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  • Joint Declaration Form

    Uploaded by

    Hari Gopala
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    This document is a joint declaration from an employee and employer to the Regional Provident Fund Commissioner regarding corrections to the employee's PF/EPS account details. It provides the employee's name, father/husband's name, account number, date of birth, date of joining, date of leaving, gender, and title (Mr/Mrs/Ms). It also encloses an attested copy of the employee's ID proof for reference. The declaration requests the Commissioner to make any necessary changes to their records based on the correct details provided and notify the applicant of such changes.

    Original Description:

    Joint Declaration Form (2)

    Original Title

    Joint Declaration Form (2)

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    This document is a joint declaration from an employee and employer to the Regional Provident Fund Commissioner regarding corrections to the employee's PF/EPS account details. It provides the employee's name, father/husband's name, account number, date of birth, date of joining, date of leaving, gender, and title (Mr/Mrs/Ms). It also encloses an attested copy of the employee's ID proof for reference. The declaration requests the Commissioner to make any necessary changes to their records based on the correct details provided and notify the applicant of such changes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    158 views1 page

    Joint Declaration Form

    Uploaded by

    Hari Gopala
    This document is a joint declaration from an employee and employer to the Regional Provident Fund Commissioner regarding corrections to the employee's PF/EPS account details. It provides the employee's name, father/husband's name, account number, date of birth, date of joining, date of leaving, gender, and title (Mr/Mrs/Ms). It also encloses an attested copy of the employee's ID proof for reference. The declaration requests the Commissioner to make any necessary changes to their records based on the correct details provided and notify the applicant of such changes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
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    Joint Declaration By the Member and The Employer

    Date:

    To

    The Regional P F Commissioner,

    No: 37, Royapettah High Road, Chennai – 600 014.

    Sub: Joint declaration by the member and the employer

    Dear Sir/ Madam,

    I, am/ was an employee / ex employee of

    furnishing below herewith correct details with

    aforesaid establishment:-

    Particulars Correct Particulars Wrong Particulars

    Name

    Father/ Husband Name

    PF / EPS Account No.

    Date of Birth (DD/MM/YYYY)

    Date of Joining (DD/MM/YYYY)

    Date of Leaving (DD/MM/YYYY)

    Gender

    Mr/Mrs/Ms

    I am also enclosing herewith attested by authorized signatory, a copy of ID proof (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 :

    Name of Authorized Signatory :

    Signature with Establishment Seal :

    Encl.: As Above

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