To, Date:- 12.03.

2018

The Regional Provident Fund Commissioner,

Employees’ Provident Fund,
Plot No.1, Institutional Area Sector - 3
Rohtak -124001 HARYANA

Sub: - Joint Declaration by the Member & Employer for correction in personal details.

REF No. _
Name

Father / Husband Name

PF / EPS Account No.

Date of Birth (DD-MM-YYYY)

I am enclosing herewith self attested copies of Govt. ID Proofs such as Aadhaar Card, IT PAN Card,
Voter ID Card, Passport, School Leaving Certificate, Driving Licence etc. for your ready reference.

You are therefore requested to make the necessary changes in your records (if required) under
intimation to me..

An early action in this regard will be highly appreciated.

Please acknowledge the receipt.

Thanking you,

Yours faithfully,

Name of Authorized Signatory

____________________________ With signature & Establishment Seal
Signature of Employee
Name of PF Member :
Encl: as above 1.) Self Attested Aadhar
2.) 10th Marksheet