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ANNEXURE II

This joint declaration form contains a request to update incorrect personal details in a PF account, including the member's Aadhaar, name, date of birth, gender, parents' names, date of joining, date of leaving, reason for leaving, marital status, and nationality. The authorized signatory of the establishment has verified the request and records to certify the corrected facts. Both the employee and authorized signatory declare the information provided is correct and they will be jointly responsible for any incorrect payments resulting from the updated details.

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Sk Mashiar Rahaman
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1K views

ANNEXURE II

This joint declaration form contains a request to update incorrect personal details in a PF account, including the member's Aadhaar, name, date of birth, gender, parents' names, date of joining, date of leaving, reason for leaving, marital status, and nationality. The authorized signatory of the establishment has verified the request and records to certify the corrected facts. Both the employee and authorized signatory declare the information provided is correct and they will be jointly responsible for any incorrect payments resulting from the updated details.

Uploaded by

Sk Mashiar Rahaman
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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ANNEXURE-II

Joint Declaration Form

I……………………………………………………………………………………………………………………………………having
UAN……………….………………………………………………………… PF account………………………………….and
Aadhaar…………………………. is/ was with establishment M/S……………….…………………………. The
personal details furnished to EPFO earlier were found to be incorrect /blank, and therefore
request for change/updation in the member profile as follows.

S. No. Details/particulars Incorrect details Correct details

1 Aadhaar
2 Name
3 DOB
4 Gender
5 Fathers/Mothers
6 Relationship
7 DOJ
8 DOL
9 Reason of leaving
10 Marital Status

11 Nationality

I…………………………………………………………….……. s/o………………………………………………………………, authorized


signatory of the establishment, have verified the request, document attached and the records of the
establishment and certify that the facts mentioned above are correct. I am also enclosing ................
………………………………………..and …………………..…………………. (Documents of Establishment) in support of
the request of the employee mentioned above.

We………………………………………..…………….(Employee) and……………….. ……………………………………..…………...


(Authorized Signatory) hereby declare we have not concealed any facts and the above- mentioned
facts are correct. We also indemnify that in case of wrong payment/over payment/under payment
because of the above furnished information shall be jointly held responsible.

Authorized signatory Name of the member

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