EPFO Joint Declaration Form
EPFO Joint Declaration Form
EPFO Joint Declaration Form
Date:
To
TheRegionalPFCommissioner
______________________________
Sub:Jointdeclarationbythememberandtheemployer
DearSir,
I,_____________________________________________am/wasanemployee/exemployeeof
______________________________________________furnishingbelowherewithcorrectdeailswithaforesaid
establishment:
Name
Father/HusbandName
PF/EPSAccountNo.
DateofBirth(DD/MM/YYYY)
Dateofjoining(DD/MM/YYYY)
Dateofleaving(DD/MM/YYYY)
IamalsoenclosingherewithselfattestedcopyofIDproof(
Anyone
PANcard/VotersIdentityCard/Passport/
DrivingLicense/AadharCard)foryourreadyreference.
Therefore,youarerequestedtomakenecessarychangesinyourrecords(ifrequired)underintimationtome.
Anearlyactioninthisregardwillbehighlyappreciated.
YoursFaithfully
Name&SignatureofApplicant :
NameofAuthorizedSignatory :
SignatureWithEstablishmentSeal :
Encl.:AsAbove