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To ‘The Regional P-F. Commissioner EPFO..EPFO Complex Regional Office Delhi (S) Sub : Joint Declaration by the Member & Employer am an employee/ex-employee of comnuetne..Liioua...Bu7- L412 somishing below herewith correct details during my service with aforesaid establishment. Particulars Correct [__Wrong PAMIREDDYGART SURYA TsuRYA PAMIRCDDY GAR! Name PRASAD peDoy | é ISREE NIVAS REDDY Father/Husband Name face carats PamikeDDyone! PF/EPS Account No. _| Date of Birth (DD/MM/YY) Date of Joining (DD/MM/YY) Date of Leaving (DD/MM/YY) Tam also enclosing herewith self attested copy of ID proof for your ready reference. ‘Your ire requested to make the necessary changes in your records (if required) and settle my PF/EPS claim at the earliest. Ancarly action in this regard will be highly appreciated. Please acknowledge the receipt. ‘Yours faithfully, Employee Name PAN|REDDYGAR) SURYA Name of Authorized Signatory PRASAD REDDY Employee Signature Auayefuased Signature Authorized Signatory . With establishment seal To ‘The Regional P.F. Commissioner EPFO.. EPFO Complex: Regional Office Delhi (S) Sub : Joint Declaration by the Member & Employer am an employee/ex-employee of :.0..Samishing below herewith correct details during my service with aforesaid establishment. + Particulars Correct ‘Wrong, DRYA TRAD Ken PISURYA PamecDD yah) Y Name Father/Husband Name PF/EPS Account No. Date of Birth (DD/MM/YY), Date of Joining (DD/MM/YY) Date of Leaving (DD/MM/YY) Jam also enclosing herewith self attested copy of ID proof for your ready reference. Your are requested to make the necessary changes in your records (if required) and settle my PF/EPS claim at the earliest. An carly action in this regard will be highly appreciated. Please acknowledge the receipt. Yours faithfully, 7 EmployeeName Surya leasapRecpy ? ‘Name of Authorized Signatory Employee Signature Jusyeppored Signature Authorized Signatory . With establishment seal [ee sation 978, 197A ap ae 290) ‘edaraton unr eton 1703 and section 17012] ofthe Income tux At, 961 ob made y nino pron fo ng company om cing eran eet witout deacon cn Ra oe RST Ewes torch eration beg mode Fr Raa Ramer [soa Fase wh aS Irene mea Fee nore Perea Seas aoe ae par fam asa ew ie Js Topo Wa a0 Cady ra WaT, set War to So oa {ane Teneo Inet secon ofthe cone Tx leas [io Remora esr Ei ana Oi Cnminoneo ORES CORIO TROT ra waTTS ae OT ER TOTS fromensentm 2 tte oe came one OE RT = aiden fon as etened to chee Tort on secre rere tn Sched Trees on sun refered on Shel Tizome fom us refered ton Schedule “oy iain wal fad aaron ROCA] am Rant aught oe che lV [5 Emad nce ote previous ya whch ncove meron nau 24 petal invertments in respect of wih the detain eng made ‘senebULes (Detasot hare, hich tanith name of th dedrant nd beneeily omned by in) Tot | Ger ofeares & stares | fce vate tach Toate fe Dette number of the saves Detleon wh he hares ware acid the declan n (Ours of th seus niin the ae of dean an beetay owes Nn) ouretent | amber stecies | Ameutoticeiin | coer fannie were ‘ecu caren {semua bye decreed yyy soveoute (0ets ofthe sums ent he decrant on Tare and aera ofthe Anountot persone whom the suns are | some een (Grenonineren | oni Date an whch the sum were ae irerestedinm/) ‘Beenonintret | rest {asf te mata fond unt ein he name of Secreta beni ney in) Trango ofthe | Rub | Cs of nts and fcr vale ach RoR ATTA) 'Sraimained ante scout suber ua ts oe se sono (Det ofthe wheal made om National Savings Shere) aro ete acount under the natn ¢| ste onwnicntheseount | Theamount of Poste whe Sas Shen eee a epenet damm /yny) Wn do hereby decare that tothe best of yout newledge 2 ete what sata sbve correct comple anit stated. We

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