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    PF Membership Details in Form 11

    Uploaded by

    Abhilash
    This document is a composite declaration form for an employee's provident fund. It collects information such as the employee's name, father's name, date of birth, gender, marital status, contact details, bank account and Aadhaar numbers, PAN, and details about previous provident fund membership. The employee authorizes EPFO to use their Aadhaar for verification purposes. The present employer declares that the employee has joined and been allotted a PF number, and indicates whether the employee's KYC details have been uploaded and approved.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    PF Membership Details in Form 11

    Uploaded by

    Abhilash
    2K views2 pages
    This document is a composite declaration form for an employee's provident fund. It collects information such as the employee's name, father's name, date of birth, gender, marital status, contact details, bank account and Aadhaar numbers, PAN, and details about previous provident fund membership. The employee authorizes EPFO to use their Aadhaar for verification purposes. The present employer declares that the employee has joined and been allotted a PF number, and indicates whether the employee's KYC details have been uploaded and approved.

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    This document is a composite declaration form for an employee's provident fund. It collects information such as the employee's name, father's name, date of birth, gender, marital status, contact details, bank account and Aadhaar numbers, PAN, and details about previous provident fund membership. The employee authorizes EPFO to use their Aadhaar for verification purposes. The present employer declares that the employee has joined and been allotted a PF number, and indicates whether the employee's KYC details have been uploaded and approved.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views2 pages

    PF Membership Details in Form 11

    Uploaded by

    Abhilash
    This document is a composite declaration form for an employee's provident fund. It collects information such as the employee's name, father's name, date of birth, gender, marital status, contact details, bank account and Aadhaar numbers, PAN, and details about previous provident fund membership. The employee authorizes EPFO to use their Aadhaar for verification purposes. The present employer declares that the employee has joined and been allotted a PF number, and indicates whether the employee's KYC details have been uploaded and approved.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Employee No.

    ______mandatory_________
    (Mandatory)

    Composite Declaration form-11


    (To be retained by the employer for future reference)
    EMPLOYEES' PROVIDENT FUND ORGANISATION
    Employees' Provident Funds. Scheme. 1952 (Paragraph 34 & 57) &
    Employees' Pension Scheme, 1995 (Paragraph 24)
    (Declaration by a person taking up employment in any establishment on which EPF Scheme, 1952 and /or
    EPS, 1995 is applicable)
    1. Name of the member As per Aadhaar profile
    2. Father’s Name Spouse’s Name
    (Please tick whichever is applicable)
    3. Date of Birth: ( DD / MM / YYYY ) As per Aadhaar profile
    4. Gender: (Male/Female/Transgender)
    5. Marital Status:
    (Married/Unmarried/Widow/Widower/Divorce)
    6. (a) Email ID: Personal email ID
    (b) Mobile No.
    7. Present employment details: Not required to fill
    Date of joining in the current establishment(DD/MM/YYYY)
    8. KYC Details: (attach self-attested copies of following
    KYCs)
    Bank Account No:

    IFS Code of the Branch:

    AADHAR Number: IMPORTANT(also attach self-attested copy of Aadhaar)

    Permanent Account number(PAN), if available

    9. Whether earlier a member of Employees’ Provident Fund Yes / No pls mark as “Yes”
    Scheme, 1952
    10. Whether earlier a member of Employees’ Pension Scheme, Yes / No pls mark as “Yes”
    1995
    Previous employment details: [if Yes to 9 AND/OR 10
    above]-Un-exempted
    a) Establishment Name and Address
    11. b) Universal Account Number(UAN): Old UAN number
    c) PF Account Number: Old PF number
    d) Date of joining (DD/MM/YYYY)
    e) Date of exit ( DD / MM / YYYY ) Date of exit from your previous establishment
    f) Scheme Certificate No. (if issued) Not mandatory to fill
    g) Pension Payment Order (PPO) No. (if issued) Not mandatory to fill
    h) Non Contributory period (NCP) Days Not mandatory to fill
    Previous employment details: (if Yes to 9 AND/OR 10
    above) - For Exempted Trusts

    a) Name and address of the trust Point no 12 Not required to fill

    12 b) Universal Account Number(UAN)


    c) Member EPS A/c number
    d) Date of joining (DD/MM/YYYY)
    e) Date of exit ( DD / MM / YYYY )
    f) Scheme Certificate No. (if issued)
    g) Non Contributory period (NCP) Days
    a) International Worker: Yes / No please mark “No” by default and not required to fill the
    passport details.
    13. b) IF yes, state country of origin (India/Name of
    other country)
    c) Passport No.

    d) Validity of passport [( DD / MM / YYYY ) to


    ( DD / MM / YYYY )

    UNDERTAKING
    1) Certified that the particulars are true to the best of my knowledge.
    2) I authorize EPFO to use my Aadhaar for verification/authentication/eKYC purpose for service delivery.
    3) Kindly transfer the funds and service details, if applicable, from the previous PF account as declared above
    to the present P.F. Account. (The transfer would be possible only if the identified KYC detail approved by
    previous employer has been verified by present employer using his Digital Signature Certificate)
    4) In case of changes in above details, the same will be intimated to employer at the earliest.

    Date:
    Place: employee signature
    Signature of Member

    DECLARATION BY PRESENT EMPLOYER

    A. The member Mr./Ms./Mrs. …………………… has joined on and has been allotted PF Number
    ………………………………….……………...
    B. In case the person was earlier not a member of EPF Scheme, 1952 and EPS, 1995:
     (Post allotment of UAN) The 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
    - Have 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:
     The above PF Account number/UAN of the member as mentioned in (A) above has been tagged
    with his/her UAN/Previous
     Member ID as declared by member.
     Please Tick the Appropriate Option: -
    - The KYC details of the above member in the UAN database have been approved with Digital
    Signature Certificate and transfer request has been generated on portal.
    - As the DSC of establishment are not registered with EPFO, the member has been informed to
    file physical claim (Form-13) for transfer of funds from his previous establishment.

    Date: Signature of Employer Seal of Establishment

    * Auto transfer of previous PF account would be possible in respect of Aadhaar verified employees only.
    Other employees are requested to file physical claim (Form-13) for transfer of account from the previous
    establishment.

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