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5. EPF (Form 11)

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Shubh Tiwari
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46 views

5. EPF (Form 11)

Uploaded by

Shubh Tiwari
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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www.epfindia.gov.

in

Composite Declaration Form -11


(To be retained by the employer for future reference)
EMPLOYEES' PROVIDENT FUND ORGANISATION
Employees' Provident Funds Scheme, 1952 (Paragraph 34 & 57) &
Employees' Pension Scheme, 1995 (Paragraph 24)
(Declaration by a person taking op employment in any establishment on which EPF Scheme, 1952 and /or EPS, 1995 is applicable)

I Name of the member Shubh Tiwari

2
Father's Name D Sanjay Kumar Tiwari
Spouse's Name
D
3 Date ofBirth: ( DD/ MM I YYYY ) 30/07/2000
4 Gender: (Male/Femaleffransgender) Male
5 Marital Status: (Married/U nmarried/W idow/W idower/Divorcee) Unmarried

6
(a) Email ID:
[email protected]
(b) Mobile No.: +91-9019134395
Present employment details:
15th May, 2024
7 Date of joining in the current establishment (DD/MM/YYYY)

KYC Details: (attach selfattested copies of following KYCs)


a) Bank Account No. : 50100336737321
8 b) IFS Code of the branch:
HDFC0004051
c) AADHAR Number 2838-0322-0361
d) Permanent Account Number (PAN), if available CJSPT4138H
Whether earlier a member of Employees' Provident Fund Scheme, Yes/No
9
1952
10 Whether earlier a member of Employees' Pension Scheme, 1995 Yes/No
Previous employment details: (if Yes to 9 AND/OR 10 above I - Un-exempted
Establishment Universal PF Account Date of joining Date of exit Scheme PPONumber Non
Name & Address Account Number (DD/MM/ (DD/MM/ Certificate (if issued) Contributory
Number YYYY) YYYY) No. (if Period
issued (NCP) Days

11

Previous employment details: (if Yes to 9 AND/OR 10 above) - For Exempted Trusts

Name & Address of the Trust UAN Member Date of Date of exit Scheme Non
EPS Ale joining (DD/MM/ Certificate Contributory
Number (DD/MM/ YYYY) No. (if Period (NCP)
YYYY) issued Days
12

a) International Worker: Yes /No

13 b) If yes, state country of origin (India/Name of other country)


c) Passport No.

d) Validity of passport [(DD/MM/YYYY) to (DD/MM/YYYY)]


UNDERTAKJNG

I) Certified that the particulars are true to the best of my knowledge.


2) I authorize EPFO to use my Aadhar for verification/authentication/e-KYC purpose for service delivery.
3) Kindly transfer the funds and service details, if applicable, from the previous PF account as declared above to the present P.F.
Account as I am an Aadhar verified employee in my previous PF Accounl *
4) In case of changes in above details, the same will be intimated to employer at the earliesl

Date: 2nd June, 2024


Place: Bangalore Signature of Member

DECLARATION BY PRESENT EMPLOYER

A. The member Mr/Ms/Mrs ......................................................................... has joined on ......................................... and has been

allotted PF No.......................................................................and UAN ................................................................................................ .

B. In case the person was earlier not a member of EPF Scheme, 1952 and EPS, 1995:
• Please Tick the Appropriate Option:
The KYC details of the above member in the UAN database
D Have not been uploaded
D Have been uploaded but not approved
D Have been uploaded and approved with DSC/e-sign.

C. In case the person was earlier a member of EPF Scheme, 1952 and EPS, 1995:
• Please Tick the Appropriate Option:-
0 The KYC details of the above member in the UAN database have been approved with E-sign/Digital Signature
Certificate and transfer request has been generated on portal.
D The previous Account of the member is not Aadhar verified and hence physical transfer form shall be initiated.

Date: Signature of Employer with Seal of


Establishment

*Auto transfer of previous PF account would be possible in respect of Aadhar verified employees only. Other employees are requested to
file physical claim (Form-13) for transfer of account from the previous establishment.

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