Joint Declaration by the Member and the Employer

To

The Regional P F Commissioner A/C GR NO.__________________

Bhavishyanidhi Bhavan, Mumbai – 400051.

Sub: Joint Declaration by member and employer to Change od member details

Dear Sir,

I the undersigned Mr. VIKAS GABA am/was an employee of M/s KPMG Advisory Services Pvt. Ltd. bearing EPF

Account number MHBAN00444480000002013, furnishing herewith correct details during my aforesaid establishment.

UAN NUMBER: 100814337645

Particulars INCORRECT DETAILS (OLD) CORRECT DETAILS (NEW)

Aadhar No

Self-Name

Father/ Husband Name ( as

applicable)

Relation

Gender

Date of Birth

Date of joining 03/05/2008 04-08-2014

Date of leaving PF/EPS 31/07/2014 30-11-2016

Aadhar Linked Mobile No

I am also enclosing herewith a self-attested document for your ready reference

1. Aadhar no PAN NO Passport

2. Marriage Certificate Gazette Payment Slip

3. Any other Documents : ______________________________________________________

You are requested to make the necessary changes in your records at the earliest. An early action in this regard will be
highly appreciated. Please acknowledge the receipt.

Yours Faithfully

Name of the Employee: ____________________________. Signature of the employee

(Signature of Employer with his name,

Designation and establishment seal)

(For office use)