Applicant ID : 2043512

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, Vasantha Gokanapalli wife of Mr. Duddikunta Sudhakar Reddy Do hereby solemnly declare that :-

a) I was employed with STELLAR INNOVATIONS PRIVATE LIMITED with PF A/c Number BG/BNG/1602207000/001/2753 and left service on 30/01/2023 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 NA to NA

c) I have not withdrawn the amount of my Provident Fund

d) I have not withdrawn the amount of my Pension Fund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

101699317497 244839620676 NA NA BRMPV1278H

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

Bank Account Number IFSC Code

050100416178694 HDFC0004053

Date :

Signature of the Employee

_______________________________________________________________________________________________________________________________________________

(To be filled by the Employer)

1) Shri/Smt/Kumari Vasantha Gokanapalli 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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