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EPF Name Change Form

This joint declaration from an employee and employer provides corrected personal details of the employee such as name, father's name, EPF account number, UAN number, date of birth, date of joining, and date of birth to the Regional Provident Fund Commissioner. It requests the Commissioner to amend any incorrect details currently on file based on the enclosed self-attested identity document and notifies both the employee and employer of the changes.

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Kiran Kumar
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15K views

EPF Name Change Form

This joint declaration from an employee and employer provides corrected personal details of the employee such as name, father's name, EPF account number, UAN number, date of birth, date of joining, and date of birth to the Regional Provident Fund Commissioner. It requests the Commissioner to amend any incorrect details currently on file based on the enclosed self-attested identity document and notifies both the employee and employer of the changes.

Uploaded by

Kiran Kumar
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Joint Declaration By the Member and The Employer

Date:

To

The Regional P F Commissioner


______________________________

Sub: Joint declaration by the member and the employer

Dear Sir,

I, _____________________________________________ am/ was an employee / ex employee of

______________________________________________ furnishing below herewith correct details with

aforesaid establishment:-

Particulars In Correct Correct

Name of Member

Father/Husband Name

EPF/EPS A/C No.

UAN No.(if allotted)

DOB(DD/MM/YYYY)

DOJ(DD/MM/YYYY)

DOB(DD/MM/YYYY)

I am also enclosing herewith self attested copy of ID proof (Any one - PAN card/ Voters Identity Card/
Passport/ Driving License/ Aadhar Card) for your ready reference.
Therefore, you are hereby requested to make necessary amendment in your records , 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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