Employees' Provident Fund Organization

Page 3 of 3
17)
KYC DETAILS
KYC DOCUMENT TYPE NAME AS ON KYC DOCUMENT NUMBER REMARKS, IF ANY
BANK ACCOUNT-1* IFSC CODE*
NPR/AADHAAR
PERMANENT ACCOUNT
NUMBER (PAN)
PASSPORT EXPIRY DATE
D
RIVING
L
ICENCE
E
XPIRY
D
ATE
ELECTION CARD
R
ATION
C
ARD
ESIC CARD
* Mandatory Field (NOTE: BANK ACCOUNT NUMBER (ALONG WITH IFSC CODE) IS MANDATORY. YOU
ARE HOWEVER ADVISED TO PROVIDE ALL KYC DOCUMENTS AVAILABLE WITH YOU IN ADDITION TO MANDATORY KYCS TO
AVAIL BETTER SERVICES. SELF-ATTESTED PHOTOCOPIES OF THE DOCUMENTS MUST BE ATTACHED WITH THIS FORM.
C.
UNDERTAKING:
A.
I
CERTIFY THAT ALL THE INFORMATION GIVEN ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF
.
B.
IN CASE, EARLIER A MEMBER OF EPF SCHEME, 1952 AND/OR EPS, 1995,
(
I
)
I
HAVE ENSURED THE CORRECTNESS OF MY
UAN/
PREVIOUS
PF
MEMBER ID
.
(II) THIS MAY ALSO BE TREATED AS MY REQUEST FOR TRANSFER OF FUNDS AND SERVICE DETAILS IF APPLICABLE FROM
THE PREVIOUS ACCOUNT AS DECLARED ABOVE TO THE PRESENT P.F. ACCOUNT. (THE TRANSFER WOULD BE POSSIBLE
ONLY IF THE IDENTIFIED
KYC
DETAILS APPROVED BY PREVIOUS EMPLOYER HAS BEEN VERIFIED BY PRESENT
EMPLOYER USING HIS
D
IGITAL
S
IGNATURE
C
ERTIFICATE
).
(III) I AM AWARE THAT I CAN SUBMIT MY NOMINATION FORM THROUGH UAN BASED MEMBER PORTAL.
DATE:
PLACE: SIGNATURE OF MEMBER
DECLARATION BY PRESENT EMPLOYER
A.
T
HE MEMBER
Mr./Ms./Mrs. …………………………..
HAS JOINED ON
…………………..
AND HAS BEEN ALLOTTED
PF
MEMBER ID
…………………………………………...
B.
IN CASE THE PERSON WAS EARLIER NOT A MEMBER OF EPF SCHEME, 1952 AND EPS, 1995:
(P
OST ALLOTMENT OF
UAN)
T
HE
UAN
ALLOTTED FOR THE MEMBER IS
…………………………
PLEASE TICK THE APPROPRIATE OPTION:
THE KYC DETAILS OF THE ABOVE MEMBER IN THE UAN DATABASE
HAVE NOT BEEN UPLOADED
H
AVE BEEN UPLOADED BUT NOT APPROVED
HAVE BEEN UPLOADED AND APPROVED WITH DSC
C.
IN CASE THE PERSON WAS EARLIER A MEMBER OF EPF SCHEME, 1952 AND EPS, 1995:
T
HE ABOVE MEMBER ID OF THE MEMBER AS MENTIONED IN
(A)
ABOVE HAS BEEN TAGGED WITH HIS
/
HER
UAN/P
REVIOUS
MEMBER ID AS DECLARED BY MEMBER.
PLEASE TICK THE APPROPRIATE OPTION:-
T
HE
KYC
DETAILS OF THE ABOVE MEMBER IN THE
UAN
DATABASE HAVE BEEN APPROVED WITH
D
IGITAL
SIGNATURE CERTIFICATE AND TRANSFER REQUEST HAS BEEN GENERATED ON PORTAL.
A
S THE
DSC
OF ESTABLISHMENT ARE NOT REGISTERED WITH
EPFO,
THE MEMBER HAS BEEN INFORMED TO FILE
PHYSICAL CLAIM
(F
ORM
-13)
FOR TRANSFER OF FUNDS FROM HIS PREVIOUS ESTABLISHMENT
.
DATE: SIGNATURE OF EMPLOYER WITH SEAL OF ESTABLISHMENT
Page 3/3
Free Download

Employees' Provident Fund Organization PDF

Favor this template? Just fancy it by voting!
  •  
  •  
  •  
  •  
  •  
(0 Votes)
0.0
Related Forms
  •  
  •  
  •  
  •  
  •  
2 Page(s) | 3171 Views | 131 Downloads
  •  
  •  
  •  
  •  
  •  
2 Page(s) | 1013 Views | 1 Downloads
  •  
  •  
  •  
  •  
  •  
9 Page(s) | 2359 Views | 1 Downloads
  •  
  •  
  •  
  •  
  •  
9 Page(s) | 2376 Views | 2 Downloads
  •  
  •  
  •  
  •  
  •  
14 Page(s) | 3282 Views | 3 Downloads