EPF Joint Declaration Form by Member (Employee) & Employer

If an employee wants to correct his/her basic details in the records of Provident Fund (PF) account, then that employee and his employer are required to submit a joint request to the concerned EPFO field office by submitting a Joint Declaration Form. (Manual Application)

The basic details of the PF member (ie. the employee) that can be requested for correction are:

1) Name of the employee;

2) Father/ Husband Name;

3) PF / EPS Account No.;

4) Date of Birth (DD/MM/YYYY);

5) Date of joining (DD/MM/YYYY);

6) Date of leaving (DD/MM/YYYY).

If there are any other details that may be wrongly entered in the PF records, you can consult with your Employer or EPFO office, they will guide you to the appropriate procedure for rectifying the error.

In order to reduce paperwork and delay in processing the manual applications, EPFO has developed a Unified Portal where members can submit online requests to his/her employer at Member Interface in the Unified Portal for correction in the basic details. (Online Application)

The physical form to be submitted i.e. joint declaration form as prescribed by EPFO is provided hereunder. The format may change from time to time. Do check with the EPFO office or your employer before proceeding.

How to Download the form in word format (.doc) 
1) Go to the document: available here

2) At the top left - click on "File" option - then click on "Download" option - choose 'Microsoft Word (.docx)'

FORMAT

Joint Declaration by the Member and the Employer

Date: .... . .... . ....

To

The Regional P F Commissioner

..................................................... (Branch Office Name)

..................................................... (Complete Address)

Sub: Joint declaration by the member and the employer for correction of ..............
Ref: PF No. ............................, UAN ...........................

Dear Sir,

I, ..........(Name of the Employee)............. am / was an employee / ex-employee of ...........(Name of the Organization)......................., furnishing below herewith correct details with aforesaid establishment. My PF number is ........................ and UAN is .............................

Particulars	Correct	Wrong
Name
Father/ Husband Name
PF / EPS Account No.
Date of Birth (DD/MM/YYYY)
Date of joining (DD/MM/YYYY)
Date of leaving (DD/MM/YYYY)

I am also enclosing herewith self attested copy of ID proof (Any one of PAN card/ Voters’ Identity Card / Passport / Driving License / Aadhar Card) for your ready reference and verification purposes in support of the correct details as mentioned above.

Therefore, you are requested to make necessary changes in your records (if required) under intimation to me.

An early action in this regard will be highly appreciated.

Thanking you,

Yours faithfully,

Name & Signature of Applicant : .......................

Name of Authorized Signatory : .........................

Signature With Establishment Seal : ...................

Encl.: As Above