Joint Declaration By the Member and The Employer

Date: 16.08.2023

To UAN: 1003 1706 1080

The Regional P F Commissioner Ph: 9655968927

Coimbatore

Sub: Joint declaration by the member and the employer

Dear Sir,

I, RATHAMANI am/ was an employee / ex employee of CBCBE0004795000 - SCHOOL

ESTATE furnishing below herewith correct deails with aforesaid establishment.

Particulars Correct Wrong

Name RATHAMANI RADHA MANI
Father/ Husband Name MOHAN V MOHAN
PF / EPS Account No. CBCBE00047950000000009 -
Date of Birth (DD/MM/YYYY) 01/01/1978 02/06/1976
Date of joining (DD/MM/YYYY) 11/09/2013 -
Date of leaving (DD/MM/YYYY) - -

I am also enclosing herewith self attested copy of ID proof (Any one PAN card/ Voters’ Identity
Card/ Passport/
Driving License/ Aadhar Card) for your ready reference.
Therefore, you are requested to make necessary changes in your records (if required) under
intimation to me. An early action in this regard will be highly appreciated.
Yours Faithfully

Name & Signature of Applicant : RATHAMANI

Name of Authorized Signatory : Ms. GANGA MADAPPA

Signature With Establishment Seal :

Joint Declaration By the Member and The Employer

 Date: 16.08.2023

To UAN: 100242578260

The Regional P F Commissioner Ph: 8489143790

Coimbatore

Sub: Joint declaration by the member and the employer

Dear Sir,

I, MOHAMMED ALI MOIDEEN am/ was an employee / ex employee of

CBCBE000479500A - SONSHY ESTATE furnishing below herewith correct deails with aforesaid
establishment.

Particulars Correct Wrong

Name MOHAMMED ALI MOIDEEN MOHAMED AL K A
Father/ Husband Name MOIDEEN -
PF / EPS Account No. CBCBE000479500A0000007 -
Date of Birth (DD/MM/YYYY) 02/10/1972 -
Date of joining (DD/MM/YYYY) -
Date of leaving (DD/MM/YYYY) - -

I am also enclosing herewith self attested copy of ID proof (Any one PAN card/ Voters’ Identity
Card/ Passport/
Driving License/ Aadhar Card) for your ready reference.
Therefore, you are requested to make necessary changes in your records (if required) under
intimation to me. An early action in this regard will be highly appreciated.
Yours Faithfully

Name & Signature of Applicant : MOHAMMED ALI MOIDEEN

Name of Authorized Signatory : Ms. GANGA MADAPPA

Signature With Establishment Seal :