DECLARATION FORM


APPENDIX C

Annexure I (Refer Para 2.2)

 

 

 

 

I,                          hereby declare that I have carefully read and understood the terms and conditions contained in “The Institution of Electronics and Telecommunication Engineers Contributory Provident Fund Regulations”.

 

 

Certified that the above statement is true and correct.

 

 

 

 

Signature

 

 

Date                                                            Name

 

 

 

                                                                  APPENDIX ‘C, ANNEXURE II

 

Photograph to be attached.

 

 

 

1.           Name of the Employee              :

2.           Educational Qualifications         : (Attach certificates)

3.           Date of joining in the service     : Of the Institution.

4.           Permanent Address                   :

5.           Date of Birth                             : (Certificate to be attached)

6.           Next of kin                               :

7.           Nominee for the purpose of       : PF and Gratuity

8.           Copy of the matriculation         : Certificate to be attached.

 

 

 

 

Signature

 

 

Date