Muster Roll Cum Wages Register

 I have Attached Muster Roll Cum Wages Register

(FOR UNEXEMPTED ESTABLISHMENTS ONLY)

THE EMPLOYEES’ PROVIDENT FUND SCHEME, 1952

(Paragraph 34)

AND

THE EMPLOYEES’ FAMILY PENSION SCHEME 1971

Declaration by a person taking up employment in an establishment in which the Employees Provident Fund and Family Pension Fund Scheme are in Force.

 

I, ____________________________________son/wife/daughter of Shri / Smt. _________________________ do hereby solemnly declare that

 

(a) I was last employed in M/s _________________________________________________________

(Name & full address of the establishment)

and left services on _______________________________________(Prior to that I was employed with

M/s____________________________________ from _______________to ______________

(date)                            (date)

(b)     I was a member of _____________________________________________Provident Fund and also of the family pension fund from ________________________to ___________________and my account number(s) was / were ___________________________________________________

(c)     I have / have not withdrawn the amount of my Provident Family Pension Scheme.

(d)     I have / have not drawn superannuation benefits in respect of my past services from an employer.

(e)     I have never been a member of any Provident fund and / or Family Pension Scheme.

 

 

 

(To be filled in by the employer only when the person employed had not already been a member of the Employees’ Provident Fund)

Shri_______________________________________ is appointed as _______________________________

(Name of the employee)                                                                        (Designation)

in ____________________________________________________________________________________

(Name of the Factory / establishment)

with effect from ______________________________.

(Date of Appointment)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N.B.: The Principal employer should have filled it up also n respect of employees to be employed by through a contractor.

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