Joint Declaration Form - Delhi

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

JOINT DECLARATION OF E.P.F.

BY THE MEMBER & EMPLOYER

To, Date
The Regional Provident Fund Commissioner
EPF Organization, EPFO Complex,
Plot No. – 23, Sector No. – 23, Dwarka
New Delhi – 110075

Subject: Joint Request to update employee’s details.

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: -

Particulars Correct Wrong


Name
Father / Husband Name
Relation
PF / EPS Account No.
Date of Birth
Date of Joining
Gender
Date of Exit
Contact Number
Aadhar Number
Name in Aadhar

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.

(Member’s Signature) (Authorized Signatory)

Name:
Place & Date:
Contact No. ……………………………..
Email id: …………………………………

You might also like