Joint Declaration

(By Employer and Employee for Correction in Name/DOB of member & father Name)

CONTACT NO:__________________
To
The Regional P.F.Commissioner,
Employees’ P.F. Organization,
Regional OfÔce, Tambaram.

Sir

Subject: Correction in the Member’s name/DOB and Father’s name-Joint

Declaration by the Member & Employer – Reg.

Universal Account No. (UAN):___________________

PF Account No.: TB/TAM/________________________

We are hereby informing you the details of Correction in name/date of birth and
Father’s name of our employee, as follows:-
Particulars Already furnished To be corrected as
Name of the Member
Father's/Husband's name
Date of birth(DD/MM/YYYY)
Copy of document enclosed in
Aadhar Card (Self Attested or Attested by employer)
support of correction in Name()

1.Birth CertiÔcate issued by the Registrar of Births and Deaths

Copy of document enclosed in
2. Education related certiÔcates.
support of correction in my date
3. Passport
of birth() (Attestation by the
4. CertiÔcate based on the service records of the
employer is compulsary)
Central/State Government organization.

Please make the necessary correction in your PF records.

Thanking you,

(Employee Signature) Yours faithfully,

Name and Address of the Employee.

______________________________________

Signature of the Authorized Signatory

(With Establishment Seal)