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Joint Declaration Format

This document is a joint declaration from an employee and employer regarding corrections to the employee's information in their UAN (Universal Account Number) for their PF/EPS (Provident Fund/Employee Pension Scheme) account. It provides the employee's name, father/husband's name, account number, date of birth, dates of joining and leaving employment. It notes any variations between the information in the UAN and what is declared as correct. Identification documents like Aadhar or PAN are also enclosed for verification. The employer certifies that the information provided is correct and requests the changes be made.

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SkillTree Payroll
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36K views

Joint Declaration Format

This document is a joint declaration from an employee and employer regarding corrections to the employee's information in their UAN (Universal Account Number) for their PF/EPS (Provident Fund/Employee Pension Scheme) account. It provides the employee's name, father/husband's name, account number, date of birth, dates of joining and leaving employment. It notes any variations between the information in the UAN and what is declared as correct. Identification documents like Aadhar or PAN are also enclosed for verification. The employer certifies that the information provided is correct and requests the changes be made.

Uploaded by

SkillTree Payroll
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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TO, Date:

Pf Office

Sub: Joint Declaration By the members and the employer.

Dear Sir,

I ABC….... am /was an employee /ex employee of M/s XYZ Company…………..furnishing below


herewith correct details with aforesaid establishment.

UAN: Aadhar :

Particulars As in UAN CORRECT


Name

Father/ Husband Name


PF/ EPS Account No.
Date of Birth (DD/MM/YYYY)
Date of Joining (DD/MM/YYYY)
Date of Leaving in EPF (DD/MM/YYYY)

Date of Leaving in EPS (DD/MM/YYYY)


The reason for Variation in Name/DOB is explained in the employer’s forwarding letter dated ________.
I am also enclosing herewith self attested copy of ID proof (PAN Card / Aadhar Card- the same is
approved in KYC) The same is attested by the Employer/ Ex- employer.

*Aadhar should be Approved in KYC for Member Name & DOB corrections. If for any reason
Aadhar is not seeded, reason for the same should be mentioned in the forwarding letter.

An early action in this regard will be highly appreciated.

Yours Faithfully,

Name & Signature of Applicant

Certified that the above information is correct & request as made by the applicant may please be accepted.

Authorized Officer

Encl: As Above Seal & Signature

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