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_— _, Doc. No. _temvannexra Lloyds Engineering Works Limited Pages ofa f tous Zeina Rev. N take Annexure 12 Form ene. TE | Contractor Registration Form | Part-A (KYC) Date of Registration: 2) 05/94 ( Pedlitsy veavlos —U Peek) | Contractor / Company tame: 5 halle Loipa Erainecring Woes | Type of contractor.: Proprietorship / Private Limited / Public Limited / LLP / OPC / Other Name of owner /Proprietor/Direstor: SAI Bhousery Space [GontactNo: J§I-3 (BOS OS Email ID: SAniashivee 6) E Imaih Gor) Site/Plant Incharge Name; << P Site/Plant Incharge Contact No: aa Checks! oh Verified & approved for contractor = Planning Manager. oe oe Prepared By: Tr, Raza All Shaikh / Pramod Potdar Reviewed By i 8. Nair Wao Singh ‘Approved By: Ti. Sudhir Dove EMPLOYEE'S PROVIDENT FUND ELECTRONIC CHALLAN CUM RETURN (ECR) ame of Eesehmest SHRI KRIPA ENG WORKS Estatiishment ib “THT#A9200055000 uN 729744756 ‘age Month san2023 Reurn ow Feo Contain Rat) @ ECR Tyee ECR — ‘Salary Disbursement Dale reas Upload Cae Tne 16725-2028 0821 Exemption Stas exempted TRRN Numbor emer e202 EORE 95100999 Total Merrs Bs - - ‘Contribution and Remittance Details (In Rupes) ‘Total EPF Contibion Remied ola EPFEPS Contrbuton Reid PURPY Upfront Benefit Details (Im Rupees) “otal PURPY Uatont EPF Ament (| Toa PURPY Ustont EPS Arount PURPY bane rms NA 'ABRY Upfront Benefit Detail (In Rupees) = Enpbjer EPS Shoo ° @ ‘Esaolhment snot eiibe fer ABRY scheme Benefit as scheme detaaton is nt subse. Employee EPF Sher “Tota! ABRY bona Amount “ABRY boneft remarks “eTHaomonsonn 0.2828) eB 20750023 Employer EFF Stare Ww 1 he re pried wy Asti sho (in cose AADHAAR so eee 2) EPS Contribution Rema sprefoed wih Hash sign ( when Member's age fs more than 88 yeas. Plasse ensure nat is sto se of "Doferred Porson”. PURPY Beret Not Gen Romer AREY Bane Not Gen Rema = Reason Code ‘Reason Namé _ Reason Code - ‘Reason Name —_] “EC10001 EGR already fled for this member | ‘GK10001 | EPF wages are greeter than or equal to 15,0001- [ECI0002 Parallel Employment: EGR already fe for this ~GK10002 | Mematen in EPF ang EPS wages | [E1005 | Bonaftaeady aval for is member OK10003 PF contibution reriticd is eeter tan due vemitance [EC10008 | GrosslEPF wages great then 16,0007. ‘GKI0000 EPS contibutenremited Is greater than due emitiance © €10005 | Mismaich in EPF and EPS wages: ‘exi0005 __(EPF-EPS) atrance contibuton romitod is areater than cue ‘EC10008 Mismatch in Due and Remited values ‘GKI0006 EPS conibuton end Is greater han doo emitance [EC0007 __UAN Descinated - ~GK000? _Aadhesr not soodod Termaezooasston.asi23) 15820200923 22

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