Applicant ID : 1897128

FORM 9
THE EMPLOYEES' PROVIDENT FUNDS SCHEME, 1952 (Paragraph 34)
AND
THE EMPLOYEES' PENSION SCHEME, 1995 (Paragraph 24)
Declaration by a person taking up employment in an establishment in which the Employees
'Provident Funds & Employees' Pension Scheme enforce

I, Shivangi Yadav daughter of Ram Avtar Yadav Do hereby solemnly declare that :-

a) I was employed with Infosys Technologies Limited with PF A/c Number MH/PUN/0/0/446903 and left service on 18/10/2022 prior to that, I was employed with NA
with PF A/c Number NA from NA to NA

b) I am a member of the pension fund from 16/12/2019 to 18/10/2022

c) I have not withdrawn the amount of my Provident Fund

d) I have not withdrawn the amount of my Pension Fund

e) I have not drawn any benefits under the Employees Pension Scheme, 1995 in respect of my past service in any establishment.

f) I have contributed to the Social Security programme in NA from NA to NA.

Do you have UAN : Yes

Universal Account
Aadhaar Enrolment Number NPR PAN
Number(UAN)

101483965781 829563290977 NA NA ASVPY1401E

Bank Account Number Linked with UAN : Link UAN with Previous Bank Account

Bank Account Number IFSC Code

919010084282019 UTIB0002788

Date :

Signature of the Employee

_______________________________________________________________________________________________________________________________________________

(To be filled by the Employer)

1) Shri/Smt/Kumari Shivangi Yadav is appointed as in Tata Consultancy Services Limited with effect from bearing Provident Fund
Number: MH/BAN/48475/

2) Copy of Scheme Certificate enclose.

3) Declaration & Nomination in Form 2 is enclosed.

Tata Consultancy Services Limited

11th Floor, Air India Building,Nariman Point,
Mumbai-400 021

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