deZpkjh Hkfo’; fuf/k ,oa fofo/k izdh.

kZ mica/k vf/kfu;e] 1952 ds /kkjk 1 ¼4½ ds varxZr

LosPNk ls O;kfIr ds fy, vf/kdka”k deZpkfj;ksa dk lgefr i=
Consent Letter of Majority of Employees for Voluntary Coverage under Section 1(4)
of the Employees’ Provident Funds and Miscellaneous Provisions Act, 1952

lsok esa@To, 20/01/2021

rkjh[k@Date ………………….

{ks=h; Hkfo’; fuf/k vk;qDr@The Regional Provident Fund Commissioner,

___________________________________________

___________________________________________

fo’k; % eSllZ ------------------------------------------------------------------------------------- ¼”kk[kk,a bR;kfn lfgr½ dks deZpkjh Hkfo’; fuf/k ,oa fofo/k
izdh.kZ mica/k vf/kfu;e 1952 dh /kkjk 1¼4½ ds varxZRk foLrkj djus dh lgefr ds fy,
Sub : Extension of Employees’ Provident Funds and Miscellaneous Provisions Act, 1952 under Section 1(4)
to M/s …………………………………………………………………… (including branches, etc.) –
Consent of majority of Employees – Regarding

egksn;@Sir,

ge v|ksgLrk{kjh esllZ --------------------------------------------------------------------------------------------------------------------------------------- ¼”kk[kkvksa lfgr½ ds

vf/kdka”k deZpkjh d-Hk-fu- vkSj izdh.kZ micU/k vf/kfu;e] 1952 ds varxZRk fn ------------------------------------------------------- ls LoSfNd vk/kkj
ij O;kfIr ds fy, lger gS rFkk ge Hkkjr ljdkj ds xtV esa izdkf”kr vf/klwpuk ds varxZr ekg dh vafre frfFk dks vius
fgLls dk Hkfo’; fuf/k va”knku dh ------------------------------------ izfr”kr dh nj ls nsus dks bPNqd gSA ge opu Hkh nsrs gS fd mDr
fu;e dh vko”;drkvksa dks rFkk le; le; ij tkjh la”kks/kuksa dk ikyu djsaxsA

We the undersigned majority

group of employees of M/s …………………………………………….………
(including branches etc.) do hereby consent and apply to be covered under the Employees’ Provident Funds and
December 2020 the last date of the
Miscellaneous Provisions Act, 1952 on voluntary basis with effect from ………………….
month in which the notification is published in the Gazette of India, and we are willing to pay our share of
Provident Fund contribution at the rate of ……………. % We also undertake to abide by the requirements of the
said statute and the rules framed there under as amended from time to time.

2- ge vuqjks/k djrs gS fd deZpkjh Hkfo’; fuf/k ,oa fofo/k izdh.kZ micU/k vf/kfu;e 1952 dh /kkjk 1¼4½ ds varxZRk vko”;d
vf/klwpuk ;Fkk”kh?kz tkjh djus dk d’V djsaA

We request that necessary notification under Section 1(4) of the Act may be issued at an early date.

Hkonh;@Yours faithfully

uke@Name firk dk uke@Father’s tUe frfFk@Date of gLrk{kj@Signature

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