Declaration For EPF

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SELF DECLARATION

Name: ____________________________________

Employee code: ____________________________________

Division/Dept: ____________________________________

Designation: ____________________________________

Location: ____________________________________

(1) I understand that the Employer is contributing maximum of Rs. 1800/- per month
i.e. 12% of Rs. 15000/- towards Employee Provident Fund, this being the minimum
prescribed under the Employees Provident Fund & Misc Provisions Act,1952 (EPF
Act).

(2) I also understand that I am contributing 12% of my monthly basic salary towards
Employees’ contribution under the Employees Provident Fund & Misc Provisions
Act, 1952 (EPF Act), which includes my voluntary contribution (i.e over and above
Rs.1800/-).

(3) Both the above guidelines adopted by Feedback Infra Private Ltd are acceptable to
me.

Signature: Date:

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