Joint declaration form filled sample - pdf
Joint declaration form sample
Download this example of Joint Declaration By the Member and The Employer in pdf format.
Copy of Any one document needs to be enclosed in a support to make the necessary corrections.
1) Birth Certificate Copy
2) School Leaving Certificate Copy
3) Passport Copy
4) PAN Card
5) Voters Identity Card
6) Driving License
7) Aadhaar Card
8) Bank Passbook copy/Post Office Passbook.
9) Ration Card
The below said letter and any one of the above documents is required for Name correction only. The said needs to be fill in duplicate, one copy for the PF office and another one is for the company record for any future communication and follow up actions.
For any correction in date of birth, only 3 documents are valid
1) Birth Certificate copy
2) School Leaving Certificate Copy
3) Passport Copy
Any enclosed document from the above needs to be authorized by the employee as well as by the employer.
For correction you all are requested to follow the following format which is prepared by us for the simple and fast processing. Format of the same is as under, and that needs to be filled by the employee in his own handwriting and self attested in duplicate and forward the same to employer.
Example of Joint declaration form filled sample :
I,Son of / Daughter of / Wife of
Bearing Provident Fund Account No.
am willing to become member of the Employees’ Provident Funds Scheme, 1952
with effect from ______________ and to contribute to the Employees’ Provident
Fund at the Statutory Rate as prescribed under Para 29 of the Employees’ Provident
Funds Scheme, 1952 on my Emoluments consisting of Basic Pay, Dearness
Allowance (including cash value of food concession) and Retaining Allowance (if
any), which altogether not exceeding Rs.6,500/ per month with effect from _________________.
I agree to abide by the conditions contained in the Employees’ Provident Funds
Scheme, 1952
Therefore, kindly permit me to enroll myself as Member of the Employees’ Provident Fund and to contribute on my Emoluments not exceeding Rs.6,500/ per
month with same benefits as available to other Provident Fund members whose
monthly salary does not exceed Rs.6,500/ with effect from ___________________.
Signature of the Employee
