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Birla Corporation Limited
Unit: Satna Cement Works
Madhya Pradesh

III MP BIRLA
GFTOUP P'3l 6t 2 41.20OO I 01 t :O7 67 2 251 456

Dec,08 2022
The Regional Provident Fund Commissioner
"Bhavishya Nidhi Bhavan",
Vijaynagar, JABALPUR (M.P.) 482 002

Sub - Undertaking by emptoyer for correction in records of the P.F. I Pension

member.

Dear Sir,

It is requested for your consideration that -

MT.SURYA BHAN PAL, S/O. LALLU PAL
having Pen. a/c, no, - MP I JBP I 537 / f SfgO
UAN No. - 1OO3 - 7503 - 5054
has applied for correction in basic attributes with EPPFO. As required by EPFO, the
establishment is providing herewith undertaking and takes responsibly for any wrong
payment, with respect to correction of records in context to this application.

The member as well as establishment is providing herewith, joint application for

correction of the same, with supporting papers duly attested by the member as well
as establishment. We are also providing herewith copy of record for the same
member with establishment, duly attested, (Screen shot of Master Record of
member).

The Name / Date of birth / Father's Name of the member discussed above was
inadvertently entered incorrect which needs correction; consequently the Aadhar of
the member is not linking with UAN of the member'

ygu are therefore requested, to correct the data with EPFO of the member discussed
above, under intimation to us so that the UAN of the same member shall be linked
with Aadhar at the earliest'

Reg a rd s,
For Birla Corporation Ltd.
t - Satna Cement Works'

rised Sig rv)

Encl. as above.
For: Satna C
1 DECLARATION OF ESTABLISH MENT Wor r,

2 COPY OF ESTABLISHMENT RECORD

3 ]OINT DECELERATION.
4 COPY OF AADHAR
5 IF AGE DIFF MoRE THAN 3 YEARS, THEN, coPY oF MARK SHEET / coPY oF RTH CERTIFICATE
JOINT DECLARATION BY THE MEMBER AND THE EMPLOYER
Dec,08 2022
TO,
The Regional P. F. Commissioner,
Vijay Nagar, Jabalpur (MP) 482002

Su b. Joint declaration by the member and the employer, for the member having
PF Pension aic No. MP/JBP/ 15130
/
UAN No: 1003 7503 5054

Dear Sir,

I SURYA BHAN PAL,S/O,LALLU PAL

am/was an employee/ex-employee of Ms SATNA CEMENT WORKS, Satna
(MP llBP 1537 1L5130) urnishing below herewith correct details with aforesaid -
Pa rticu la rs Wronq Correct
Name I'4T.SURIYABHAN PATEL SURYA BHAN PAL

Gender I\4ALE MALE

Father/ Husband Name LALOO PATEL LALLU PAL

Relation with member FATHER FATHER

Marital status N4ARRIED MARRIED

DOB (DDMMYTTY) 041t21t987 tzl4lt987

DOJ (DDMMYYYY) 0710t/2008 11712008

DOL (DDMMYYTY) t2131120t7 3tlt2l20).7

Mobile no. 9630179902 9630179902

We are also enclosing herewith self-attested copy of ID proof (Any one-PAN card/ Aadhar
card/ School certificate/Driving license/Passport) for your ready reference.

Therefore, you are requested to make necessary changes in your record (if required)
under intimation to me.

An early action in this regard will be highly appreciated.

End. as above.

Yours faithfully,

+tl;r t{w
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Name & Signature of ApplicanV Claimant
For: Satna Ce
Worl.

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