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JD Form

The document provides details to correct an employee's records in the PF office. It includes a joint declaration signed by the employee, Minal Ankit Khandelwal, and the authorized signatory of her previous employer, Surbel Rit Ltd. They are providing the correct personal details of Minal like her name, father's name, date of birth, PF account number, and date of joining and leaving. It also includes copies of her ID proof for verification.

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Minal Badera
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102 views3 pages

JD Form

The document provides details to correct an employee's records in the PF office. It includes a joint declaration signed by the employee, Minal Ankit Khandelwal, and the authorized signatory of her previous employer, Surbel Rit Ltd. They are providing the correct personal details of Minal like her name, father's name, date of birth, PF account number, and date of joining and leaving. It also includes copies of her ID proof for verification.

Uploaded by

Minal Badera
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Joint Declaration By the Member and The

Employer
Date: 24 09/2021
To
The Regional P F Commissioner

Sub: Joint declaration


by the member and the employer
Dear Sir,

.Minal Aakit Khandelwal aml was an employee/ ex employee of

Atas- Surbel Rit Ltd furnishing below herewith correct deails with
aforesaid
establishment-

Particulars Correct
Wrong
Name
Minal Ankit Khandelul Minal Rajendra Bade
Father Husband Name
Ankit Khandelwa
PF/EPS Account No.
Kajendra Baderoa
Date of Birth (DD/MMYYYY)
Date of joining (DD/MMYYYY)
Date of leaving (DD/MMYYYY)

l am also enclosing herewith self attested copy of ID proof (Any one PAN card/ Voters' ldentity Card/ Passport/
Driving Licensel 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 &Signatureof Applicant : Mina Ankit Khandelcwal

MRedonn
Name of Authorized Signatory :

Signature With Establishment Seal

Encl.: As Above
GOVERNMENT OF MAHARASHTRA

Marriage Registion Office Sonala

Taluka:-Sangrampur District- Buldhana, Maharashtra, India

ga / From 'E'

Certificate of Registration Of Marriage


6T H E(R)HTTUT fAT 9/ See Section 6 (1]And Rule 5)

3HTETR 297983151056

TEUIR THTTCST AT.HAR


TTT . 818529953061

TFUITR T.HTYITG HITITa THTJITT

fatt FTTTT ENT AA isa fafaA HDT faaTE atzuît afdffA, 1998

Certified that Marriage between,


Husband's Name:- Ankit Santosh Khandelwal UID NO 297983151056
Residing At Sonala Tq.Sangrampur Dist Buldhana
and Wife's Name:-Minal Rajendra Badera
UID NO 818529953061
Residing At Soygav Malegav. Tq:-Malegav Dist-Nashik
Solemnized 24/06/2021 At Sonala (Place) is Registered
by me on 28/06/2021 Serlal No 1 of Volume 53 of register of
Marriages
maintained under the Maharashtra Regulation of Marrlage Bureaus and
Registration of Marriages
Act,1998.

28/06/2021

Signak-
SEAL Registrar Of Marrlages
Marriage office, Sonala

MPeden
Goriment Inda AADHAAR

Tevt Aia:/ Enrolment No.: 2836/05202/08083 INEOPAATION


To Andhaan is a proof of identity, not of citizenship
Minal Ankit Khandetwal
Verity idetity using Secure OR CodelOffline XML/ Online
Sonala Authentication.
Sonala This is electronically generated letter
Buldhana Maharashtra -444204
8657772628

Vaidi nown
D20213b7ss37
- mAadhaar App

Aadhaar is valid throughout the country


Aadhaar helps you avail various Government
and non-Government services
easily
Keep your mobile number & email ID updated
3HT9CT3TUTT h H T | Your Aadhaar No. : in Aadhaar.
8185 2995 3061 Carry Aadhaar in your smart phone use
VID :9109 2722 5123 45562
mAadhaar App.
- -

4TRFRR
Government of India Unique ldentification Authority of India

III, ITGIUT
HEIRI - 444204
Minal Ankit Khandelwal
4TTDOB: 16/05/1997
Hfoav FEMALE
Address:
Sonala, Buldhana,
Maharashtra - 444204

8185 2995 3061 8185 2995 3061


VID:9109 2722 5123 4562 VID :9109 2722 5123 4562
H 1TEII, A^N 3 a 19477 help uidai.aov.in | Dwww.uidai.gov.in

M e e o d e n

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