S. No Empl. Code UAN PF no Mobile No.

E-mail Id Initial/
Salutation
(Ms, Mrs or Mr)

1
Name (As per Aadhar) Marital Status Education
(Under Grad./ Grad./ Post Grad.)

As per EPFO Correct Data As per EPFO Correct Data

 D.O.B (DD/MM/YYYY) Father's/Husband Name (Without Initials & .) Relation

As per EPFO Correct Data As per EPFO Correct Data As per EPFO
Relation Gender D.O.J (EPF membership) Aadhaar

Correct Data As per EPFO Correct Data As per EPFO Correct Data Aadhaar No
Aadhaar PAN CARD BANK ACCOUNT D

Name as per Aadhaar Pan No Name as per PAN Bank Name

 BANK ACCOUNT DETAILS

Account No IFSC Name in Bank Records

Any other remarks Remarks by Employer
Remarks by Consultant