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Name Change Form

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NExus KnOx
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18 views

Name Change Form

Uploaded by

NExus KnOx
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as 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


_Delhi North __

Sub: Joint declaration by the member and the employer

Dear Sir,

I, __SANTOSH BAINSLA___________ am/ was an employee / ex employee of

_Zyvana Interated Services Private Limited___ furnishing below herewith correct deails with aforesaid

establishment :­ DLCPM1670317000

Particulars Correct Wrong

Name SANTOSH BAINSLA SANTOSH

Father/ Husband Name RATI RAM

PF / EPS Account No. 101876478983

Date of Birth (DD/MM/YYYY) 28-01-1998

Date of joining (DD/MM/YYYY) 04-09-2022

Date of leaving (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 requested to make necessary changes in your records (if required) 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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