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JOINT DECLARATION UNDER PARA 26(6) OF THE EPF SCHEME. 1952

To,
Regional EPF Commissioner,

Sub: Application for regularizing membership,?rovident Fund Contributio$ deducted on

Salaries over & above Rs. 15000/- per month or at higher rate.

Sir,
I the undersigned Shrj/Smt._
bearing Account Number emDlovee of M/s
hereby declare that I hur" b""n P,*id"* f*a on
my entire salary @ 12% with effect from "olnr.ibr-ting

I am./am not an 'EXCLUDED EMPLOYEE' within the meaning of?ara 2(D ofthe EpF Scheme,
t952

I request that;
l. I may be enrolled as member ofthe Employees' Prcvident Fund voluntarily *i1h effbct
from

2. I may be permitted to contribute voluntarily on my entire salary exceeding k

15000/- per month w.e.f

3.Imaybepermittedtoco[tribute@-7"iNteadofthe
statutory rrte of 129lo with effect from

I
I
Yours Faithfully,

(Member's sjgnature)
 JOINT DECLARATION UNDER PARA 26(6) OF TIIE EPF SCIIEME, T952

To,
Regiollal EPF Commissioner,

Sub: Application for regularizing membershiP,?rovident Fund Contrib[tions deducted on

Salaries over & above Rs. 6500/- per month or at higher rate.

Sir,
I the undersigned Shri/Smt.
b€aring Account Number employee oftr{/s
hereby declare that I have been contributing Provident Fund on
with effect from
i
my entire salary @ I 20%

I arl/am not an 'EXCLUDED EMPLOYEE' within the meaning ofpara 2(l) ofthe EPF Scheme,
1952.

I request that;
l. I may be effolled as member ofthe Employees' Prcvident Fund voluotadly with effect
ftom

2 I may be permitted to contribute voluntarily on my entire mlary exceeding Rs. 6500/- per
month w.e.L

3. I may be perditted to contribute @ 7o instead of the

statutory rate of 129lo with effect from

Yours Faithfully,
it

(Member's signature)
,/.

OF THE EPF SCIIEME' 1952

JOINT DtrCLARATION UNDER PARA 26(6)

To,
Regional EPF Commissioner,

Fund Contributioos deducted on

Sub: Application for regularizing membership'lProvident
or al higher rate'
Salaries over & above Rs. 5000/- per month

Sir,
I the undersigned Shri/Smt'
employee of lWs
bearing Account Number
Provident Furd on
hereby declare that I have been contributing
i
my entire salary @ l2olo with effect from

the meafling of para 2(! ofthe EPF Scheme'

I ani/am not an 'EXCLUDED EMPLoYEE' within
1952

I request
- -- that;
Fund voluntarily with effect
i.
"
t -ry U" as member of the Employees' Provident
"*otled
from
per
my entire salary exceeding Rs 5000/-
2 I may be pemitted to conlribute volultadly on
month w.c.f.

3.Imaybepermittedtocontribute@=_=--yoinsteadofthe
statutory rate of12yo with effect from

tt
Yours Faithfully,

(Member's signarure)