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Form11 1596445998880

This document contains a declaration form filled out by Prasad, who is taking a new job at Tata Consultancy Services Limited. In the form, Prasad declares that he was previously employed elsewhere and left his previous jobs, but did not withdraw any provident or pension funds from those employments. He also declares that he does not have a Universal Account Number or pension contributions in other countries. The employer section then notes that Prasad has been appointed as a Graduate Trainee at Tata Consultancy Services effective August 24, 2020 and been assigned a new provident fund account number.

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Prasad Poojary
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78 views2 pages

Form11 1596445998880

This document contains a declaration form filled out by Prasad, who is taking a new job at Tata Consultancy Services Limited. In the form, Prasad declares that he was previously employed elsewhere and left his previous jobs, but did not withdraw any provident or pension funds from those employments. He also declares that he does not have a Universal Account Number or pension contributions in other countries. The employer section then notes that Prasad has been appointed as a Graduate Trainee at Tata Consultancy Services effective August 24, 2020 and been assigned a new provident fund account number.

Uploaded by

Prasad Poojary
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Applicant ID: 1357929

Form 9 (Revised)
THE EMPLOYEES' PROVIDENT FUNDS SCHEME, 1952 (Paragraph 34)
AND
THE EMPLOYEES' PENSION SCHEME, 1995 (Paragraph 24)
Declaration by a person taking up employment in an establishment in which the Employees'
Provident Funds & Employees' Pension Scheme enforce

I, Prasad Son of Sh. Prabhakar Poojary do hereby solemnly declare that:

(a) I was employed with NA, NA with PF A/c Number NA and left service on NA prior to that, I was employed in NA, NA with
PF A/c Number NA from NA to NA.

(b) I am a member of the Pension Fund from NA to NA .

(c) I have withdrawn the amount of my Provident Fund. - NA

(d) I have withdrawn the amount of my Pension Fund. - NA

(e) I have drawn any benefits under the Employees Pension Scheme, 1995 in respect of my past service in any
establishment. - NA

(j) I have not contributed to the social security programme in NA from NA to NA, which has not entered into a Social
Security Agreement with India.

(g) Do you have a Universal Account Number (UAN): No

Universal Account Number Aadhar NPR PAN

NA 7800-1466-4117 NA FUWPP1957G
(h) Bank Account Number Linked with UAN : NA

Bank Account Number IFSC Code

NA NA

Date : _____________________ Signature of employee


---------------------------------------------------------------------------------------------------------------------------------------------------------

(To be filled by the employer)

1) Shri/Smt/Kumari Prasad is appointed as Graduate Trainee in Tata Consultancy Services Limited, with effect from 24-
AUG-2020 bearing Provident Fund Account Number: MH/BAN/48475/000/ ________________

03-Aug-2020 Page 1 of 2
Tata Consultancy Services Limited
10th Floor, Air India Building, Nariman Point,
Mumbai 400 021.

03-Aug-2020 Page 2 of 2

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