EPF JOINT DECLARATION FORM AUTO FILL FORMAT IN PDF

Joint Declaration By the Member and The Employer

Date:

To

The Regional P F Commissioner

Sub: Joint declaration by the member and the employer

Dear Sir/Madam,

I, , am/was an employee/ex-employee of , furnishing below the correct details with the aforesaid establishment:

Particulars	Correct	Wrong
Name
Father/ Husband Name
PF / EPS Account No.
Date of Birth (DD/MM/YYYY)
Date of Joining (DD/MM/YYYY)
Date of Leaving (DD/MM/YYYY)

I am also enclosing a self-attested copy of my ID proof (PAN card/ Voter ID/ Passport/ Driving License/ Aadhar Card) for reference.

Therefore, you are requested to make necessary changes in your records under intimation to me. Your early action in this regard will be highly appreciated.

Name & Signature of Applicant:

Name of Authorized Signatory:

Signature With Establishment Seal: