Declaration sample english-dlro epfo
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THE EMPLOYEES PROVIDENT FUND SCHEME, 1952(Paragraph 34) andTHE EMPLOYEES PENSION SCHEME, 1995(Paragraph 24)
Self-Declaration from Employee towards PF contribution on statutory limit of Basic Wages.
Date :
I, ______________________________S/O, W/O, Daughter of _____________________________
do hereby solemnly declare that:-
A) I am employed in M/s._______________________ (Service Provider Name/ Subcontractor Name) working at Project Site of
Affix Site Address Seal
B) My PF A/c No. is DL/5574/________________.
C) I am unwilling to contribute my PF on basic wages beyond Rs.6500/-.
Hence I request to remit my PF contribution in the above mentioned PF number considering the basic wages up to Rs.6500/- only.
Signature or left hand thumb impression of the employee.
Address: