Sub: Joint declaration by the member and the employer for name/father’s name/date of birth
correction bearing PF/EPS account no PUPUN19462110000010035 (EST.ID- PUPUN1946211000)

Dear Sir,

I, Sunil Waman Sawant am an employee of RUBS Staffing LLP furnishing below herewith correct details
with aforesaid

Establishment:-

Particulars Correct Wrong

Name SUNIL WAMAN SAWANT SUNIL SAWANT

Father/ Husband name WAMAN

PF / EPS Account No. PUPUN19462110000010035

UAN Number 100938407085

Date Of Birth (DD/MM/YYYY) 02/06/1969

Date Of joining (DD/MM/YYYY) 01/02/2019

Date of Leaving (DD/MM/YYYY)
I am also enclosing herewith self attested copy of ID proof (Any One – PAN card/Voter’s 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

Above mentioned information in this letter are correct and as per our office record correct & wrong
both person name is same, If any wrong/over/excess/short payment occur at the time of settlement of
PF/EPS claim or after name correction by the EPFO office our establishment is fully responsible and
refund the said withdrawal amount in r/o PF and EPS settlement to the EPFO PUNE.

Name of Authorized Signatory :

Signature with Establishment Seal:
Encl.: As Above