______________________________________lnL; iklcqd / Member Passbook______________________________________

LFkkiuk vkbZMh@uke | Establishment ID/Name KDMAL0023799000 / IND. X RAY, - ALLIED REDIOGRAPHER.

lnL; vkbZMh@uke | Member ID/Name KDMAL00237990000014051 / SINTU DAS
tUe frfFk | DOB 05-JUN-1995
;w , u | UAN 101500898879

bZih,Q iklcqd foRrh; o"kZ 2019-2020 EPF Passbook [ Financial Year - 2019-2020 ]
osru ekg / fooj.k / Particulars tek bZih,Q bZih,l tek / Deposit fudklh / isU'ku
Wage fudklh osru / osru / Withdrawal vU'knku /
Month fnukaWd / EPF EPS Pension
Date of Wages Wages deZpkjh fu;ksDrk deZpkjh fu;ksDrk Contribu
Credit / vU'knku / vU'knku / vU'knku vU'knku
/ tion
Employee Employer /Employee Employer
Withdra Share Share Share Share
wal
Opening Balance 0 0 0

MAR-2019 Cont. for Due-Month 042019 0 0 0

APR-2019 Cont. for Due-Month 052019 0 0 0

MAY-2019 Cont. for Due-Month 062019 0 0 0

JUN-2019 Cont. for Due-Month 072019 0 0 0

JUL-2019 Cont. for Due-Month 082019 0 0 0

AUG-2019 Cont. for Due-Month 092019 0 0 0

SEP-2019 Cont. For Due-Month 102019 15-10-2019 5,182 5,182 622 190 432

OCT-2019 Cont. For Due-Month 112019 14-11-2019 8,813 8,813 1,058 324 734

NOV-2019 Cont. For Due-Month 122019 14-12-2019 8,486 8,486 1,018 311 707

DEC-2019 Cont. For Due-Month 012020 13-01-2020 8,486 8,486 1,018 311 707

JAN-2020 Cont. For Due-Month 022020 14-02-2020 8,813 8,813 1,058 324 734

FEB-2020 Cont. For Due-Month 032020 15-03-2020 8,160 8,160 979 299 680

Int. Updated upto 31/03/2020 96 29 0

Closing Balance 5,849 1,788 3,994

--fooj.k dh lekfIr-- eqfnzr 06-05-2021 16:33:48

--End Of Statement-- Printed On
izfr[;ku & mij nh xbZ tkudkjh dsUnzh; loZj ij nh xbZ tkudkjh ds vk/kkj ij gSA ;g tkudkjh dkuwuh iz;kstu ds fy, mi;ksx ugha dh tk ldrh gSaA
Disclaimer - Information shown above is based on available data on central server.This information may not be use for legal purpose.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
* Please never respond to any call for sharing any personal details like Aadhar, PAN, Bank details, OTP or request for any payment.
* EPFO never calls members/ pensioners to deposit any amount.
* Please do not make any payment based on any such call.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

KDMAL00237990000014051 Page 1 of 3
______________________________________lnL; iklcqd / Member Passbook______________________________________
LFkkiuk vkbZMh@uke | Establishment ID/Name KDMAL0023799000 / IND. X RAY, - ALLIED REDIOGRAPHER.
lnL; vkbZMh@uke | Member ID/Name KDMAL00237990000014051 / SINTU DAS
tUe frfFk | DOB 05-JUN-1995
;w , u | UAN 101500898879

bZih,Q iklcqd foRrh; o"kZ 2020-2021 EPF Passbook [ Financial Year - 2020-2021 ]
osru ekg / fooj.k / Particulars tek bZih,Q bZih,l tek / Deposit fudklh / isU'ku
Wage fudklh osru / osru / Withdrawal vU'knku /
Month fnukaWd / EPF EPS Pension
Date of Wages Wages deZpkjh fu;ksDrk deZpkjh fu;ksDrk Contribu
Credit / vU'knku / vU'knku / vU'knku vU'knku
/ tion
Employee Employer /Employee Employer
Withdra Share Share Share Share
wal
Opening Balance 5,849 1,788 3,994

MAR-2020 Cont. For Due-Month 042020 15-04-2020 8,486 8,486 1,018 311 707

APR-2020 Cont. for Due-Month 052020 0 0 0

MAY-2020 Cont. For Due-Month 062020 15-06-2020 8,853 8,853 885 148 737

JUN-2020 Cont. For Due-Month 072020 15-07-2020 7,832 7,832 783 131 652

JUL-2020 Cont. for Due-Month 082020 0 0 0

AUG-2020 Cont. for Due-Month 092020 0 0 0

SEP-2020 Cont. for Due-Month 102020 0 0 0

OCT-2020 Cont. for Due-Month 112020 0 0 0

NOV-2020 Cont. for Due-Month 122020 0 0 0

DEC-2020 Cont. For Due-Month 012021 15-01-2021 8,442 8,442 1,013 310 703

JAN-2021 Cont. For Due-Month 022021 11-02-2021 15,678 15,000 1,881 631 1,250

FEB-2021 Cont. For Due-Month 032021 15-03-2021 14,472 14,472 1,737 531 1,206

Interest details N/A 0 0 0

Closing Balance 13,166 3,850 9,249

--fooj.k dh lekfIr-- eqfnzr 06-05-2021 16:33:48

--End Of Statement-- Printed On
izfr[;ku & mij nh xbZ tkudkjh dsUnzh; loZj ij nh xbZ tkudkjh ds vk/kkj ij gSA ;g tkudkjh dkuwuh iz;kstu ds fy, mi;ksx ugha dh tk ldrh gSaA
Disclaimer - Information shown above is based on available data on central server.This information may not be use for legal purpose.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
* Please never respond to any call for sharing any personal details like Aadhar, PAN, Bank details, OTP or request for any payment.
* EPFO never calls members/ pensioners to deposit any amount.
* Please do not make any payment based on any such call.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

KDMAL00237990000014051 Page 2 of 3
______________________________________lnL; iklcqd / Member Passbook______________________________________
LFkkiuk vkbZMh@uke | Establishment ID/Name KDMAL0023799000 / IND. X RAY, - ALLIED REDIOGRAPHER.
lnL; vkbZMh@uke | Member ID/Name KDMAL00237990000014051 / SINTU DAS
tUe frfFk | DOB 05-JUN-1995
;w , u | UAN 101500898879

bZih,Q iklcqd foRrh; o"kZ 2021-2022 EPF Passbook [ Financial Year - 2021-2022 ]
osru ekg / fooj.k / Particulars tek bZih,Q bZih,l tek / Deposit fudklh / isU'ku
Wage fudklh osru / osru / Withdrawal vU'knku /
Month fnukaWd / EPF EPS Pension
Date of Wages Wages deZpkjh fu;ksDrk deZpkjh fu;ksDrk Contribu
Credit / vU'knku / vU'knku / vU'knku vU'knku
/ tion
Employee Employer /Employee Employer
Withdra Share Share Share Share
wal
Opening Balance 13,166 3,850 9,249

MAR-2021 Cont. For Due-Month 042021 15-04-2021 16,281 15,000 1,954 704 1,250

APR-2021 Cont. for Due-Month 052021 0 0 0

MAY-2021 Cont. for Due-Month 062021 0 0 0

JUN-2021 Cont. for Due-Month 072021 0 0 0

JUL-2021 Cont. for Due-Month 082021 0 0 0

AUG-2021 Cont. for Due-Month 092021 0 0 0

SEP-2021 Cont. for Due-Month 102021 0 0 0

OCT-2021 Cont. for Due-Month 112021 0 0 0

NOV-2021 Cont. for Due-Month 122021 0 0 0

DEC-2021 Cont. for Due-Month 012022 0 0 0

JAN-2022 Cont. for Due-Month 022022 0 0 0

FEB-2022 Cont. for Due-Month 032022 0 0 0

Interest details N/A 0 0 0

Closing Balance 15,120 4,554 10,499

--fooj.k dh lekfIr-- eqfnzr 06-05-2021 16:33:48

--End Of Statement-- Printed On
izfr[;ku & mij nh xbZ tkudkjh dsUnzh; loZj ij nh xbZ tkudkjh ds vk/kkj ij gSA ;g tkudkjh dkuwuh iz;kstu ds fy, mi;ksx ugha dh tk ldrh gSaA
Disclaimer - Information shown above is based on available data on central server.This information may not be use for legal purpose.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
* Please never respond to any call for sharing any personal details like Aadhar, PAN, Bank details, OTP or request for any payment.
* EPFO never calls members/ pensioners to deposit any amount.
* Please do not make any payment based on any such call.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

KDMAL00237990000014051 Page 3 of 3