The employee provides a self-declaration stating that they are employed by a service provider or subcontractor working at a specific project site. The employee lists their PF account number and declares that they are unwilling to contribute to their PF beyond the statutory limit of Rs. 6500 basic wages. They request that their PF contribution be remitted considering basic wages up to Rs. 6500 only.
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Declaration sample english-dlro epfo
1. THE EMPLOYEES PROVIDENT FUND SCHEME, 1952(Paragraph 34) and
THE 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: