0% found this document useful (0 votes)
5 views

Subject: - : To The Regional PF Commissioner EPFO Complex, Plot No 23, Sector 23 Dwarka, New Delhi - 110020

joint declaration format for epfo

Uploaded by

Suresh Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
5 views

Subject: - : To The Regional PF Commissioner EPFO Complex, Plot No 23, Sector 23 Dwarka, New Delhi - 110020

joint declaration format for epfo

Uploaded by

Suresh Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

Joint Declaration By the Member and The Employer

Date:-

To
The regional PF Commissioner
EPFO Complex, Plot no 23, Sector 23
Dwarka, New Delhi -110020

Subject: - Joint Declaration By the Member and The Employer


I, Pawan, UAN no - 101183534352, am an employee of Minus30 Private Limited
(DSNHP2593372000) furnishing below herewith correct details with aforesaid establishment.

Particulars Correct Wrong


Name Pawan
Father /Husband Name Lokendra
PF/EPS Acc no DSNHP25933720000010139
Date of Birth 30/06/1994 30/01/1991
Date of Joining 01-April-2023
Date of Leaving NA

I am also enclosing herewith self-attested copy of ID proof (Any one- PAN / voter Id / Passport / DL /
Adhar 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

You might also like