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Form11 1738661374084

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happy12052005
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11 views2 pages

Form11 1738661374084

Uploaded by

happy12052005
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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Applicant ID: 2157019

Form 9 (Revised)
THE EMPLOYEES' PROVIDENT FUNDS SCHEME, 1952 (Paragraph 34)
AND
THE EMPLOYEES' PENSION SCHEME, 1995 (Paragraph 24)
Declaration by a person taking up employment in an establishment in which the Employees'
Provident Funds & Employees' Pension Scheme enforce

I, Kumar Utsav Son of Sh. Sanjay Kumar do hereby solemnly declare that:

(a) I was employed with NA, NA with PF A/c Number NA and left service on NA prior to that, I was employed in NA, NA with
PF A/c Number NA from NA to NA.

(b) I am a member of the Pension Fund from NA to NA .

(c) I have withdrawn the amount of my Provident Fund. - NA

(d) I have withdrawn the amount of my Pension Fund. - NA

(e) I have drawn any benefits under the Employees Pension Scheme, 1995 in respect of my past service in any
establishment. - NA

(j) I have not contributed to the social security programme in NA from NA to NA, which has not entered into a Social
Security Agreement with India.

(g) Do you have a Universal Account Number (UAN): No

Universal Account Number Aadhar NPR PAN

NA 5032-7055-6586 NA MYIPK3871R
(h) Bank Account Number Linked with UAN : NA

Bank Account Number IFSC Code

NA NA

Date : _____________________ Signature of employee


---------------------------------------------------------------------------------------------------------------------------------------------------------

(To be filled by the employer)

1) Shri/Smt/Kumari Kumar Utsav is appointed as Systems Engineer in Tata Consultancy Services Limited, with effect from
20-FEB-2025 bearing Provident Fund Account Number: MH/BAN/48475/000/ ________________

04-Feb-2025 Page 1 of 2
Tata Consultancy Services Limited
10th Floor, Air India Building, Nariman Point,
Mumbai 400 021.

04-Feb-2025 Page 2 of 2

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