JOINT DECLARATION BY THE MEMBER AND THE EMPLOYER

Date: 2/23/2022
To,
EPFO Regional office
No 36, Lakshmi Complex, NH-4, Old Madras Road,
Opposite Syndicate Bank, K R Puram, Whitefield,
Bengaluru, Karnataka 560036

Dear Sir,
I, MANJULA am/was an employee of / ex employee of
TANN UTILITY SERVICES PVT LTD furnishing below herewith correct details with aforesaid
Establishment Code: PYKRP0035247000

UAN NO: 100038213781

Particulars Persional details

Name

Father Name / Husband Name NARAYANAPPA

EPF/EPS Account No.

Date of Birth (DD/MM/YYYY) 1/1/1979

Date of Joining (DD/MM/YYYY)

Relation HUSBAND

Gender FEMALE
Marital Status Married

I also have enclosed herewith the self attested copy of ID proof (Any one- PAN Card, Voter ID Card,
Passport, Driving License, Adhaar Card) for your ready reference.

Therefore, you are requested to make the necessary changes in your records (if required) under
information to me. An early action in this regard will be highly appreciated.

Yours faithfully,

Name & Signature of the applicant:

Name & Authorized Signatory:

Signature with Establishment Seal:

Encl.: As Above
Mob:9606505750
 ECODE ENAME BRANCH ESTATE NAME
SH00001 SUMAIYA FARHIN Begur Bommasandra
SH00002 WASIM AKRAM S Begur Bommasandra
SH00003 KIRAN KUMAR Begur Bommasandra
SH00004 NAGAPPA K Begur Bommasandra
SH00005 NAVEEN KUMAR S Begur Bommasandra
SH00006 TASLIM BANU Begur Bommasandra
SH00007 MAHESHA Begur Bommasandra
SH00008 UMESH.P Begur Bommasandra
SH00009 MALLIKARJUNA Begur Bommasandra
SH00010 BAPUNU MAJHI Begur Bommasandra
SH00011 TRILOCHAN JENA Begur Bommasandra
SH00012 SAIBANI JENA Begur Bommasandra
SH00012 SHABIR AHMED N Begur Bommasandra
SH00013 P.N SOWNDARYA Begur Bommasandra
SH00014 NANDISH N Begur Bommasandra
SH00015 T BHARATHAMMA Begur Bommasandra
SH00016 SURESH GL Begur Bommasandra
SH00017 UZMA KHAN A Begur Bommasandra
SH00018 R. KARTHIK Begur Bommasandra
SH00019 RAJESHWARI Begur Bommasandra
SH00020 RANJITHA Begur Bommasandra
SH00021 SANTHOSH KUMAR NT Begur Bommasandra
SH00022 CHANDRAMMA Begur Bommasandra
SH00023 SHOBHA K B Begur Bommasandra
SH00024 RAJAPPA D Begur Bommasandra
SH00025 SHURENDRA PRASAD BARIK Begur Bommasandra
SH00026 MANJUNATH N BABAJI Begur Bommasandra
SH00027 SURANJAN GAYEN Begur Bommasandra
SH00028 SAVITHA Begur Bommasandra
SH00029 K BALASUBRAMANYAM Begur Bommasandra
SH00030 JABEENA Begur Bommasandra
SH00031 RUPINI M G Begur Bommasandra
SH00032 RAJASEKHAR Begur Bommasandra
SH00033 BHARAT KUMAR SETHI Begur Bommasandra
SH00034 RAMACHANDRA MAHAKUD Begur Bommasandra
SH00035 LAXMINDHAR SETHI Begur Bommasandra
SH00036 SANATAN PRADHAN Begur Bommasandra
SH00037 MEGH NATH KUMAR Begur Bommasandra
SH00038 JYOTHI N Begur Bommasandra
SH00039 USHA B M Begur Bommasandra
SH00040 KADA RANGAIAH Begur Bommasandra
SH00041 KIRUNA Begur Bommasandra
SH00042 NINGARAJU Begur Bommasandra
SH00043 MINI ULLAS Begur Bommasandra
SH00044 FALKIYA AFREEN Begur Bommasandra
SH00045 SUNITHA Begur Bommasandra
SH00046 RADHAMMA Begur Bommasandra
SH00047 NAHEEDA AFROZ Begur Bommasandra
SH00048 MANJULA Begur Bommasandra
SH00049 B.SHANKARAMMA Begur Bommasandra
SH00050 AFTAR UDDIN Begur Bommasandra
SH00051 JIBAN UDDIN Begur Bommasandra
SH00052 ASWINI A Begur Bommasandra
SH00053 VENKATESHA GR Begur Bommasandra
SH00054 MADESHA Begur Bommasandra
SH00055 SUMA Begur Bommasandra
SH00056 SHIVAKUMAR M Begur Bommasandra
SH00057 M SANTHOSH Begur Bommasandra
SH00058 KOTESHWARA Begur Bommasandra
SH00059 JASINTHAMARY Begur Bommasandra
SH00060 SORAV GAYAN Begur Bommasandra
SH00061 BHABO SINDU MANDAL Begur Bommasandra
SH00062 KALIMULLA KHAN Begur Bommasandra
SH00073 PARVATHAMMA Begur Bommasandra
SH00076 SUDHAKARA Begur Bommasandra
SH00077 UMESH Begur Bommasandra
SH00080 CHANDRA P Begur Bommasandra
SH00087 BHAGAYAMMA Begur Bommasandra
SH00090 SHYAMANNA Begur Bommasandra
SH00125 SURAJ NAIR R Begur Bommasandra
SH00129 VASUDEV MUDALIAR Begur Bommasandra
SH00139 BASAVARAJU Begur Bommasandra
SH00140 UMESH S P Begur Bommasandra
SH00141 SURESH Begur Bommasandra
SH00142 KRISHNA MURTHY TN Begur Bommasandra
SH00143 VENKATAMMA Begur Bommasandra
SH00147 POORINIMA Begur Bommasandra
SH00167 SHIVA P Begur Bommasandra
SH00129 VASUDEV MUDALIAR Begur Bommasandra
SH00139 BASAVARAJU Begur Bommasandra
SH00140 UMESH S P Begur Bommasandra
SH00196 DANIVELU Begur Bommasandra
SH00155 K SRIDHAR Begur Bommasandra
SH00157 SOMASHEKAR Begur Bommasandra
SH00197 NIRMAL KUMAR MISTRY Begur Bommasandra
SH00195 DEBDAS BARKANDAJ Begur Bommasandra
SH00194 SUBHAJITH BIR Begur Bommasandra
SH00193 PRAFULLA KUMAR JENA Begur Bommasandra
SH00159 G B PRAKASH Begur Bommasandra
SH00160 CHANDRAKANTH Begur Bommasandra
SH00154 LATHA N R Begur Bommasandra
SH00158 MITHILESH KUMAR Begur Bommasandra
SH00107 LOKESH K S Begur Bommasandra
SH00198 DEBASIS BAISANAB Begur Bommasandra
SH00263 EERAKA AMARANATH REDDY Begur Bommasandra
SH00205 SWARUP BAIDYA Begur Bommasandra
SH00186 LAKSHMI Begur Bommasandra
SH00187 NAGENDRA R Begur Bommasandra
SH00188 KUMARA Begur Bommasandra
SH00206 SUNITHA C B Begur Bommasandra
SH00207 SIKANDAR NADAF Begur Bommasandra
SH00208 G C GOVARDHAN Begur Bommasandra
SH00209 ASIT MONDAL Begur Bommasandra
SH00210 MAHESHWAR HALDER Begur Bommasandra
SH00211 PARVATHI Begur Bommasandra
SH00212 RANJITHA Begur Bommasandra
SH00223 AKILA A Begur Bommasandra
SH00224 DIPAK KUMAR KAR Begur Bommasandra
SH00225 SRIBAS BAIDYA Begur Bommasandra
SH00226 SHALAJA Begur Bommasandra
SH00227 SUDHARSHAN Begur Bommasandra
SH00228 GOBINDA MISTRI Begur Bommasandra
SH00232 CHHOTU KUMAR YADAV Begur Bommasandra
SH00233 CHANDRAMMA C J Begur Bommasandra
SH00234 SUBRATA RAUTH Begur Bommasandra
SH00235 BIPLAB MONDAL Begur Bommasandra
SH00236 SATYABAN SARDAR Begur Bommasandra
SH00237 MIHIR MANDAL Begur Bommasandra
SH00190 POONAM DAS Begur Bommasandra
SH00239 RAJESH T G Begur Bommasandra
SH00240 GAYATHRI V Begur Bommasandra
SH00241 S PALANI Begur Bommasandra
SH00113 HEMAVATHI Begur Bommasandra
SH00183 P RAVICHANDRA Begur Bommasandra
SH00161 MANJULA H N Begur Bommasandra
SH00108 RESHMA Begur Bommasandra
SH00115 STELLA Begur Bommasandra
SH00245 DEPANKAR MONDAL Begur Bommasandra
SH00246 GOPI Begur Bommasandra
SH00247 V NAGARJUNA Begur Bommasandra
SH00248 LINGAMANI Begur Bommasandra
SH00249 NIRMALA S Begur Bommasandra
SH00250 MAHESWARI Begur Bommasandra
SH00252 PREMKUMAR DHANAPAL Begur Bommasandra
SH00144 RATHNA Begur Bommasandra
SH00149 SATADAL MANDAL Begur Bommasandra
SH00251 SWAPAN MISTRI Begur Bommasandra
SH00109 SALMA BANU Begur Bommasandra
SH00152 KARIYAPPA Begur Bommasandra
SH00253 GANGADHAR G Begur Bommasandra
SH00257 MANJU B Begur Bommasandra
SH00101 S GEETHA Begur Bommasandra
SH00254 GANESH MANDAL Begur Bommasandra
SH00255 PRASANTH KUMAR MANDAL Begur Bommasandra
SH00256 R SHASHIREKHA Begur Bommasandra
SH00258 P PAVITRA Begur Bommasandra
SH00259 ANANDA KUMAR PRURSTY Begur Bommasandra
SH00260 PULIN MRIDHA Begur Bommasandra
SH00138 MUNIRATHNAMMA Begur Bommasandra
SH00180 RAJESH KUMAR JENA Begur Bommasandra
SH00137 SEEMA Begur Bommasandra
SH00265 VARALAKSHMI Begur Bommasandra
 UNIT EMPL STAT EPANNO PAN VAL
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra RESIGN
Begur Bommasandra ACTIVE
Begur Bommasandra RESIGN
Begur Bommasandra RESIGN
Begur Bommasandra ACTIVE
Begur Bommasandra RESIGN
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra RESIGN
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra RESIGN
Begur Bommasandra ACTIVE
Begur Bommasandra RESIGN
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra RESIGN
Begur Bommasandra ACTIVE
Begur Bommasandra RESIGN
Begur Bommasandra RESIGN
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra RESIGN
Begur Bommasandra ACTIVE
Begur Bommasandra RESIGN
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra RESIGN
Begur Bommasandra RESIGN
Begur Bommasandra RESIGN
Begur Bommasandra RESIGN
Begur Bommasandra RESIGN
Begur Bommasandra RESIGN
Begur Bommasandra RESIGN
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra RESIGN
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra RESIGN
Begur Bommasandra RESIGN
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra RESIGN
Begur Bommasandra RESIGN
Begur Bommasandra RESIGN
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
Begur Bommasandra ACTIVE
 PAN NAME EPAY MODE EPAY BANK
SUMAIYA FARHIN BANK
WASIM AKRAM S BANK
KIRAN KUMAR BANK
NAGAPPA K BANK
NAVEEN KUMAR S BANK
TASLIM BANU BANK
MAHESHA BANK
UMESH.P BANK
MALLIKARJUNA BANK
BAPUNU MAJHI BANK
TRILOCHAN JENA BANK
SAIBANI JENA BANK
SHABIR AHMED N BANK
P.N SOWNDARYA BANK
NANDISH N BANK
T BHARATHAMMA BANK
SURESH GL BANK
UZMA KHAN A BANK
R. KARTHIK BANK
RAJESHWARI BANK
RANJITHA BANK
SANTHOSH KUMAR NT BANK
CHANDRAMMA BANK
SHOBHA K B BANK
RAJAPPA D BANK
SHURENDRA PRASAD BARIK BANK
MANJUNATH N BABAJI BANK
SURANJAN GAYEN BANK
SAVITHA BANK
K BALASUBRAMANYAM BANK
JABEENA BANK
RUPINI M G BANK
RAJASEKHAR BANK
BHARAT KUMAR SETHI BANK
RAMACHANDRA MAHAKUD BANK
LAXMINDHAR SETHI BANK
SANATAN PRADHAN BANK
MEGH NATH KUMAR BANK
JYOTHI N BANK
USHA B M BANK
KADA RANGAIAH BANK
KIRUNA BANK
NINGARAJU BANK
MINI ULLAS BANK
FALKIYA AFREEN BANK
SUNITHA BANK
RADHAMMA BANK
NAHEEDA AFROZ BANK
MANJULA BANK
B.SHANKARAMMA BANK
AFTAR UDDIN BANK
JIBAN UDDIN BANK
ASWINI A BANK
VENKATESHA GR BANK
MADESHA BANK
SUMA BANK
SHIVAKUMAR M BANK
M SANTHOSH BANK
KOTESHWARA BANK
JASINTHAMARY BANK
SORAV GAYAN BANK
BHABO SINDU MANDAL BANK
KALIMULLA KHAN BANK
PARVATHAMMA BANK
SUDHAKARA BANK
UMESH BANK
CHANDRA P BANK
BHAGAYAMMA BANK
SHYAMANNA BANK
SURAJ NAIR R BANK
VASUDEV MUDALIAR BANK
BASAVARAJU BANK
UMESH S P BANK
SURESH BANK
KRISHNA MURTHY TN BANK
VENKATAMMA BANK
POORINIMA BANK
SHIVA P BANK
VASUDEV MUDALIAR BANK
BASAVARAJU BANK
UMESH S P BANK
DANIVELU BANK
K SRIDHAR BANK
SOMASHEKAR BANK
NIRMAL KUMAR MISTRY BANK
DEBDAS BARKANDAJ BANK
SUBHAJITH BIR BANK
PRAFULLA KUMAR JENA BANK
G B PRAKASH BANK
CHANDRAKANTH BANK
LATHA N R BANK
MITHILESH KUMAR BANK
LOKESH K S BANK
DEBASIS BAISANAB BANK
EERAKA AMARANATH REDDY BANK
SWARUP BAIDYA BANK
LAKSHMI BANK
NAGENDRA R BANK
KUMARA BANK
SUNITHA C B BANK
SIKANDAR NADAF BANK
G C GOVARDHAN BANK
ASIT MONDAL BANK
MAHESHWAR HALDER BANK
PARVATHI BANK
RANJITHA BANK
AKILA A BANK
DIPAK KUMAR KAR BANK
SRIBAS BAIDYA BANK
SHALAJA BANK
SUDHARSHAN BANK
GOBINDA MISTRI BANK
CHHOTU KUMAR YADAV BANK
CHANDRAMMA C J BANK
SUBRATA RAUTH BANK
BIPLAB MONDAL BANK
SATYABAN SARDAR BANK
MIHIR MANDAL BANK
POONAM DAS BANK
RAJESH T G BANK
GAYATHRI V BANK
S PALANI BANK
HEMAVATHI BANK
P RAVICHANDRA BANK
MANJULA H N BANK
RESHMA BANK
STELLA BANK
DEPANKAR MONDAL BANK
GOPI BANK
V NAGARJUNA BANK
LINGAMANI BANK
NIRMALA S BANK
MAHESWARI BANK
PREMKUMAR DHANAPAL BANK
RATHNA BANK
SATADAL MANDAL BANK
SWAPAN MISTRI BANK
SALMA BANU BANK
KARIYAPPA BANK
GANGADHAR G BANK
MANJU B BANK
S GEETHA BANK
GANESH MANDAL BANK
PRASANTH KUMAR MANDAL BANK
R SHASHIREKHA BANK
P PAVITRA BANK
ANANDA KUMAR PRURSTY BANK
PULIN MRIDHA BANK
MUNIRATHNAMMA BANK
RAJESH KUMAR JENA BANK
SEEMA BANK
VARALAKSHMI BANK
EPAY ACNO EPAY IFSC CODE EPAY BKBR ADD1 EPAY BKBR ADD2 EVPF TYPE EVPF PERC
EVPF AMOU EFNAME EMAILID ESEX EDOJ
AKBAR BASHA F 03-Oct-2017
K SARDAR M 06-Oct-2017
RAMACHANDRA M 05-Oct-2017
D KESAWAN M 03-Oct-2017
K SURENDAR M 03-Oct-2017
BABA JAN F 03-Oct-2017
RAVI M 03-Oct-2017
PUTTEGOWDA M 03-Oct-2017
NAGARAJA M 03-Oct-2017
SANATHAN MANJI M 03-Oct-2017
PRANAB JENA F 03-Oct-2017
BIJAYA JENA F 03-Oct-2017
NAWAB JAN M 05-Feb-2015
P M NANJUNDASWAMY F 03-Oct-2017
NARAYANA GOWDA R M 03-Oct-2017
NAGANNA F 13-Oct-2017
NINGAIAH M 03-Oct-2017
AZGHAR KHAN F 03-Oct-2017
RAJAPPA M 03-Oct-2017
NAGESH F 03-Oct-2017
NARAYANA F 03-Oct-2017
TIRUMALA GOWDA M 03-Oct-2017
JAVARAYYA F 01-Jan-2018
BASAVANNA F 01-Dec-2017
DEVAPPA M 01-Dec-2017
SHRIDHAR BARIK M 01-Dec-2017
NINGAPPA M 01-Dec-2017
GANESH GAYEN M 01-Dec-2017
SRINIVASH N F 01-Dec-2017
KRISHNAPPA M 01-Dec-2017
JABANA F 01-Dec-2017
GOINDAIAH F 01-Dec-2017
NARAYANA S M 01-Dec-2017
DIATARY SETHI M 01-Dec-2017
DANESWAR MAHAKUD M 01-Dec-2017
NARANDRA SHETTI M 01-Dec-2017
BASKAR PRADAN M 01-Dec-2017
RAJENDRA SAH M 01-Dec-2017
NANJUNDAIAH F 01-Dec-2017
MAHESWARAPPA F 01-Dec-2017
CHINAPPA M 01-Jan-2018
RANGANTH F 01-Jan-2018
NAGANNA M 01-Jan-2018
HARIDAS F 01-Jan-2018
AEAZ PASHA F 01-Jan-2018
RAMACHANDRA F 01-Feb-2018
GANAPATHI F 03-Oct-2017
NAHIDA AFORUJA F 03-Oct-2017
PUTTANNA REDDY F 03-Oct-2017
TALARI RAMMAPPA F 04-Oct-2017
AFTR ARIF M 01-Dec-2017
SIRAJ UDDIN M 01-Dec-2017
ANAND MURTHY F 01-Dec-2017
RANGASHTTARU M 05-Mar-2018
MADAIAH M 06-Mar-2018
NANJUNDAIAH F 07-Mar-2018
MADIAH M 06-Mar-2018
MALLESAPPA M 07-Mar-2018
DORESWMY M 07-Mar-2018
ANTHONY SOWMY F 08-Mar-2018
MALAYARAM M 08-Mar-2018
CHATRA MUNDA M 09-Mar-2018
K JABBAR KHAN M 05-Mar-2018
NANJUNDAPPA F 09-Mar-2018
VENKATAPPA M 09-Mar-2018
NANJAIAH M 09-Mar-2018
PUTTA MADIA M 09-Mar-2018
SRINIVASH REDDY F 02-Apr-2018
SRIRAMALU M 17-May-2018
RAJAN PILLAI M 11-Apr-2018
K.E.MUDALIAR M 17-May-2018
MALLIKARJUNA M 24-May-2018
SUNDRAPPA M 24-May-2018
KRISHNAPPA M 05-Jun-2018
NANJUNDAPPA M 25-May-2018
PUTTAPPA F 26-May-2018
BASAVARAJU F 16-Jun-2018
PUTTAMADAIAH M 05-Jun-2018
K.E.MUDALIAR M 02-Jul-2018
MALLIKARJUNA M 03-Jul-2018
SUNDRAPPA M 03-Jul-2018
NAGARAJU M 03-Jul-2018
KEMPANNA M 03-Jul-2018
BASAVARAJI M 04-Jul-2018
NIRAPADA KUMAR MISTRY M 04-Jul-2018
PRAVASH BARKANDAJ M 04-Jul-2018
SANTHOSH M 04-Jul-2018
BASANTHI JEENA M 05-Jul-2018
BAYAREDDY M 05-Jul-2018
PALAPPAN F 05-Jul-2018
RAJANNA F 05-Jul-2018
SRI SEETHAL PRASAD M 06-Jul-2018
SUBBA SHETTY M 06-Jul-2018
NARESH M 07-Jul-2018
VENKATARAMANA REDDY M 06-Jul-2018
DIERALDRA M 06-Jul-2018
DEVAPPA F 06-Jul-2018
RANGASWAMI M 10-Jul-2018
BASAVIAH M 10-Jul-2018
BOJAPPA GOWDA F 01-Aug-2018
GYUBU SAB M 01-Aug-2018
NARASHMIHAPPA M 01-Aug-2018
HARIPADA MONDAL M 02-Aug-2018
PROHARSH M 02-Aug-2018
ESWARAPPA F 02-Aug-2018
NARAYANA F 02-Aug-2018
ANTHONY M 02-Aug-2018
SHADIR KAR M 02-Aug-2018
PARMIAL M 02-Aug-2018
PODYIAN F 03-Aug-2018
RAMADERA SAHANI M 03-Aug-2018
PARIMAL MISTRI M 03-Aug-2018
SRIBIJJANDAN YADAV M 03-Aug-2018
JAVARAYYA F 03-Aug-2018
M 03-Aug-2018
BOJAPPA GOWDA M 03-Aug-2018
GUNADHAR SARDAR M 03-Aug-2018
PARIMAL MANDAL M 03-Aug-2018
NARAYAN DAS F 07-Aug-2018
M 04-Aug-2018
VENKATARAMANAPPA F 04-Aug-2018
SUBRAMNYA VADIYAR M 04-Aug-2018
SOMANNA NAYAK F 06-Aug-2018
PAPANNA M 07-Aug-2018
NANJUDAPPA F 07-Aug-2018
SHAMIR F 07-Aug-2018
PUSPA RAJ F 07-Aug-2018
BABU LAL MANDAL M 07-Aug-2018
KUNNAMARIGOWDA M 07-Aug-2018
MUNIRATHNAM NAIDU M 07-Aug-2018
RAJAPPA F 09-Aug-2018
ASWATHAPPA F 09-Aug-2018
MAHADEVAPPA F 09-Aug-2018
DHANPAL M 09-Aug-2018
TOTTLAPPA F 10-Aug-2018
GOPAL MANDAL M 10-Aug-2018
NARENDRA MISTRI M 10-Aug-2018
MAHOB PASHA F 07-Aug-2018
GOVIYAPPA M 07-Aug-2018
VENKATARAMANAPPA M 09-Aug-2018
BEERAPPA M 09-Aug-2018
SIDDALINGAPPA F 09-Aug-2018
BISWANTH MANDAL M 09-Aug-2018
NIRANJAN MANDAL M 09-Aug-2018
REVANNA F 09-Aug-2018
GOVINDAPPA F 10-Aug-2018
KAILASH PRUSHTY M 10-Aug-2018
HARI PRADAN M 10-Aug-2018
GOVINDAPPA F 10-Aug-2018
NARI JENA M 10-Aug-2018
BABAJAN F 10-Aug-2018
SANNAYYA F 18-Sep-2018
 EDOB EDOL EDOJ GROU PF STAT CODE PF CODE SUB PF CODE EPFCODE ESICODE
27-Nov-1988 PYBOM B0M 61042
17-Oct-1990 PYBOM B0M 61042
01-Jan-1993 PYBOM B0M 61042
15-May-1989 PYBOM B0M 61042
29-Jun-1980 PYBOM B0M 61042
01-Jun-1992 PYBOM B0M 61042
01-Apr-1997 PYBOM B0M 61042
23-Mar-1985 PYBOM B0M 61042
27-Jul-1976 PYBOM B0M 61042
14-May-1992 PYBOM B0M 61042
01-Jan-1985 PYBOM B0M 61042
14-Jun-1986 PYBOM B0M 61042
18-Jan-1981 PYBOM B0M 61042
02-May-1994 PYBOM B0M 61042
01-Jan-1986 PYBOM B0M 61042
01-Jan-1986 PYBOM B0M 61042
01-Jun-1978 PYBOM B0M 61042
01-Jan-1992 PYBOM B0M 61042
24-Dec-1994 PYBOM B0M 61042
12-Dec-1991 PYBOM B0M 61042
16-Dec-1994 PYBOM B0M 61042
13-May-1988 PYBOM B0M 61042
01-Jan-1987 PYBOM B0M 61042
05-Jun-1990 PYBOM B0M 61042
06-May-1983 PYBOM B0M 61042
10-Feb-1987 PYBOM B0M 61042
01-Jan-1987 PYBOM B0M 61042
13-Jan-1991 PYBOM B0M 61042
10-May-1984 PYBOM B0M 61042
12-Sep-1999 PYBOM B0M 61042
26-Jan-1983 PYBOM B0M 61042
17-Jun-1998 PYBOM B0M 61042
01-Jan-1994 PYBOM B0M 61042
09-Apr-1984 PYBOM B0M 61042
20-Jul-1994 PYBOM B0M 61042
26-Nov-1999 PYBOM B0M 61042
02-May-1994 PYBOM B0M 61042
19-Dec-1996 PYBOM B0M 61042
01-Jan-1994 PYBOM B0M 61042
16-Jun-1999 PYBOM B0M 61042
01-Jan-1979 PYBOM B0M 61042
27-May-1999 PYBOM B0M 61042
01-Jan-1998 PYBOM B0M 61042
01-Jun-1974 PYBOM B0M 61042
08-May-1999 PYBOM B0M 61042
10-Feb-1988 PYBOM B0M 61042
24-Jun-1974 PYBOM B0M 61042
24-Mar-1999 PYBOM B0M 61042
10-Jun-1983 PYBOM B0M 61042
01-Jan-1976 PYBOM B0M 61042
01-Jan-1998 PYBOM B0M 61042
31-Dec-1998 PYBOM B0M 61042
01-Jan-1991 PYBOM B0M 61042
06-Jun-1993 PYBOM B0M 61042
20-Jun-1978 PYBOM B0M 61042
01-Jan-1983 PYBOM B0M 61042
14-Jul-1986 PYBOM B0M 61042
01-Jul-1986 PYBOM B0M 61042
16-Apr-1986 PYBOM B0M 61042
01-Jan-1984 PYBOM B0M 61042
05-Oct-1995 PYBOM B0M 61042
01-Jan-1991 PYBOM B0M 61042
01-Jun-1964 PYBOM B0M 61042
01-Jan-1962 PYBOM B0M 61042
06-Mar-1990 PYBOM B0M 61042
09-Jul-1994 PYBOM B0M 61042
17-Feb-1982 PYBOM B0M 61042
01-Nov-1968 PYBOM B0M 61042
13-May-1987 PYBOM B0M 61042
09-Jun-1988 PYBOM B0M 61042
10-Jun-1962 PYBOM B0M 61042
01-Jan-1988 PYBOM B0M 61042
09-Mar-1983 PYBOM B0M 61042
26-Jan-1982 PYBOM B0M 61042
01-Jan-1975 PYBOM B0M 61042
01-Jan-1958 PYBOM B0M 61042
09-Jun-1980 PYBOM B0M 61042
26-May-1977 PYBOM B0M 61042
10-Jun-1962 PYBOM B0M 61042
20-Jul-1988 PYBOM B0M 61042
09-Mar-1983 PYBOM B0M 61042
01-Jan-1989 PYBOM B0M 61042
01-Jun-1972 PYBOM B0M 61042
01-Jun-1981 PYBOM B0M 61042
18-Feb-1985 PYBOM B0M 61042
10-Oct-1997 PYBOM B0M 61042
07-Aug-1993 PYBOM B0M 61042
07-Jul-1990 PYBOM B0M 61042
20-May-1988 PYBOM B0M 61042
28-Mar-1979 PYBOM B0M 61042
01-Jan-1985 PYBOM B0M 61042
19-Apr-1984 PYBOM B0M 61042
12-Jun-1977 PYBOM B0M 61042
01-Jan-1990 PYBOM B0M 61042
02-Jun-1979 PYBOM B0M 61042
03-Nov-1996 PYBOM B0M 61042
01-Jan-1986 PYBOM B0M 61042
18-Dec-1994 PYBOM B0M 61042
01-Jan-1989 PYBOM B0M 61042
01-May-1994 PYBOM B0M 61042
10-Jun-1982 PYBOM B0M 61042
01-Jun-1993 PYBOM B0M 61042
01-Jan-1986 PYBOM B0M 61042
01-Jan-1985 PYBOM B0M 61042
12-Jan-1986 PYBOM B0M 61042
16-Dec-1994 PYBOM B0M 61042
23-Jul-1989 PYBOM B0M 61042
13-Jul-1985 PYBOM B0M 61042
01-Jan-1993 PYBOM B0M 61042
01-Jan-1981 PYBOM B0M 61042
01-Jan-1996 PYBOM B0M 61042
03-Apr-1999 PYBOM B0M 61042
04-Nov-1999 PYBOM B0M 61042
01-Jun-1987 PYBOM B0M 61042
04-Mar-1993 PYBOM B0M 61042
10-Oct-1990 PYBOM B0M 61042
04-Mar-1978 PYBOM B0M 61042
07-Jul-1997 PYBOM B0M 61042
25-Oct-1991 PYBOM B0M 61042
21-Jan-1987 PYBOM B0M 61042
10-Apr-1986 PYBOM B0M 61042
23-Sep-1982 PYBOM B0M 61042
01-Jan-1996 PYBOM B0M 61042
01-Jan-1997 PYBOM B0M 61042
04-Mar-1998 PYBOM B0M 61042
03-Dec-1998 PYBOM B0M 61042
20-Jan-1977 PYBOM B0M 61042
22-Sep-1990 PYBOM B0M 61042
01-Jan-1983 PYBOM B0M 61042
07-Aug-1992 PYBOM B0M 61042
01-Jan-1983 PYBOM B0M 61042
01-Sep-1986 PYBOM B0M 61042
09-Apr-1980 PYBOM B0M 61042
01-Jul-1996 PYBOM B0M 61042
15-Feb-1972 PYBOM B0M 61042
05-Sep-1999 PYBOM B0M 61042
01-Jan-1998 PYBOM B0M 61042
08-Sep-1998 PYBOM B0M 61042
01-Jan-1963 PYBOM B0M 61042
01-Feb-1979 PYBOM B0M 61042
12-Nov-1987 PYBOM B0M 61042
05-Aug-1999 PYBOM B0M 61042
01-Jan-1985 PYBOM B0M 61042
04-Feb-1982 PYBOM B0M 61042
15-Apr-1988 PYBOM B0M 61042
14-Dec-1991 PYBOM B0M 61042
03-Mar-1990 PYBOM B0M 61042
19-Apr-1993 PYBOM B0M 61042
01-Jan-1980 PYBOM B0M 61042
08-Jun-1998 PYBOM B0M 61042
01-Jan-1990 PYBOM B0M 61042
14-Jun-1985 PYBOM B0M 61042
 DESG EPAY GRADE FOOD COUP EPAY ACCO TYPE PERF BONU AMOU
ACCOUNTS
FACTORY MANAGER
RECUTTER
CUTING INCHARGE
Production Manager
HELPER
RUNNER
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
Production Manager
HELPER
TAILOR
PACKING HELPER
FINISHING SUPERVISOR
HELPER
TAILOR
SUPERVISOR
HELPER
FINISHING INCHARGE
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
HELPER
CUTING INCHARGE
HELPER
HELPER
RECUTTER
HELPER
HELPER
HELPER
QA
PACKING HELPER
HELPER
MERCHANDISER
ACCOUNT ASSISTANT
QC
HOUSKEEPING
HELPER
TAILOR
TAILOR
HELPER
HELPER
TAILOR
HR.EXECUTIVE
PACKING HELPER
PACKING HELPER
TAILOR
SUPERVISOR
PACKING SUPERVISOR
TAILOR
TAILOR
TAILOR
HOUSEKEEPING SUPERVISOR
PACKING HELPER
TAILOR
PACKING HELPER
IRON
HOUSKEEPING
MAINTENANCE INCHARGE
MERCHANDISER
store incharge
iron opretar
iron opretar
FLOOR INCHARGE
ELECTRICIAN
HOUSKEEPING
MERCHANDISER
PACKING INCHARGE
store incharge
IRON OPRATOR
IRON OPRATOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
HELPER
TRIMMER
PACKING HELPER
BATCH SUPRVISOR
MECHANIC
TAILOR
TAILOR
IRON OPRATOR
PACKING HELPER
TRIMMER
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
TAILOR
MERCHANDISER
BATH HELPER
PACKING HELPER
BATCH HELPER
BATCH HELPER
BATCH HELPER
BATCH HELPER
BATCH HELPER
BATCH HELPER
TAILOR
TAILOR
ASST BATCH SUPERVISOR
TAILOR
TAILOR
TAILOR
QC
HOUSKEEPING
BATCH HELPER
TAILOR
BATCH HELPER
CUTTING HELPER
TAILOR
IRON OPRATOR
BATCH HELPER
TAILOR
TAILOR
TAILOR
PACKING HELPER
TAILOR
TAILOR
BATCH HELPER
BATCH HELPER
BATCH HELPER
TAILOR
 UAN EDOR EMPL DEPT EMPL DIVN EDOC EYEAR DOJJ
100368288291 PRODUCTION PRODUCTION 03-Oct-2017
100534724662 PRODUCTION PRODUCTION 06-Oct-2017
100193623254 PRODUCTION PRODUCTION 05-Oct-2017
100533954903 PRODUCTION PRODUCTION 03-Oct-2017
100534958674 PRODUCTION PRODUCTION 03-Oct-2017
100699240983 PRODUCTION PRODUCTION 03-Oct-2017
100700214968 PRODUCTION PRODUCTION 03-Oct-2017
101065542937 PRODUCTION PRODUCTION 03-Oct-2017
101065541923 PRODUCTION PRODUCTION 03-Oct-2017
101065541906 PRODUCTION PRODUCTION 03-Oct-2017
101065542992 PRODUCTION PRODUCTION 03-Oct-2017
101065543027 PRODUCTION PRODUCTION 03-Oct-2017
PRODUCTION PRODUCTION 05-Feb-2015
101065542971 PRODUCTION PRODUCTION 03-Oct-2017
101065541910 PRODUCTION PRODUCTION 03-Oct-2017
101065542959 PRODUCTION PRODUCTION 13-Oct-2017
101065543036 PRODUCTION PRODUCTION 03-Oct-2017
100699234676 PRODUCTION PRODUCTION 03-Oct-2017
101065542963 PRODUCTION PRODUCTION 03-Oct-2017
101065543004 PRODUCTION PRODUCTION 03-Oct-2017
101065543015 PRODUCTION PRODUCTION 03-Oct-2017
101065542985 PRODUCTION PRODUCTION 03-Oct-2017
PRODUCTION PRODUCTION 01-Jan-2018
101258923996 PRODUCTION PRODUCTION 01-Dec-2017
101258924005 PRODUCTION PRODUCTION 01-Dec-2017
101258924014 PRODUCTION PRODUCTION 01-Dec-2017
101258924022 PRODUCTION PRODUCTION 01-Dec-2017
101258924033 PRODUCTION PRODUCTION 01-Dec-2017
101258924046 PRODUCTION PRODUCTION 01-Dec-2017
101258924051 PRODUCTION PRODUCTION 01-Dec-2017
101258924067 PRODUCTION PRODUCTION 01-Dec-2017
101258924079 PRODUCTION PRODUCTION 01-Dec-2017
101258924080 PRODUCTION PRODUCTION 01-Dec-2017
101258946191 PRODUCTION PRODUCTION 01-Dec-2017
101258946209 PRODUCTION PRODUCTION 01-Dec-2017
101258946213 PRODUCTION PRODUCTION 01-Dec-2017
101258946221 PRODUCTION PRODUCTION 01-Dec-2017
101258946232 PRODUCTION PRODUCTION 01-Dec-2017
101258946245 PRODUCTION PRODUCTION 01-Dec-2017
101258946250 PRODUCTION PRODUCTION 01-Dec-2017
101269929302 PRODUCTION PRODUCTION 01-Jan-2018
PRODUCTION PRODUCTION 01-Jan-2018
101258946266 PRODUCTION PRODUCTION 01-Jan-2018
101258946284 PRODUCTION PRODUCTION 01-Jan-2018
101258946278 PRODUCTION PRODUCTION 01-Jan-2018
100471754565 PRODUCTION PRODUCTION 01-Feb-2018
100699661541 PRODUCTION PRODUCTION 03-Oct-2017
100890314658 PRODUCTION PRODUCTION 03-Oct-2017
100891835375 PRODUCTION PRODUCTION 03-Oct-2017
101065541883 PRODUCTION PRODUCTION 04-Oct-2017
PRODUCTION PRODUCTION 01-Dec-2017
PRODUCTION PRODUCTION 01-Dec-2017
100095099826 PRODUCTION PRODUCTION 01-Dec-2017
101269928027 PRODUCTION PRODUCTION 05-Mar-2018
101269928043 PRODUCTION PRODUCTION 06-Mar-2018
101269928058 PRODUCTION PRODUCTION 07-Mar-2018
101269929263 PRODUCTION PRODUCTION 06-Mar-2018
101269929271 PRODUCTION PRODUCTION 07-Mar-2018
101269929292 PRODUCTION PRODUCTION 07-Mar-2018
101269929285 PRODUCTION PRODUCTION 08-Mar-2018
101269929318 PRODUCTION PRODUCTION 08-Mar-2018
101269929325 PRODUCTION PRODUCTION 09-Mar-2018
101269928036 PRODUCTION PRODUCTION 05-Mar-2018
101269929339 PRODUCTION PRODUCTION 09-Mar-2018
101269929341 PRODUCTION PRODUCTION 09-Mar-2018
101269929356 PRODUCTION PRODUCTION 09-Mar-2018
101269929360 PRODUCTION PRODUCTION 09-Mar-2018
101284093414 PRODUCTION PRODUCTION 02-Apr-2018
PRODUCTION PRODUCTION 17-May-2018
101284093422 PRODUCTION PRODUCTION 11-Apr-2018
PRODUCTION PRODUCTION 17-May-2018
PRODUCTION PRODUCTION 24-May-2018
PRODUCTION PRODUCTION 24-May-2018
101313135205 PRODUCTION PRODUCTION 05-Jun-2018
PRODUCTION PRODUCTION 25-May-2018
PRODUCTION PRODUCTION 26-May-2018
101313135214 PRODUCTION PRODUCTION 16-Jun-2018
101313133196 PRODUCTION PRODUCTION 05-Jun-2018
101330322521 PRODUCTION PRODUCTION 02-Jul-2018
101330652738 PRODUCTION PRODUCTION 03-Jul-2018
101040410344 PRODUCTION PRODUCTION 03-Jul-2018
101330652740 PRODUCTION PRODUCTION 03-Jul-2018
101330652755 PRODUCTION PRODUCTION 03-Jul-2018
101330652764 PRODUCTION PRODUCTION 04-Jul-2018
101330652772 PRODUCTION PRODUCTION 04-Jul-2018
101330652786 PRODUCTION PRODUCTION 04-Jul-2018
101330652793 PRODUCTION PRODUCTION 04-Jul-2018
101330655408 PRODUCTION PRODUCTION 05-Jul-2018
101330655412 PRODUCTION PRODUCTION 05-Jul-2018
101330655420 PRODUCTION PRODUCTION 05-Jul-2018
101330655431 PRODUCTION PRODUCTION 05-Jul-2018
101193262236 PRODUCTION PRODUCTION 06-Jul-2018
101284703554 PRODUCTION PRODUCTION 06-Jul-2018
101330655449 PRODUCTION PRODUCTION 07-Jul-2018
101330655454 PRODUCTION PRODUCTION 06-Jul-2018
101331134686 PRODUCTION PRODUCTION 06-Jul-2018
101331134693 PRODUCTION PRODUCTION 06-Jul-2018
101277208138 PRODUCTION PRODUCTION 10-Jul-2018
101331134705 PRODUCTION PRODUCTION 10-Jul-2018
101144018710 PRODUCTION PRODUCTION 01-Aug-2018
100356240354 PRODUCTION PRODUCTION 01-Aug-2018
101263318270 PRODUCTION PRODUCTION 01-Aug-2018
101341703889 PRODUCTION PRODUCTION 02-Aug-2018
101341703891 PRODUCTION PRODUCTION 02-Aug-2018
101341703901 PRODUCTION PRODUCTION 02-Aug-2018
101341703917 PRODUCTION PRODUCTION 02-Aug-2018
101341703929 PRODUCTION PRODUCTION 02-Aug-2018
101341703938 PRODUCTION PRODUCTION 02-Aug-2018
101341703940 PRODUCTION PRODUCTION 02-Aug-2018
101341703955 PRODUCTION PRODUCTION 03-Aug-2018
101341703964 PRODUCTION PRODUCTION 03-Aug-2018
101341703972 PRODUCTION PRODUCTION 03-Aug-2018
101341703986 PRODUCTION PRODUCTION 03-Aug-2018
101341703993 PRODUCTION PRODUCTION 03-Aug-2018
101341704805 PRODUCTION PRODUCTION 03-Aug-2018
101341704814 PRODUCTION PRODUCTION 03-Aug-2018
101341704822 PRODUCTION PRODUCTION 03-Aug-2018
101341704833 PRODUCTION PRODUCTION 03-Aug-2018
101066909255 PRODUCTION PRODUCTION 07-Aug-2018
101005787799 PRODUCTION PRODUCTION 04-Aug-2018
101341704846 PRODUCTION PRODUCTION 04-Aug-2018
101341704851 PRODUCTION PRODUCTION 04-Aug-2018
101341704867 PRODUCTION PRODUCTION 06-Aug-2018
101341704879 PRODUCTION PRODUCTION 07-Aug-2018
101199332361 PRODUCTION PRODUCTION 07-Aug-2018
101341704912 PRODUCTION PRODUCTION 07-Aug-2018
101341704880 PRODUCTION PRODUCTION 07-Aug-2018
101341704898 PRODUCTION PRODUCTION 07-Aug-2018
101341704908 PRODUCTION PRODUCTION 07-Aug-2018
101277208129 PRODUCTION PRODUCTION 07-Aug-2018
101341704977 PRODUCTION PRODUCTION 09-Aug-2018
100037184066 PRODUCTION PRODUCTION 09-Aug-2018
101341704920 PRODUCTION PRODUCTION 09-Aug-2018
101341704931 PRODUCTION PRODUCTION 09-Aug-2018
101341704949 PRODUCTION PRODUCTION 10-Aug-2018
101341704954 PRODUCTION PRODUCTION 10-Aug-2018
101341704965 PRODUCTION PRODUCTION 10-Aug-2018
101343485681 PRODUCTION PRODUCTION 07-Aug-2018
101343485699 PRODUCTION PRODUCTION 07-Aug-2018
100530083134 PRODUCTION PRODUCTION 09-Aug-2018
101343485647 PRODUCTION PRODUCTION 09-Aug-2018
101343485623 PRODUCTION PRODUCTION 09-Aug-2018
101343485668 PRODUCTION PRODUCTION 09-Aug-2018
101343485634 PRODUCTION PRODUCTION 09-Aug-2018
101343485702 PRODUCTION PRODUCTION 09-Aug-2018
101343485652 PRODUCTION PRODUCTION 10-Aug-2018
101343485675 PRODUCTION PRODUCTION 10-Aug-2018
101343615836 PRODUCTION PRODUCTION 10-Aug-2018
100536524945 PRODUCTION PRODUCTION 10-Aug-2018
101331523121 PRODUCTION PRODUCTION 10-Aug-2018
101344397730 PRODUCTION PRODUCTION 10-Aug-2018
101358370148 PRODUCTION PRODUCTION 18-Sep-2018
EMONTH DOJJ EYEAR DOLL EMONTH DOLL EMPL MENT TYPE EREG REASN CAR TYPE CAR USED CAR CC
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
PRODUCTION
DRIV EXEM NO OF SETT MANG ECODE EMPL APPR STAT EHAND CAPP ESI REASON EHAND CAPP PERC
EMPL INDI OUTS NO OF CHLD DAYS NO OF CHLD HOST ALIA CODE ADHAR NUMB SUPERANNUATION FLAG
India SH00001
India SH00002
India SH00003
India SH00004
India SH00005
India SH00006
India SH00007
India SH00008
India SH00009
India SH00010
India SH00011
India SH00012
India SH00012
India SH00013
India SH00014
India SH00015
India SH00016
India SH00017
India SH00018
India SH00019
India SH00020
India SH00021
India SH00022
India SH00023
India SH00024
India SH00025
India SH00026
India SH00027
India SH00028
India SH00029
India SH00030
India SH00031
India SH00032
India SH00033
India SH00034
India SH00035
India SH00036
India SH00037
India SH00038
India SH00039
India SH00040
India SH00041
India SH00042
India SH00043
India SH00044
India SH00045
India SH00046
India SH00047
India SH00048
India SH00049
India SH00050
India SH00051
India SH00052
India SH00053
India SH00054
India SH00055
India SH00056
India SH00057
India SH00058
India SH00059
India SH00060
India SH00061
India SH00062
India SH00073
India SH00076
India SH00077
India SH00080
India SH00087
India SH00090
India SH00125
India SH00129
India SH00139
India SH00140
India SH00141
India SH00142
India SH00143
India SH00147
India SH00167
India SH00129
India SH00139
India SH00140
India SH00196
India SH00155
India SH00157
India SH00197
India SH00195
India SH00194
India SH00193
India SH00159
India SH00160
India SH00154
India SH00158
India SH00107
India SH00198
India SH00263
India SH00205
India SH00186
India SH00187
India SH00188
India SH00206
India SH00207
India SH00208
India SH00209
India SH00210
India SH00211
India SH00212
India SH00223
India SH00224
India SH00225
India SH00226
India SH00227
India SH00228
India SH00232
India SH00233
India SH00234
India SH00235
India SH00236
India SH00237
India SH00190
India SH00239
India SH00240
India SH00241
India SH00113
India SH00183
India SH00161
India SH00108
India SH00115
India SH00245
India SH00246
India SH00247
India SH00248
India SH00249
India SH00250
India SH00252
India SH00144
India SH00149
India SH00251
India SH00109
India SH00152
India SH00253
India SH00257
India SH00101
India SH00254
India SH00255
India SH00256
India SH00258
India SH00259
India SH00260
India SH00138
India SH00180
India SH00137
India SH00265
GRATUITY FLAG PAN CREA YEAR PAN CREA MONT CREA YEAR CREA MONT FIRST TIME EMPL IS DIRECTOR
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2017
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
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2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
PREV EMPLR PF CODE PREV EMPLR DOL IS NIGHT SHIFT RELATIONSHIP WITH EMP
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PERSONAL EMAILID NAME AS PER BANK ESALARY PROC HOLD NAME AS PER AADHAR CARD
NK REMB ESI DEDU FLAG PF CONTR PREV COMP EPS CONTR PREV COMP
PREVIOUS UAN LAST PAY YEAR LAST PAY MONTH LAST SETTLEMENT YEAR LAST SETTLEMENT MONTH
 MOB PF NUMBER
9590924140 PYBOM00610420000000004
9742119111 PYBOM00610420000000040
9945161179 PYBOM00610420000000019
9590204154 PYBOM00610420000000042
8884547809 PYBOM00610420000000043
8123426704 PYBOM00610420000000046
8152814264 PYBOM00610420000000048
9945469465 PYBOM00610420000010057
9035479895 PYBOM00610420000010056
9880732835 PYBOM00610420000010054
7019881916 PYBOM00610420000010063
PYBOM00610420000010066
PYBOM00610420000010066
8310826914 PYBOM00610420000010061
8310655826 PYBOM00610420000010055
9845082269 PYBOM00610420000010059
7353966550 PYBOM00610420000010067
7795047668 PYBOM00610420000000047
7343088153 PYBOM00610420000010060
9036556266 PYBOM00610420000010064
9886436744 PYBOM00610420000010065
7892662750 PYBOM00610420000010062
8951572983
9164711837 PYBOM00610420000010069
9141446970 PYBOM00610420000010070
9337073519 PYBOM00610420000010071
9036374090 PYBOM00610420000010072
8050964099 PYBOM00610420000010073
PYBOM00610420000010074
7795106590 PYBOM00610420000010075
PYBOM00610420000010076
9206990021 PYBOM00610420000010077
8790504497 PYBOM00610420000010078
7892145925 PYBOM00610420000010079
9739328452 PYBOM00610420000010080
9663159913 PYBOM00610420000010081
9071085127 PYBOM00610420000010082
7975340682 PYBOM00610420000010083
9108862262 PYBOM00610420000010084
9972790323 PYBOM00610420000010085
9741576856 PYBOM00610420000010098
9206681811
7090458615 PYBOM00610420000010086
9620790641 PYBOM00610420000010088
7411484404 PYBOM00610420000010087
9902685053 PYBOM00610420000010089
9164266995 PYBOM00610420000000049
9845608664 PYBOM00610420000000050
9035123555 PYBOM00610420000010068
9945110202 PYBOM00610420000010052
9845082269
9513154079
9880461728 PYBOM00610420000000018
9008543628 PYBOM00610420000010090
9008906421 PYBOM00610420000010092
9538680757 PYBOM00610420000010093
9743927149 PYBOM00610420000010094
7022315710 PYBOM00610420000010095
9945099462 PYBOM00610420000010097
7899233061 PYBOM00610420000010096
9206708392 PYBOM00610420000010099
9110293169 PYBOM00610420000010100
9739904524 PYBOM00610420000010091
8197543791 PYBOM00610420000010101
9901585953 PYBOM00610420000010102
8746977211 PYBOM00610420000010103
9620016042 PYBOM00610420000010104
PYBOM00610420000010105
7411882386
9629709707 PYBOM00610420000010106
9893341393 PYBOM00610420000010110
9916359556 PYBOM00610420000010111
9742456503 PYBOM00610420000010112
9036556266 PYBOM00610420000010108
9986469649
9035151515
9036615864 PYBOM00610420000010109
8904116110 PYBOM00610420000010107
9893341393 PYBOM00610420000010110
9916359556 PYBOM00610420000010111
9742456503 PYBOM00610420000010112
8123335131 PYBOM00610420000010113
9845116638 PYBOM00610420000010114
8123789029 PYBOM00610420000010115
9008543628 PYBOM00610420000010116
9618544069 PYBOM00610420000010117
7319121273 PYBOM00610420000010118
7090054865 PYBOM00610420000010119
9936628524 PYBOM00610420000010120
9538144268 PYBOM00610420000010121
9980628936 PYBOM00610420000010122
8123228197 PYBOM00610420000010123
9980628936 PYBOM00610420000010124
9606623313 PYBOM00610420000010125
9916995093 PYBOM00610420000010126
960619225 PYBOM00610420000010127
PYBOM00610420000010128
PYBOM00610420000010129
9008453628 PYBOM00610420000010130
9740831881 PYBOM00610420000010131
8892257471 PYBOM00610420000010132
9738642110 PYBOM00610420000010133
9916579755 PYBOM00610420000010134
7259804907 PYBOM00610420000010135
7619360940 PYBOM00610420000010136
9886436744 PYBOM00610420000010137
9148524462 PYBOM00610420000010138
9036722427 PYBOM00610420000010139
9742495794 PYBOM00610420000010140
7353516662 PYBOM00610420000010141
8197307370 PYBOM00610420000010142
8597013021 PYBOM00610420000010143
7019323204 PYBOM00610420000010144
8951572983 PYBOM00610420000010145
PYBOM00610420000010146
8792752717 PYBOM00610420000010147
8147353180 PYBOM00610420000010148
6362326502 PYBOM00610420000010149
9611726310 PYBOM00610420000010150
PYBOM00610420000010151
9902052312 PYBOM00610420000010152
9945312965 PYBOM00610420000010153
8095730232 PYBOM00610420000010154
8296167910 PYBOM00610420000010155
7337743395 PYBOM00610420000010156
7975221612 PYBOM00610420000010161
8747078331 PYBOM00610420000010157
9738867923 PYBOM00610420000010158
9731726564 PYBOM00610420000010159
9606621199 PYBOM00610420000010160
9449323089 PYBOM00610420000010168
7619613809 PYBOM00610420000010162
9738768423 PYBOM00610420000010163
9759363356 PYBOM00610420000010164
8296840813 PYBOM00610420000010165
8597593422 PYBOM00610420000010166
9591386838 PYBOM00610420000010167
9742274524 PYBOM00610420000010176
7259585614 PYBOM00610420000010177
9900380692 PYBOM00610420000010174
9844373376 PYBOM00610420000010171
9100123109 PYBOM00610420000010169
97383658688 PYBOM00610420000010173
8942966799 PYBOM00610420000010170
7899461355 PYBOM00610420000010178
9740653940 PYBOM00610420000010172
9738904700 PYBOM00610420000010175
8951401648 PYBOM00610420000010180
9241377172 PYBOM00610420000010179
9008543628 PYBOM00610420000010182
9108862262 PYBOM00610420000010181
9035934515
 JOINT DECLARATION BY THE MEMBER AND THE EMPLOYER
Date: 1/23/2022
To,
EPFO Regional office

No 109-128, Bhavishyanidhi Bhavan,

2nd Stage, Udayagiri road, Gayathripuram, Mysuru, Karnataka 570019

Dear Sir,
I, THIRUPATHI am/was an employee of / ex employee of
GRACE ENTERPRISES furnishing below herewith correct details with aforesaid
Establishment Code: KNMYS0049849000

UAN NO: 101086944040

Particulars Correct Wrong

Name

Father Name / Husband Name JYOTHESH JYOTAYYAN P

EPF/EPS Account No.

Date of Birth (DD/MM/YYYY) 1/1/1985 1/1/1983

Date of Joining (DD/MM/YYYY)

Relation
Reasion For Exit
Mobile No
Date of leaving (DD/MM/YYYY)

I also have enclosed herewith the self attested copy of ID proof (Any one- PAN Card, Voter ID Card, Passport, Driving License, Adhaar Card) for
your ready reference.

Therefore, you are requested to make the necessary changes in your records (if required) under information to me. An early action in this regard will
be highly appreciated.

Yours faithfully,

Name & Signature of the applicant:

Name & Authorized Signatory:

Signature with Establishment Seal:

Encl.: As Above
 ECODE ENAME EMPL STAT EPANNO
SH00001 SUMAIYA FARHIN ACTIVE
SH00002 WASIM AKRAM S ACTIVE
SH00003 KIRAN KUMAR ACTIVE
SH00004 NAGAPPA K ACTIVE
SH00005 NAVEEN KUMAR S ACTIVE
SH00006 TASLIM BANU ACTIVE
SH00007 MAHESHA ACTIVE
SH00008 UMESH.P ACTIVE
SH00009 MALLIKARJUNA ACTIVE
SH00010 BAPUNU MAJHI RESIGN
SH00011 TRILOCHAN JENA ACTIVE
SH00012 SAIBANI JENA RESIGN
SH00012 SHABIR AHMED N RESIGN
SH00013 P.N SOWNDARYA ACTIVE
SH00014 NANDISH N RESIGN
SH00015 T BHARATHAMMA ACTIVE
SH00016 SURESH GL ACTIVE
SH00017 UZMA KHAN A RESIGN
SH00018 R. KARTHIK ACTIVE
SH00019 RAJESHWARI ACTIVE
SH00020 RANJITHA RESIGN
SH00021 SANTHOSH KUMAR NT ACTIVE
SH00022 CHANDRAMMA RESIGN
SH00023 SHOBHA K B ACTIVE
SH00024 RAJAPPA D ACTIVE
SH00025 SHURENDRA PRASAD BARIK ACTIVE
SH00026 MANJUNATH N BABAJI ACTIVE
SH00027 SURANJAN GAYEN ACTIVE
SH00028 SAVITHA ACTIVE
SH00029 K BALASUBRAMANYAM ACTIVE
SH00030 JABEENA ACTIVE
SH00031 RUPINI M G ACTIVE
SH00032 RAJASEKHAR ACTIVE
SH00033 BHARAT KUMAR SETHI ACTIVE
SH00034 RAMACHANDRA MAHAKUD ACTIVE
SH00035 LAXMINDHAR SETHI RESIGN
SH00036 SANATAN PRADHAN ACTIVE
SH00037 MEGH NATH KUMAR RESIGN
SH00038 JYOTHI N RESIGN
SH00039 USHA B M ACTIVE
SH00040 KADA RANGAIAH ACTIVE
SH00041 KIRUNA RESIGN
SH00042 NINGARAJU ACTIVE
SH00043 MINI ULLAS RESIGN
SH00044 FALKIYA AFREEN ACTIVE
SH00045 SUNITHA ACTIVE
SH00046 RADHAMMA RESIGN
SH00047 NAHEEDA AFROZ RESIGN
SH00048 MANJULA RESIGN
SH00049 B.SHANKARAMMA RESIGN
SH00050 AFTAR UDDIN RESIGN
SH00051 JIBAN UDDIN RESIGN
SH00052 ASWINI A RESIGN
SH00053 VENKATESHA GR ACTIVE
SH00054 MADESHA ACTIVE
SH00055 SUMA ACTIVE
SH00056 SHIVAKUMAR M ACTIVE
SH00057 M SANTHOSH ACTIVE
SH00058 KOTESHWARA ACTIVE
SH00059 JASINTHAMARY ACTIVE
SH00060 SORAV GAYAN ACTIVE
SH00061 BHABO SINDU MANDAL ACTIVE
SH00062 KALIMULLA KHAN ACTIVE
SH00073 PARVATHAMMA ACTIVE
SH00076 SUDHAKARA ACTIVE
SH00077 UMESH RESIGN
SH00080 CHANDRA P ACTIVE
SH00087 BHAGAYAMMA ACTIVE
SH00090 SHYAMANNA RESIGN
SH00125 SURAJ NAIR R RESIGN
SH00129 VASUDEV MUDALIAR ACTIVE
SH00139 BASAVARAJU ACTIVE
SH00140 UMESH S P ACTIVE
SH00141 SURESH ACTIVE
SH00142 KRISHNA MURTHY TN RESIGN
SH00143 VENKATAMMA RESIGN
SH00147 POORINIMA RESIGN
SH00167 SHIVA P ACTIVE
SH00129 VASUDEV MUDALIAR ACTIVE
SH00139 BASAVARAJU ACTIVE
SH00140 UMESH S P ACTIVE
SH00196 DANIVELU ACTIVE
SH00155 K SRIDHAR ACTIVE
SH00157 SOMASHEKAR ACTIVE
SH00197 NIRMAL KUMAR MISTRY ACTIVE
SH00195 DEBDAS BARKANDAJ ACTIVE
SH00194 SUBHAJITH BIR ACTIVE
SH00193 PRAFULLA KUMAR JENA ACTIVE
SH00159 G B PRAKASH ACTIVE
SH00160 CHANDRAKANTH ACTIVE
SH00154 LATHA N R ACTIVE
SH00158 MITHILESH KUMAR ACTIVE
SH00107 LOKESH K S ACTIVE
SH00198 DEBASIS BAISANAB ACTIVE
SH00263 EERAKA AMARANATH REDDY ACTIVE
SH00205 SWARUP BAIDYA ACTIVE
SH00186 LAKSHMI ACTIVE
SH00187 NAGENDRA R ACTIVE
SH00188 KUMARA ACTIVE
SH00206 SUNITHA C B ACTIVE
SH00207 SIKANDAR NADAF ACTIVE
SH00208 G C GOVARDHAN ACTIVE
SH00209 ASIT MONDAL ACTIVE
SH00210 MAHESHWAR HALDER ACTIVE
SH00211 PARVATHI ACTIVE
SH00212 RANJITHA ACTIVE
SH00223 AKILA A ACTIVE
SH00224 DIPAK KUMAR KAR ACTIVE
SH00225 SRIBAS BAIDYA ACTIVE
SH00226 SHALAJA ACTIVE
SH00227 SUDHARSHAN ACTIVE
SH00228 GOBINDA MISTRI ACTIVE
SH00232 CHHOTU KUMAR YADAV ACTIVE
SH00233 CHANDRAMMA C J ACTIVE
SH00234 SUBRATA RAUTH ACTIVE
SH00235 BIPLAB MONDAL ACTIVE
SH00236 SATYABAN SARDAR ACTIVE
SH00237 MIHIR MANDAL ACTIVE
SH00190 POONAM DAS ACTIVE
SH00239 RAJESH T G ACTIVE
SH00240 GAYATHRI V ACTIVE
SH00241 S PALANI ACTIVE
SH00113 HEMAVATHI ACTIVE
SH00183 P RAVICHANDRA ACTIVE
SH00161 MANJULA H N ACTIVE
SH00108 RESHMA ACTIVE
SH00115 STELLA ACTIVE
SH00245 DEPANKAR MONDAL ACTIVE
SH00246 GOPI ACTIVE
SH00247 V NAGARJUNA ACTIVE
SH00248 LINGAMANI ACTIVE
SH00249 NIRMALA S ACTIVE
SH00250 MAHESWARI ACTIVE
SH00252 PREMKUMAR DHANAPAL ACTIVE
SH00144 RATHNA ACTIVE
SH00149 SATADAL MANDAL ACTIVE
SH00251 SWAPAN MISTRI ACTIVE
SH00109 SALMA BANU ACTIVE
SH00152 KARIYAPPA ACTIVE
SH00253 GANGADHAR G ACTIVE
SH00257 MANJU B ACTIVE
SH00101 S GEETHA ACTIVE
SH00254 GANESH MANDAL ACTIVE
SH00255 PRASANTH KUMAR MANDAL ACTIVE
SH00256 R SHASHIREKHA ACTIVE
SH00258 P PAVITRA ACTIVE
SH00259 ANANDA KUMAR PRURSTY ACTIVE
SH00260 PULIN MRIDHA ACTIVE
SH00138 MUNIRATHNAMMA ACTIVE
SH00180 RAJESH KUMAR JENA ACTIVE
SH00137 SEEMA ACTIVE
SH00265 VARALAKSHMI ACTIVE
EPAY BANK EPAY ACNO EPAY IFSC CODE
 EFNAME ESEX EDOJ EDOB EDOL PF STAT CODE PF CODE SUB
AKBAR BASHA F 03-Oct-2017 27-Nov-1988 PYBOM B0M
K SARDAR M 06-Oct-2017 17-Oct-1990 PYBOM B0M
RAMACHANDRA M 05-Oct-2017 01-Jan-1993 PYBOM B0M
D KESAWAN M 03-Oct-2017 15-May-1989 PYBOM B0M
K SURENDAR M 03-Oct-2017 29-Jun-1980 PYBOM B0M
BABA JAN F 03-Oct-2017 01-Jun-1992 PYBOM B0M
RAVI M 03-Oct-2017 01-Apr-1997 PYBOM B0M
PUTTEGOWDA M 03-Oct-2017 23-Mar-1985 PYBOM B0M
NAGARAJA M 03-Oct-2017 27-Jul-1976 PYBOM B0M
SANATHAN MANJI M 03-Oct-2017 14-May-1992 PYBOM B0M
PRANAB JENA F 03-Oct-2017 01-Jan-1985 PYBOM B0M
BIJAYA JENA F 03-Oct-2017 14-Jun-1986 PYBOM B0M
NAWAB JAN M 05-Feb-2015 18-Jan-1981 PYBOM B0M
P M NANJUNDASWAMY F 03-Oct-2017 02-May-1994 PYBOM B0M
NARAYANA GOWDA R M 03-Oct-2017 01-Jan-1986 PYBOM B0M
NAGANNA F 13-Oct-2017 01-Jan-1986 PYBOM B0M
NINGAIAH M 03-Oct-2017 01-Jun-1978 PYBOM B0M
AZGHAR KHAN F 03-Oct-2017 01-Jan-1992 PYBOM B0M
RAJAPPA M 03-Oct-2017 24-Dec-1994 PYBOM B0M
NAGESH F 03-Oct-2017 12-Dec-1991 PYBOM B0M
NARAYANA F 03-Oct-2017 16-Dec-1994 PYBOM B0M
TIRUMALA GOWDA M 03-Oct-2017 13-May-1988 PYBOM B0M
JAVARAYYA F 01-Jan-2018 01-Jan-1987 PYBOM B0M
BASAVANNA F 01-Dec-2017 05-Jun-1990 PYBOM B0M
DEVAPPA M 01-Dec-2017 06-May-1983 PYBOM B0M
SHRIDHAR BARIK M 01-Dec-2017 10-Feb-1987 PYBOM B0M
NINGAPPA M 01-Dec-2017 01-Jan-1987 PYBOM B0M
GANESH GAYEN M 01-Dec-2017 13-Jan-1991 PYBOM B0M
SRINIVASH N F 01-Dec-2017 10-May-1984 PYBOM B0M
KRISHNAPPA M 01-Dec-2017 12-Sep-1999 PYBOM B0M
JABANA F 01-Dec-2017 26-Jan-1983 PYBOM B0M
GOINDAIAH F 01-Dec-2017 17-Jun-1998 PYBOM B0M
NARAYANA S M 01-Dec-2017 01-Jan-1994 PYBOM B0M
DIATARY SETHI M 01-Dec-2017 09-Apr-1984 PYBOM B0M
DANESWAR MAHAKUD M 01-Dec-2017 20-Jul-1994 PYBOM B0M
NARANDRA SHETTI M 01-Dec-2017 26-Nov-1999 PYBOM B0M
BASKAR PRADAN M 01-Dec-2017 02-May-1994 PYBOM B0M
RAJENDRA SAH M 01-Dec-2017 19-Dec-1996 PYBOM B0M
NANJUNDAIAH F 01-Dec-2017 01-Jan-1994 PYBOM B0M
MAHESWARAPPA F 01-Dec-2017 16-Jun-1999 PYBOM B0M
CHINAPPA M 01-Jan-2018 01-Jan-1979 PYBOM B0M
RANGANTH F 01-Jan-2018 27-May-1999 PYBOM B0M
NAGANNA M 01-Jan-2018 01-Jan-1998 PYBOM B0M
HARIDAS F 01-Jan-2018 01-Jun-1974 PYBOM B0M
AEAZ PASHA F 01-Jan-2018 08-May-1999 PYBOM B0M
RAMACHANDRA F 01-Feb-2018 10-Feb-1988 PYBOM B0M
GANAPATHI F 03-Oct-2017 24-Jun-1974 PYBOM B0M
NAHIDA AFORUJA F 03-Oct-2017 24-Mar-1999 PYBOM B0M
PUTTANNA REDDY F 03-Oct-2017 10-Jun-1983 PYBOM B0M
TALARI RAMMAPPA F 04-Oct-2017 01-Jan-1976 PYBOM B0M
AFTR ARIF M 01-Dec-2017 01-Jan-1998 PYBOM B0M
SIRAJ UDDIN M 01-Dec-2017 31-Dec-1998 PYBOM B0M
ANAND MURTHY F 01-Dec-2017 01-Jan-1991 PYBOM B0M
RANGASHTTARU M 05-Mar-2018 06-Jun-1993 PYBOM B0M
MADAIAH M 06-Mar-2018 20-Jun-1978 PYBOM B0M
NANJUNDAIAH F 07-Mar-2018 01-Jan-1983 PYBOM B0M
MADIAH M 06-Mar-2018 14-Jul-1986 PYBOM B0M
MALLESAPPA M 07-Mar-2018 01-Jul-1986 PYBOM B0M
DORESWMY M 07-Mar-2018 16-Apr-1986 PYBOM B0M
ANTHONY SOWMY F 08-Mar-2018 01-Jan-1984 PYBOM B0M
MALAYARAM M 08-Mar-2018 05-Oct-1995 PYBOM B0M
CHATRA MUNDA M 09-Mar-2018 01-Jan-1991 PYBOM B0M
K JABBAR KHAN M 05-Mar-2018 01-Jun-1964 PYBOM B0M
NANJUNDAPPA F 09-Mar-2018 01-Jan-1962 PYBOM B0M
VENKATAPPA M 09-Mar-2018 06-Mar-1990 PYBOM B0M
NANJAIAH M 09-Mar-2018 09-Jul-1994 PYBOM B0M
PUTTA MADIA M 09-Mar-2018 17-Feb-1982 PYBOM B0M
SRINIVASH REDDY F 02-Apr-2018 01-Nov-1968 PYBOM B0M
SRIRAMALU M 17-May-2018 13-May-1987 PYBOM B0M
RAJAN PILLAI M 11-Apr-2018 09-Jun-1988 PYBOM B0M
K.E.MUDALIAR M 17-May-2018 10-Jun-1962 PYBOM B0M
MALLIKARJUNA M 24-May-2018 01-Jan-1988 PYBOM B0M
SUNDRAPPA M 24-May-2018 09-Mar-1983 PYBOM B0M
KRISHNAPPA M 05-Jun-2018 26-Jan-1982 PYBOM B0M
NANJUNDAPPA M 25-May-2018 01-Jan-1975 PYBOM B0M
PUTTAPPA F 26-May-2018 01-Jan-1958 PYBOM B0M
BASAVARAJU F 16-Jun-2018 09-Jun-1980 PYBOM B0M
PUTTAMADAIAH M 05-Jun-2018 26-May-1977 PYBOM B0M
K.E.MUDALIAR M 02-Jul-2018 10-Jun-1962 PYBOM B0M
MALLIKARJUNA M 03-Jul-2018 20-Jul-1988 PYBOM B0M
SUNDRAPPA M 03-Jul-2018 09-Mar-1983 PYBOM B0M
NAGARAJU M 03-Jul-2018 01-Jan-1989 PYBOM B0M
KEMPANNA M 03-Jul-2018 01-Jun-1972 PYBOM B0M
BASAVARAJI M 04-Jul-2018 01-Jun-1981 PYBOM B0M
NIRAPADA KUMAR MISTRY M 04-Jul-2018 18-Feb-1985 PYBOM B0M
PRAVASH BARKANDAJ M 04-Jul-2018 10-Oct-1997 PYBOM B0M
SANTHOSH M 04-Jul-2018 07-Aug-1993 PYBOM B0M
BASANTHI JEENA M 05-Jul-2018 07-Jul-1990 PYBOM B0M
BAYAREDDY M 05-Jul-2018 20-May-1988 PYBOM B0M
PALAPPAN F 05-Jul-2018 28-Mar-1979 PYBOM B0M
RAJANNA F 05-Jul-2018 01-Jan-1985 PYBOM B0M
SRI SEETHAL PRASAD M 06-Jul-2018 19-Apr-1984 PYBOM B0M
SUBBA SHETTY M 06-Jul-2018 12-Jun-1977 PYBOM B0M
NARESH M 07-Jul-2018 01-Jan-1990 PYBOM B0M
VENKATARAMANA REDDY M 06-Jul-2018 02-Jun-1979 PYBOM B0M
DIERALDRA M 06-Jul-2018 03-Nov-1996 PYBOM B0M
DEVAPPA F 06-Jul-2018 01-Jan-1986 PYBOM B0M
RANGASWAMI M 10-Jul-2018 18-Dec-1994 PYBOM B0M
BASAVIAH M 10-Jul-2018 01-Jan-1989 PYBOM B0M
BOJAPPA GOWDA F 01-Aug-2018 01-May-1994 PYBOM B0M
GYUBU SAB M 01-Aug-2018 10-Jun-1982 PYBOM B0M
NARASHMIHAPPA M 01-Aug-2018 01-Jun-1993 PYBOM B0M
HARIPADA MONDAL M 02-Aug-2018 01-Jan-1986 PYBOM B0M
PROHARSH M 02-Aug-2018 01-Jan-1985 PYBOM B0M
ESWARAPPA F 02-Aug-2018 12-Jan-1986 PYBOM B0M
NARAYANA F 02-Aug-2018 16-Dec-1994 PYBOM B0M
ANTHONY M 02-Aug-2018 23-Jul-1989 PYBOM B0M
SHADIR KAR M 02-Aug-2018 13-Jul-1985 PYBOM B0M
PARMIAL M 02-Aug-2018 01-Jan-1993 PYBOM B0M
PODYIAN F 03-Aug-2018 01-Jan-1981 PYBOM B0M
RAMADERA SAHANI M 03-Aug-2018 01-Jan-1996 PYBOM B0M
PARIMAL MISTRI M 03-Aug-2018 03-Apr-1999 PYBOM B0M
SRIBIJJANDAN YADAV M 03-Aug-2018 04-Nov-1999 PYBOM B0M
JAVARAYYA F 03-Aug-2018 01-Jun-1987 PYBOM B0M
M 03-Aug-2018 04-Mar-1993 PYBOM B0M
BOJAPPA GOWDA M 03-Aug-2018 10-Oct-1990 PYBOM B0M
GUNADHAR SARDAR M 03-Aug-2018 04-Mar-1978 PYBOM B0M
PARIMAL MANDAL M 03-Aug-2018 07-Jul-1997 PYBOM B0M
NARAYAN DAS F 07-Aug-2018 25-Oct-1991 PYBOM B0M
M 04-Aug-2018 21-Jan-1987 PYBOM B0M
VENKATARAMANAPPA F 04-Aug-2018 10-Apr-1986 PYBOM B0M
SUBRAMNYA VADIYAR M 04-Aug-2018 23-Sep-1982 PYBOM B0M
SOMANNA NAYAK F 06-Aug-2018 01-Jan-1996 PYBOM B0M
PAPANNA M 07-Aug-2018 01-Jan-1997 PYBOM B0M
NANJUDAPPA F 07-Aug-2018 04-Mar-1998 PYBOM B0M
SHAMIR F 07-Aug-2018 03-Dec-1998 PYBOM B0M
PUSPA RAJ F 07-Aug-2018 20-Jan-1977 PYBOM B0M
BABU LAL MANDAL M 07-Aug-2018 22-Sep-1990 PYBOM B0M
KUNNAMARIGOWDA M 07-Aug-2018 01-Jan-1983 PYBOM B0M
MUNIRATHNAM NAIDU M 07-Aug-2018 07-Aug-1992 PYBOM B0M
RAJAPPA F 09-Aug-2018 01-Jan-1983 PYBOM B0M
ASWATHAPPA F 09-Aug-2018 01-Sep-1986 PYBOM B0M
MAHADEVAPPA F 09-Aug-2018 09-Apr-1980 PYBOM B0M
DHANPAL M 09-Aug-2018 01-Jul-1996 PYBOM B0M
TOTTLAPPA F 10-Aug-2018 15-Feb-1972 PYBOM B0M
GOPAL MANDAL M 10-Aug-2018 05-Sep-1999 PYBOM B0M
NARENDRA MISTRI M 10-Aug-2018 01-Jan-1998 PYBOM B0M
MAHOB PASHA F 07-Aug-2018 08-Sep-1998 PYBOM B0M
GOVIYAPPA M 07-Aug-2018 01-Jan-1963 PYBOM B0M
VENKATARAMANAPPA M 09-Aug-2018 01-Feb-1979 PYBOM B0M
BEERAPPA M 09-Aug-2018 12-Nov-1987 PYBOM B0M
SIDDALINGAPPA F 09-Aug-2018 05-Aug-1999 PYBOM B0M
BISWANTH MANDAL M 09-Aug-2018 01-Jan-1985 PYBOM B0M
NIRANJAN MANDAL M 09-Aug-2018 04-Feb-1982 PYBOM B0M
REVANNA F 09-Aug-2018 15-Apr-1988 PYBOM B0M
GOVINDAPPA F 10-Aug-2018 14-Dec-1991 PYBOM B0M
KAILASH PRUSHTY M 10-Aug-2018 03-Mar-1990 PYBOM B0M
HARI PRADAN M 10-Aug-2018 19-Apr-1993 PYBOM B0M
GOVINDAPPA F 10-Aug-2018 01-Jan-1980 PYBOM B0M
NARI JENA M 10-Aug-2018 08-Jun-1998 PYBOM B0M
BABAJAN F 10-Aug-2018 01-Jan-1990 PYBOM B0M
SANNAYYA F 18-Sep-2018 14-Jun-1985 PYBOM B0M
PF CODE EPFCODE ESICODE UAN EDOR PF NO.

61042 100368288291
61042 100534724662
61042 100193623254
61042 100533954903
61042 100534958674
61042 100699240983
61042 100700214968
61042 101065542937
61042 101065541923
61042 101065541906
61042 101065542992
61042 101065543027
61042
61042 101065542971
61042 101065541910
61042 101065542959
61042 101065543036
61042 100699234676
61042 101065542963
61042 101065543004
61042 101065543015
61042 101065542985
61042
61042 101258923996
61042 101258924005
61042 101258924014
61042 101258924022
61042 101258924033
61042 101258924046
61042 101258924051
61042 101258924067
61042 101258924079
61042 101258924080
61042 101258946191
61042 101258946209
61042 101258946213
61042 101258946221
61042 101258946232
61042 101258946245
61042 101258946250
61042 101269929302
61042
61042 101258946266
61042 101258946284
61042 101258946278
61042 100471754565
61042 100699661541
61042 100890314658
61042 100891835375
61042 101065541883
61042
61042
61042 100095099826
61042 101269928027
61042 101269928043
61042 101269928058
61042 101269929263
61042 101269929271
61042 101269929292
61042 101269929285
61042 101269929318
61042 101269929325
61042 101269928036
61042 101269929339
61042 101269929341
61042 101269929356
61042 101269929360
61042 101284093414
61042
61042 101284093422
61042
61042
61042
61042 101313135205
61042
61042
61042 101313135214
61042 101313133196
61042 101330322521
61042 101330652738
61042 101040410344
61042 101330652740
61042 101330652755
61042 101330652764
61042 101330652772
61042 101330652786
61042 101330652793
61042 101330655408
61042 101330655412
61042 101330655420
61042 101330655431
61042 101193262236
61042 101284703554
61042 101330655449
61042 101330655454
61042 101331134686
61042 101331134693
61042 101277208138
61042 101331134705
61042 101144018710
61042 100356240354
61042 101263318270
61042 101341703889
61042 101341703891
61042 101341703901
61042 101341703917
61042 101341703929
61042 101341703938
61042 101341703940
61042 101341703955
61042 101341703964
61042 101341703972
61042 101341703986
61042 101341703993
61042 101341704805
61042 101341704814
61042 101341704822
61042 101341704833
61042 101066909255
61042 101005787799
61042 101341704846
61042 101341704851
61042 101341704867
61042 101341704879
61042 101199332361
61042 101341704912
61042 101341704880
61042 101341704898
61042 101341704908
61042 101277208129
61042 101341704977
61042 100037184066
61042 101341704920
61042 101341704931
61042 101341704949
61042 101341704954
61042 101341704965
61042 101343485681
61042 101343485699
61042 100530083134
61042 101343485647
61042 101343485623
61042 101343485668
61042 101343485634
61042 101343485702
61042 101343485652
61042 101343485675
61042 101343615836
61042 100536524945
61042 101331523121
61042 101344397730
61042 101358370148
emp_code Name of the member:(IN CAPITAL LETTERS) Universal Account Number(UAN) P.F Account No.(in case UAN not available)

SH00053 VENKATESHA GR 101269928027

emp_code Name of the member:(IN CAPITAL LETTERS) Universal Account Number(UAN) P.F Account No.(in case UAN not available)

SH00001 SUMAIYA FARHIN 100368288291 #REF!

SH00002 WASIM AKRAM S 100534724662 #REF!
SH00053 VENKATESHA GR 101269928027 #REF!
SH00053 VENKATESHA GR 101269928027 #REF!
SH00149 SATADAL MANDAL 101341704954 #REF!
SH00053 VENKATESHA GR 101269928027 #REF!
#N/A #N/A #REF!
#N/A #N/A #REF!
#N/A #N/A #REF!
#N/A #N/A #REF!
#N/A #N/A #REF!
#N/A #N/A #REF!
#N/A #N/A #REF!
#N/A #N/A #REF!
#N/A #N/A #REF!
#N/A
Aadhar Number (for seeding): Father’s Name Husband’s Name: Date of Birth:

367503343285 RANGASHTTARU 1/1/1992

Aadhar Number (for seeding): Father’s Name /Husband’s Name: Date of Birth:

732347100126 AKBAR BASHA 11/27/1988

367503343285 K SARDAR 10/17/1990
RANGASHTTARU 6/6/1993
RANGASHTTARU 6/6/1993
GOPAL MANDAL 9/5/1999
RANGASHTTARU 6/6/1993
#N/A #N/A
#N/A #N/A
#N/A #N/A
#N/A #N/A
#N/A #N/A
#N/A #N/A
#N/A #N/A
#N/A #N/A
#N/A
Date of joining the establishment: Date of leaving service: ( Bank Account details for payment:
Bank
1/1/1992 60237728455 BANK OF MAHARASHTRA

Date of joining the establishment: Date of leaving service: ( Bank Account details for payment:
Bank
10/3/2017 60237728455 BANK OF MAHARASHTRA
10/6/2017 60237728455 BANK OF MAHARASHTRA
3/5/2018
3/5/2018
8/10/2018
3/5/2018
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
Branch IFSC Code Mobile No. : Pan Number EMPL STAT
OPP NMKRV, WOMEN CO
MAHAB00032 9008543628 RESIGN

Branch IFSC Code Mobile No. : Pan Number EMPL STAT

OPP NMKRV, WOMEN COLLEGE, JAYANA9590924140 AIHPU4547R RESIGN
OPP NMKRV, WOMEN CO
MAHAB00032 9742119111 RESIGN
9008543628
9008543628
8597593422
9008543628
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
4. Previous year(P.Y.) 3 6. Flat/Door/Block No. 7. Name of Premises

4. Previous year(P.Y.) 3 6. Flat/Door/Block No. 7. Name of Premises

2017-2018 #47
8. Road/Street/Lane 9. Area/Locality 10. Town/City/District 11. State 12. PIN

8. Road/Street/Lane 9. Area/Locality 10. Town/City/District 11. State 12. PIN

Nidasale Nidasale Tumkur KARNATAKA 572123
Total No. of Form No. 15G filedIdentification number of relevant investment/account, etc.8

Total No. of Form No. 15G filedIdentification number of relevant investment/account, etc.8
1 FORM 15G
Nature of income

Nature of income
SALARY
Postal Address

Postal Address
#47,,Nidasale,Nidasale,Tumkur,KARNATAKA-572123
 www.epfindia.gov.in
Mobile Number
9945061408
EMPLOYEES’ PROVIDENT FUNDS ORGANISATION
COMPOSITE CLAIM FORM (NON-AADHAR)
[ FORM NO. – 19 (PF FINAL SETTLEMENT)/10C (PENSION WITHDRAWAL BENEFITS)/31 (PF PART WITHDRAWAL)]

1 Claim applied for: i) Final PF Settlement ( ü ) ii) Pension Withdrawal Benefits ( ) iii) PF PART WITHDRAWAL ( )
(Tick whichever is/are applicable)

2 Name of the member:(IN CAPITAL LETTERS) VENKATESHA GOWDA G D

a) Universal Account Number(UAN) 100667443517
3
b) P.F Account No.(in case UAN not available) PYKRP00352470000027140
4 Aadhar Number (for seeding): 858461194027
Father’s Name: DODDACHIKKEGOWDA
5
Husband’s Name:
NA
6 Date of Birth: 7/8/1973
7 Date of joining the establishment: 9/15/2017
8
Date of leaving service: (not required if applying for PF Part Withdrawal) 12/1/2021
a) Permanent Account No.(PAN): (Only in case of service less than 5 years)
(Please enclose two copies of Form No. 15G/15H, if applicable)
b) Reason of Leaving Service
9 - Service terminated on account of (a) ill health of member (b)
Contraction /Discontinuation of employer’s business or (c) Other Cause
beyond the control of the member
RESIGN
- Personal Reasons

SN Purpose of PF Part Withdrawal 

a) Purpose of PF Part Withdrawal:(Tick  whichever applicable)
Housing Loan/Purchase of site/House/Flat or for
Construction/Addition, alteration in existing
I
b) Amount (in Rs.): ------------------------------------------------------------------------- house/Repayment of Housing loan
(Para 68B/68BB/68BC)
Lockout or closure of factory
Ii
(Para 68H)
Iii
10 Illness of member/family (Para 68J)
c) For purpose of Site/House/Flat or Construction through “agency” or iv
Repayment of Housing Loan or LIC, indicate cheque to be drawn “ in favour Marriage of self/son/ daughter /brother/ sister (Para 68K)
of” and payee’s address. v
Post Matriculation education of children (Para 68K)
vi
Natural calamity (Para 68L)
vii
Cut in electricity in establishment (Para 68M)
viii
Advance for Physically handicapped (Para 68N)
ix
One year before retirement (Para 68NN)
x
Investment in Varistha Pension BimaYojana (Para 68NNN)
Bank Account details for payment:
(Please attach a copy of cancelled cheque/attested copy of first page of Pass
Book)
Saving Bank Account No: 1420119001805
Name & of the Bank CANARA BANK
11 Name & address of the Bank
KIADB BLDG,BOMMASANDRA INDL, AREA
COMPLEX,BLORE-HOSUR RD, BOMMASANDRA
562158

IFS Code: CNRB0001420

Full Postal address

12
# 113 GOWRIKOPPALU RAJANASIRIYIR HASAN
KARNATAKA-573121

- The member hereby declares that he has not been employed for two months (Yes/No.)

- Certified that the particulars are true to the best of my knowledge.

- In case the amount is used for any purpose other than stated in column (10) above, I am liable to return the entire amount with penal interest.
Member’s Signature Employer’s Signature
Designation& Seal of Employer
 FORM NO. 15G

[See section 197A(1), 197A(1A) and rule 29C]

Declaration under section 197A (1) and section 197A(1A) to be made by an individual or a person (not being

a company or firm) claiming certain incomes without deduction of tax.

PART I

1. Name of Assessee (Declarant) 2. PAN of the Assessee1

4. Previous year(P.Y.) 3 (for
3. Status2 which declaration is being made) 5. Residential Status 4

CESSATION (SHORT SERVICE) – other reason 0

6. Flat/Door/Block No. 7. Name of Premises 8. Road/Street/Lane 9. Area/Locality

10. Town/City/District 11. State 12. PIN 13. Email

14. Telephone No. (with STDCode) and 15 (a) Whether assessed to tax under
Yes No
Mobile No. the Income-tax Act, 1961 5:
(b) If yes, latest assessment year for
□ ☑
which assessed
16. Estimated income for which this declaration is made
17. Estimated total income of the P.Y. in which income mentioned in
column 16 to be included 6

18. Details of Form No. 15G other than this form filed during the previous year, if any 7

Total No. of Form No. 15G filed Aggregate amount of income for which Form No.15G filed

19. Details of income for which the declaration is filed

Sl. Identification number of

relevant investment/account, Nature of income Section under which tax is deductible Amount of income
No. etc.8

0 0 NIL NIL

……………………………………….
Signature of the Declarant9

Declaration/Verification10

*I/We do hereby declare that to The best of *my/our knowledge and belief what is

stated above is correct, complete and is truly stated. *I/We declare that the incomes referred to in this form are not

includible in the total income of any other person under sections 60 to 64 of the Income-tax Act, 1961. *I/We further

declare that the tax *on my/our estimated total income including *income/incomes referred to in column 16 *and

aggregate amount of *income/incomes referred to in column 18 computed in accordance with the provisions of the

Income-tax Act, 1961, for the previous year ending on .................... relevant to the assessment year ..................will

be nil. *I/We also declare that *my/our *income/incomes referred to in column 16 *and the aggregate amount of

*income/incomes referred to in column 18 for the previous year ending on .................... relevant to the assessment

year .................. will not exceed the maximum amount which is not chargeable to income-tax.

Place: …………………………………………………………….
 Signature of the Declarant 9
Date:
 PART II

[To be filled by the person responsible for paying the income referred to in column 16 of Part I]

1. Name of the person responsible for paying 2. Unique Identification No. 11

3. PAN of the person responsible

for paying 4. Complete Address 5. TAN of the person responsible for paying

6. Email 7. Telephone No. (with STD Code) and Mobile No. 8. Amount of income paid12

9. Date on which Declaration is received (DD/MM/YYYY) 10. Date on which the income has been paid/credited (DD/MM/YYYY)

Place: ……………………………………………….. ………………………………………………

Signature of the person responsible for paying

Date: ………………………………………………. the income referred to in column 16 of Part I

*Delete whichever is not applicable.

1As per provisions of section 206AA(2), the declaration under section 197A(1) or 197A(1A) shall be invalid if the
declarant fails to furnish his valid Permanent Account Number (PAN).
2Declaration can be furnished by an individual under section 197A(1) and a person (other than a company or a firm)
under section 197A(1A).
3The financial year to which the income pertains.
4Please mention the residential status as per the provisions of section 6 of the Income-tax Act, 1961.
5 Please mention “Yes” if assessed to tax under the provisions of Income-tax Act, 1961 for any of the assessment
year out of six assessment years preceding the year in which the declaration is filed.
6Please mention the amount of estimated total income of the previous year for which the declaration is filed
including the amount of income for which this declaration is made.
7In case any declaration(s) in Form No. 15G is filed before filing this declaration during the previous year, mention
the total number of such Form No. 15G filed along with the aggregate amount of income for which said
declaration(s) have been filed.
8Mention the distinctive number of shares, account number of term deposit, recurring deposit, National Savings
Schemes, life insurance policy number, employee code, etc.
9Indicate the capacity in which the declaration is furnished on behalf of a HUF, AOP, etc.
10Before signing the declaration/verification, the declarant should satisfy himself that the information furnished in
this form is true, correct and complete in all respects. Any person making a false statement in the declaration shall
be liable to prosecution under section 277 of the Income-tax Act, 1961 and on conviction be punishable-
(i) in a case where tax sought to be evaded exceeds twenty-five lakh rupees, with rigorous imprisonment
which shall not be less than six months but which may extend to seven years and with fine;
(ii) in any other case, with rigorous imprisonment which shall not be less than three months but which may
extend to two years and with fine.
11The person responsible for paying the income referred to in column 16 of Part I shall allot a unique identification
number to all the Form No. 15G received by him during a quarter of the financial year and report this reference
number along with the particulars prescribed in rule 31A(4)(vii) of the Income-tax Rules, 1962 in the TDS statement
furnished for the same quarter. In case the person has also received Form No.15H during the same quarter, please
allot separate series of serial number for Form No.15G and Form No.15H.
12The person responsible for paying the income referred to in column 16 of Part I shall not accept the declaration
where the amount of income of the nature referred to in sub-section (1) or sub-section (1A) of section 197A or the
aggregate of the amounts of such income credited or paid or likely to be credited or paid during the previous year in
which such income is to be included exceeds the maximum amount which is not chargeable to tax. For deciding the
eligibility, he is required to verify income or the aggregate amount of incomes, as the case may be, reported by the
declarant in columns 16 and 18.;
 Joint Declaration By the Member and The Employer
Date: 20-02-2023
To,
EPFO Regional office
No 36, Lakshmi Complex, NH-4, Old Madras Road,
Opposite Syndicate Bank, K R Puram, Whitefield,
Bengaluru, Karnataka 560036

Dear Sir,
I, NAVEEN N M am/was an employee of / ex employee of
TANN UTILITY SERVICES PVT LTD furnishing below herewith correct details with aforesaid
Establishment Code: PYKRP0035247000

UAN NO: 101666312774

Particulars Correct Wrong

Name NAVEEN N M N M NAVEENA

Father Name / Husband Name

EPF/EPS Account No.

Date of Birth (DD/MM/YYYY)

Date of Joining (DD/MM/YYYY)

Relation
Reasion For Exit
Gender
Date of leaving (DD/MM/YYYY)

I also have enclosed herewith the self attested copy of ID proof (Any one- PAN Card, Voter ID Card, Passport, Driving License, Adhaar Card) for your
ready reference.

Therefore, you are requested to make the necessary changes in your records (if required) under information to me. An early action in this regard will be
highly appreciated.

Yours faithfully,

Name & Signature of the applicant:

Name & Authorized Signatory:

Signature with Establishment Seal:

Encl.: As Above
Mob:8884554978
Search Results
No 109-128, Bhavishyanidhi Bh
Search Results

No 109-128, Bhavishyanidhi Bhavan,

2nd Stage, Udayagiri road,
Gayathripuram, Mysuru, Karnataka 570019
Period Financial Year Assessment Year
1 April 2018 to 31 2018-19 2019-20
March 2019
1 April 2017 to 31 2017-18 2018-19
March 2018
1 April 2016 to 31 2016-17 2017-18
March 2017

Name
Darshan KV
CMS
1008010247
ab 47000
bial 412251
14501
194116
265499
539531
2452221
205272
1222723
8344
300100
5661558
 Annexure
Sr. Engineer

Basic
DA

Minimum Wages - BIAL

HRA
Conv
Allow.
Wash Allow
Gross Wages -A
Add - Statutory Benefits :

E S I @ / Medical
PF @ 13%
Leave with wages 18 days/year
Bonus 8.33%
Total Employee & Employear
 Annexure
NARENDRA A

14688
2234

16922

6769
700
0
0
24391

ges 18 days/year

e & Employear