I, _SANDEEP CHAUDHARY_, son of _OMPAL SINGH residing at P2/418, DEEP GANGA

APPARTMENT , SIDCUL, HARIDWAR PIN CODE 249403 bearing Aadhaar Number

450000527213 and PAN AIJPC9375P do hereby solemnly affirm and state an oath as
under:
1.That I am currently working as MD in M/S. GARDEN VIEW ENTERPRICES,
bearing EPF Establishment Code UK/36566 and designated as the authorised signatory for EPF
purposes on behalf of the aforementioned establishment
 That Mr. / Mrs. RANI son/daughter/wife of Mr. SEWARAM having Date of Birth as 01/01/1987 residing at PURANPUR
SALHAPUR GARHMIRPUR HARIDWAR, U.K.is/ was an Employee/ ex-employee of the aforementioned establishment
from 01/04/20117 to 31/03/2018 and accordingly he/ she was allotted EPF A/C NO. UK/36566/10447

 That due to some clerical or typographical error, the name / father’s name/ husband’s name/DOB 01/01/1985
Of the aforementioned member bearing EPF a/c no . UK/36566/10447inadvertently been recorded as
SEWARAM(H/NAME) instead of the true and correct details as mentioned above in statement.

 That I am hereby enclosing a joint Declaration form requesting correction in the details of Mr. / Mrs RANI bearing EPF a/c
no UK/36566/10447 as per his true and correct details mentioned above in statement.

 That I have verified his/her details with his/her Aadhaar/PAN/High-School Marks-sheet / Birth Certificate (issued by the
registrar)/ Passport and herewith enclose attested photocopies of the same as supporting proof.

 That EPF A/C NO. UK/36566/10447 actually belongs to Mr./Mrs RANI son/daughter/wife of Mr SEWARAM only and no
person other than him has any rights or claim whatsoever over the accumulations in the aforementioned EPF A/C NO.

 That I, SANDEEP CHAUDHARY undertake to indemnify the central board of trustees, employees, regarding payment out
of the aforementioned EPF A/C/NO. And to bear the cost of such payment including interest thereon, arising in
consequence of the correction as requested above.

This Affidavit-cum-indemnity bond has been executed by me and i declare that the facts mentioned herein before are
true and correct to the best of my knowledge and belief.

DATE : DEPONENT

PLACE : HARIDWAR (NAME & Sinature of the Authorised

Signatory with Seal of the Establishment)

Solemnly affirmed at........................on this..............day of ...............and signed his/her name in my presence.

ADVOCATE BEFORE ME
(I Class Judicial Magistrate/ Public Notary)

We (1) Sri / Smt.........................................................residing at.................................................................

And (2) Sri / Smt. ......................................................residing at.................................................................

The sureties hereby undertake to indemnify the terms of this Bond and ourselves severally and jointly to indemnify the central
central board of trustees, employees’ provident fund.

(1)................................................................

(2)................................................................
(Signatures of the sureties)

Solemnly affirmed at............................... on this...........................day of .........................and signed his/ her name in my presence.

ADVOCATE
I, _SANDEEP CHAUDHARY_, son of _OMPAL SINGH residing at P2/418, DEEP GANGA
APPARTMENT , SIDCUL, HARIDWAR PIN CODE 249403 bearing Aadhaar Number
450000527213 and PAN AIJPC9375P do hereby solemnly affirm and state an oath as
under:
1.That I am currently working as MD in M/S. SUPER SHINE SERVICES ,
bearing EPF Establishment Code UA/34230 and designated as the authorised signatory for EPF
purposes on behalf of the aforementioned establishment
That Mr. / Mrs. DHARM PAL son/daughter/wife of Mr SUKHVIR SINGH VINOD KUMAR having Date of Birth as 07/07/1969
residing at BEEORA KATAN AMROHA,UTTARPRADAESH is/ was an Employee/ ex -employee of the aforementioned establishment
from 01/12/2011 to TILL DATE and accordingly he/ she was allotted EPF A/C NO. UA/34230/1974

 That due to some clerical or typographical error, the name / father’s name/ husband’s name/ DATE- 09/08/1979
Of the aforementioned member bearing EPF a/c no UA/34230/23835 inadvertently been recorded as VINOD KUMAR
(F/NAME) instead of the true and correct details as mentioned above in statement.

 That I am hereby enclosing a joint Declaration form requesting correction in the details of Mr. / Mr. VIKAS KUMAR
bearing EPF a/c no UA/34230/23835 as per his true and correct details mentioned above in statement.

 That I have verified his/her details with his/her Aadhaar/PAN/High-School Marks-sheet / Birth Certificate (issued by the
registrar)/ Passport and herewith enclose attested photocopies of the same as supporting proof.

 That EPF A/C NO. UA/34230/23835 actually belongs to Mr./Mr. VIKAS KUMAR son/daughter/wife MR. VINOD KUMAR
of only and no person other than him has any rights or claim whatsoever over the accumulations in the aforementioned
EPF A/C NO.
P
 That I, SANDEEP CHAUDHARY undertake to indemnify the central board of trustees, employees, regarding payment out
of the aforementioned EPF A/C/NO. And to bear the cost of such payment including interest thereon, arising in
consequence of the correction as requested above.

This Affidavit-cum-indemnity bond has been executed by me and i declare that the facts mentioned herein before are
true and correct to the best of my knowledge and belief.

DATE : DEPONENT

PLACE : HARIDWAR (NAME & Sinature of the Authorised

Signatory with Seal of the Establishment)

Solemnly affirmed at........................on this..............day of ...............and signed his/her name in my presence.

ADVOCATE BEFORE ME
(I Class Judicial Magistrate/ Public Notary)

We (1) Sri / Smt.........................................................residing at.................................................................

And (2) Sri / Smt. ......................................................residing at.................................................................

The sureties hereby undertake to indemnify the terms of this Bond and ourselves severally and jointly to indemnify the central
central board of trustees, employees’ provident fund.

(1)................................................................

(2)................................................................
(Signatures of the sureties)

Solemnly affirmed at............................... on this...........................day of .........................and signed his/ her name in my presence.

ADVOCATE
I, _SANDEEP CHAUDHARY_, son of _OMPAL SINGH residing at P2/418, DEEP GANGA
APPARTMENT , SIDCUL, HARIDWAR PIN CODE 249403 bearing Aadhaar Number
450000527213 and PAN AIJPC9375P do hereby solemnly affirm and state an oath as
under:
1.That I am currently working as MD in M/S. SUPER SHINE SERVICES PVT. LTD.,
bearing EPF Establishment Code UK/36252 and designated as the authorised signatory for EPF
purposes on behalf of the aforementioned establishment
 That Mr. / Mrs. DHARMENDRA son/daughter/wife of Mr. ROOPCHAND SINGH having Date of Birth as
01/01/1987residing at JALALABAD NAJIBABAD, BIJNOR, U.P is/ was an Employee/ ex-employee of the aforementioned
establishment from 01/05/2016 to TILL DATE and accordingly he/ she was allotted EPF A/C NO. UK/36252/22385
 That due to some clerical or typographical error, the name / father’s name/ husband’s name/DOB 10/02/1984
Of the aforementioned member bearing EPF a/c no . UK/36252/22385inadvertently been recorded as
ROOPCHAND(F/NAME) instead of the true and correct details as mentioned above in statement.

 That I am hereby enclosing a joint Declaration form requesting correction in the details of Mr. / Mrs DHARMENDRA
bearing EPF a/c no UK/36252/22385 as per his true and correct details mentioned above in statement.

 That I have verified his/her details with his/her Aadhaar/PAN/High-School Marks-sheet / Birth Certificate (issued by the
registrar)/ Passport and herewith enclose attested photocopies of the same as supporting proof.

 That EPF A/C NO. . UK/36252/22385 actually belongs to Mr./Mrs DHARMENDRA son/daughter/wife of Mr ROOPCHAND
SINGH only and no person other than him has any rights or claim whatsoever over the accumulations in the
aforementioned EPF A/C NO.

 That I, SANDEEP CHAUDHARY undertake to indemnify the central board of trustees, employees, regarding payment out
of the aforementioned EPF A/C/NO. And to bear the cost of such payment including interest thereon, arising in
consequence of the correction as requested above.

This Affidavit-cum-indemnity bond has been executed by me and i declare that the facts mentioned herein before are
true and correct to the best of my knowledge and belief.

DATE : DEPONENT

PLACE : HARIDWAR (NAME & Sinature of the Authorised

Signatory with Seal of the Establishment)

Solemnly affirmed at........................on this..............day of ...............and signed his/her name in my presence.

ADVOCATE BEFORE ME
(I Class Judicial Magistrate/ Public Notary)

We (1) Sri / Smt.........................................................residing at.................................................................

And (2) Sri / Smt. ......................................................residing at.................................................................

The sureties hereby undertake to indemnify the terms of this Bond and ourselves severally and jointly to indemnify the central
central board of trustees, employees’ provident fund.

(1)................................................................

(2)................................................................
(Signatures of the sureties)

Solemnly affirmed at............................... on this...........................day of .........................and signed his/ her name in my presence.

ADVOCATE
 TO WHOM SO EVER IT MAY CONCERN

It is to certify that Mr. Vikash kumar S/O Chatarpal Singh , residing at Village Kheda Ajijpur,Haldaur, Bijnor
U.P. has been working in M/S Super Shine Services Pvt. Ltd. . He is working as supervisor from 01 Nov 2012.

V - Subhashnagar
Dist- Haridwar,
U.K., 249403