Joint Declaration Form - Delhi
Joint Declaration Form - Delhi
Joint Declaration Form - Delhi
To, Date
The Regional Provident Fund Commissioner
EPF Organization, EPFO Complex,
Plot No. – 23, Sector No. – 23, Dwarka
New Delhi – 110075
Dear Sir,
It is stated that Mr. /MS……………………………………………………………...Joined service on …………………………..and
PF A/c No. …………………………………………….........................and UAN………………………………………was allotted
to him/her. It is informed that at the time of submission of Form 9/3A/6A/Annexure II, wrong details were submitted due to an
oversight/clerical lapse which need to be corrected. Hence, we are submitting correct details of the member as mentioned below: -
2. Certified copy of the below mentioned document is enclosed as proof of genuineness of the member. You are requested to
update member details in your records.
(i) Voter ID Card (ii) Aadhar Card (UID) (iii) PAN Card (iv) Passport
(v) Driving License (vi) School Certificate
(vii) Any other document (Please Specify) …………………………………..
3. It is hereby declared that the above contents and information is true. In case of any wrong/over payment or any wrong
information is found to be in future, we shall be responsible and liable to refund the entire amount with penal interest charges.
Name:
Place & Date:
Contact No. ……………………………..
Email id: …………………………………