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Joint Declaration by The Member and The Employer: Particulars

This document is a joint declaration by an employee and employer regarding corrections to the employee's PF records. It lists the employee's name, father/husband's name, PF/EPS account number, date of birth, date of joining, and date of leaving. It requests the PF commissioner to make necessary changes in their records based on the correct details provided, with a self-attested copy of an ID proof like Aadhaar card or other documents. The document also lists the documents required for different types of corrections like date of birth, name, mobile number, father's name or husband's name corrections.

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Nagesh Acharya
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2K views

Joint Declaration by The Member and The Employer: Particulars

This document is a joint declaration by an employee and employer regarding corrections to the employee's PF records. It lists the employee's name, father/husband's name, PF/EPS account number, date of birth, date of joining, and date of leaving. It requests the PF commissioner to make necessary changes in their records based on the correct details provided, with a self-attested copy of an ID proof like Aadhaar card or other documents. The document also lists the documents required for different types of corrections like date of birth, name, mobile number, father's name or husband's name corrections.

Uploaded by

Nagesh Acharya
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Joint Declaration By The Member and The Employer

Date:
Employee code of TeamLease:
To, Mobile Number:

The Regional P F Commissioner,

Sub: Joint declaration by the Member and the Employer

Dear Sir/Madam,

I, am / was an employee / ex-employee


of TeamLease Services Limited having PF Number BG/BNG/0035224/000
Furnishing below herewith correct details with aforesaid establishment:

Particulars Correct Wrong


Name

Father / Husband Name

PF / EPS Account No.

Date of Birth (DD/MM/YYYY)

Date of joining (DD/MM/YYYY)

Date of leaving (DD/MM/YYYY)

I am also enclosing herewith self-attested copy of ID proof [Aadhaar Card and any one of

the Passport / SSLC marks card / Birth certificate] 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 :
Documents required Category wise

DOB or Name correction.

 Aadhaar card
 Anyone of SSLC marks card or Birth certificate or Passport copy

Mobile Number Change.

 Aadhaar card
 Anyone of SSLC marks card or Birth certificate or Passport copy

Father name correction.

 Aadhaar card
 Anyone of SSLC marks card or Birth certificate or Passport copy having father name

Husband name correction.

 Aadhaar card after adding husband name


 Aadhaar card of husband
 Marriage certificate

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