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  • PF For M 5

    Transféré par

    bhujabali
    25 vues2 pages
    Return of Employees' qualifying for membership of the Employees' PROVIDENT Fund, Employees' Pension Fund and Employees' Deposit Linked Insurance Fund for the first time during the month of : name and address of the Factory / Estt.: Code No. Of the Factory: Sl. No. Account No. Name of the Member (In the block capitals) Total period of previous service as on Remarks the date of joining the FUND (Enclose SCHEME certificate if applicable)

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    PF For m 5

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    Return of Employees' qualifying for membership of the Employees' PROVIDENT Fund, Employees' Pension Fund and Employees' Deposit Linked Insurance Fund for the first time during the month of : name and address of the Factory / Estt.: Code No. Of the Factory: Sl. No. Account No. Name of the Member (In the block capitals) Total period of previous service as on Remarks the date of joining the FUND (Enclose SCHEME certificate if applicable)

    Droits d'auteur :

    Attribution Non-Commercial (BY-NC)
    Téléchargez comme RTF, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    25 vues2 pages

    PF For M 5

    Transféré par

    bhujabali
    Return of Employees' qualifying for membership of the Employees' PROVIDENT Fund, Employees' Pension Fund and Employees' Deposit Linked Insurance Fund for the first time during the month of : name and address of the Factory / Estt.: Code No. Of the Factory: Sl. No. Account No. Name of the Member (In the block capitals) Total period of previous service as on Remarks the date of joining the FUND (Enclose SCHEME certificate if applicable)

    Droits d'auteur :

    Attribution Non-Commercial (BY-NC)
    Téléchargez comme RTF, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 2

    Form-5

    Employees' Provident Fund Organisation


    THE EMPLOYEES' PROVIDENT FUND SCHEME,1952[Para 36 (2) (a) ] AND THE EMPLOYEES' PENSION SCHEME,1995 [Para 20 (4) ]
    Return of Employees' qualifying for membership of the Employees' Provident Fund , Employees' Pension Fund & Employees' Deposit Linked Insurance Fund for the first time
    during the month of :

    Dec/2013

    Name and address of the Factory / Estt.:

    CONCEPTIA SOFTWARE TECHNOLOGIES PVT LTD


    118, 3rd Cross, 5th Block, 3rd Phase, Banashankari 3rd Stage, Bangalore-560085

    Code No. of the Factory / Estt.:

    Sl.
    No.

    Account No.

    BG/MRD/0041028/

    Name of the Member


    (In the block capitals )

    Father's Name (or


    Date of birth Sex
    husband's name in case of
    married women)

    Date of
    joining the
    Fund
    7

    1 BG/MRD/0041028/475SANJEEV M

    MOUNESHWARAPPA

    12/Mar/1984

    01/Dec/2013

    2 BG/MRD/0041028/478HARICHARAN KUMAR V

    VIJAY KUMAR M V

    15/Oct/1987

    02/Dec/2013

    3 BG/MRD/0041028/480ASHWIN D

    DURAIRAJAN S

    15/Jun/1992

    02/Dec/2013

    4 BG/MRD/0041028/481HARSATH SAI BABU D

    A R DEVARAJAN

    09/Apr/1992

    02/Dec/2013

    5 BG/MRD/0041028/482SATHEESH KUMAR B

    BOOPATHY G

    16/Nov/1991

    02/Dec/2013

    6 BG/MRD/0041028/483JAYAVIGNESH

    VENUGOPAL V

    22/Sep/1992

    02/Dec/2013

    7 BG/MRD/0041028/484SARASWATHY P

    PARTHEEPAN P

    13/Nov/1991

    02/Dec/2013

    8 BG/MRD/0041028/485VIMALATHITHAN S

    SUNDER RAJ

    25/Nov/1991

    02/Dec/2013

    9 BG/MRD/0041028/486RONI VINCENT

    VINCENT PAUL P

    01/Mar/1992

    02/Dec/2013

    10 BG/MRD/0041028/487SAMUEL KINGSTON Z

    ZECHARIAH S

    12/Jul/1992

    02/Dec/2013

    11 BG/MRD/0041028/488ARUN BHASKAR

    BHASKARAN K

    03/Jan/1992

    02/Dec/2013

    12 BG/MRD/0041028/489ROSHAN P

    UMMER FALOOK P

    18/Dec/1990

    02/Dec/2013

    13 BG/MRD/0041028/490PANDIYAN S

    SIVAPRAKASAM T

    20/Dec/1992

    02/Dec/2013

    14 BG/MRD/0041028/491ARSHAD A

    ABU BAKER

    28/Oct/1991

    02/Dec/2013

    Date :

    Stamp of the Factory / Est.

    Total period of previous service as on Remarks


    the date of joining the Fund (Enclose
    Scheme certificate if applicable)
    8

    Signature of the employer or other authorised officer of the Factory / Establishment

    Form-5
    Employees' Provident Fund Organisation
    THE EMPLOYEES' PROVIDENT FUND SCHEME,1952[Para 36 (2) (a) ] AND THE EMPLOYEES' PENSION SCHEME,1995 [Para 20 (4) ]
    Return of Employees' qualifying for membership of the Employees' Provident Fund , Employees' Pension Fund & Employees' Deposit Linked Insurance Fund for the first time
    during the month of :

    Dec/2013

    Name and address of the Factory / Estt.:

    CONCEPTIA SOFTWARE TECHNOLOGIES PVT LTD


    118, 3rd Cross, 5th Block, 3rd Phase, Banashankari 3rd Stage, Bangalore-560085

    Code No. of the Factory / Estt.:

    Sl.
    No.

    Account No.

    BG/MRD/0041028/

    Name of the Member


    (In the block capitals )

    Father's Name (or


    Date of birth Sex
    husband's name in case of
    married women)

    Date of
    joining the
    Fund
    7

    15 BG/MRD/0041028/492KARTHIK KUMARAN M

    MURALIDHARAN S

    24/Aug/1992

    02/Dec/2013

    16 BG/MRD/0041028/493NIRMAL RAJ

    RAJAN K S

    18/May/1991

    02/Dec/2013

    17 BG/MRD/0041028/494DINAKARAN M

    MAHALINGAM

    21/Oct/1990

    02/Dec/2013

    18 BG/MRD/0041028/495Avinash Kumar

    Abhimanyu Prasad Singh

    03/Dec/2013

    19 BG/MRD/0041028/496JOSHUVA MACVIN LAL P

    PRABHAKARAN DAVID

    20/Sep/1990

    16/Dec/2013

    20 BG/MRD/0041028/497JALIL GNANIAR

    JAMAL MOHAMED

    01/Sep/1973

    23/Dec/2013

    21 BG/MRD/0041028/498AKANSHA SHARMA

    AP SHARMA

    22/Jan/1987

    10/Dec/2013

    Date :

    Stamp of the Factory / Est.

    Total period of previous service as on Remarks


    the date of joining the Fund (Enclose
    Scheme certificate if applicable)
    8

    Signature of the employer or other authorised officer of the Factory / Establishment

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