We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
You are on page 1/ 3
Joint Declaration By the Member and The jor
Date:
To
‘The Commissioner of Employee Provident Fund,
EPFO Complex, Plot No.23,Sector-23,
‘Dwarka New Delhi-110075
‘Sub: Joint declaration by the member and the employer
Dear Sir,
|, Poonam Gupta Wio Late Mr. Prabhat Gupta, Who is an ex employee of Delhi International Cargo
‘Terminal Pvt. Ltd. furnishing below herewith correct details with aforesaid establishment :~
Particulars Correct Wrong.
Name Prabhat Gupta
Father! Husband Name M.L. Gupta Late M.L. Gupta
PF / EPS Account No. SNi1P172604400000100508
Sorvice Left Reason Death While in Service Death Away From Service
Date of Birth (OD/MM/YYYY) 01-04-1968
Date of joining (DDIMM/YYYY) _| 01-11-2020
Date of leaving (DDIMMIYYYY) _| 28-04-2021,
1am also enclosing herewith self attested copy of 1D proof (Any one - PAN card! Voters’ Identity Card/ Passport!
Driving License’ Aadhar Card) for your ready reference.
Therefore, you are requested to make necessary changes in your records (if quired) under intimation to me.
‘An early action in this regard will be highly appreciated.
Wee
‘Yours Faithfully wt
2
Ve Groniaen Gust 7A)
Name of Authorized Signatory
Signature With Establishment Seal
Encl: As AboveJoint Declaration By the Member and The Employer
Date:
To
‘The Commissioner of Employee Provident Fund,
EPFO Complex, Plot No.23,Sector-23,
‘Dwarka New Delhi-110075
‘Sub: Joint declaration by the member and the employer
Dear Sir,
|, Poonam Gupta Wio Late Mr. Prabhat Gupta, Who is an ex employee of Delhi International Cargo
"Terminal Pvt. Ltd. furnishing below herewith correct details with aforesaidestablishment >
Particulars Correct Wrong
Name eoabbar Gupta
| Father! Husband Name ML. Gupla LateM.L. Gupta
PF / EPS Account No. SNEXP172604400000100508
Service Left Reason Death While In Service Death Away From Service
Date of Birth (DD/MM/YYYY) 01-04-1968
Date of joining (DD/MMIYYYY) _| 01-11-2020
Date of leaving (DDIMMIYYYY) _| 28-04-2021 _
| am also enclosing herewith self attested copy of 1D proof (Any one - PAN cardi Voters’ Identity Card/ Passport!
Driving License/ Aadhar Card) 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 wr .
Name & Signature of Applicant
CV pee
Roowam Gup7h)
Name of Authorized Signatory -
Signature With Establishment Seal =
Encl: As AboveJoint Declaration By the Member and The Employer
To
‘The Commissioner of Employee Provident Fund,
EPFO Complex, Plot No.23,Sector-23,
Dwarka New Dethi-110075
‘Sub: Joint declaration by the member and the employe
Dear Sir,
Date:
|, Poonam Gupta Wio Late Mr. Prabhat Gupta, Who is an ex employee of Delhi International Cargo
‘Terminal Pvt. 1d, furnishing below herewith correct details with aforesaid establishment ~
Particulars: Correct Wrong
Name Beabhat
Father! Husband Name ML. Gupia Late M. L. Gupta
PF / EPS Account No. [DSNIP172604400000100508.
Service Left Reason Death While In Service Death Away From Service
Dato of Birth (DD/MMIYYYY) 01-04-1968
Date of joining (OD/MMIYYYY) _| 01-11-2020
Date of leaving (DDIMMIYYYY) —_| 28-04-2021
1am also enclosing herewith self attested copy of ID proof (Any one - PAN card/ Voters’ Identity Card/ Passport!
Driving License/ Aadhar Card) for your ready reference.
Therefore, you are requested to make necessary changes in your records (ifrequired) under intimation to me.
‘An early action in this regard will be highly appreciated
Yours Faithfully
Name of Authorized Signatory
Signature With Establishment Seal
Enel: As Above
PN
KAS
Name & Signer Applicant
oe C
Ee Coonam Gve7h
ww
Poonam Gup7?)