This document is a form that must be filled out by employers to report employees who are required to be members of the Employees' Provident Fund and Pension Fund schemes under Indian law. The form collects information such as the name and address of the factory or establishment, details about the industry, registration number, date of pension scheme applicability, and signatures of authorized officials. It notes that each employee must also submit a declaration form and changes to authorized officials must be reported.
This document is a form that must be filled out by employers to report employees who are required to be members of the Employees' Provident Fund and Pension Fund schemes under Indian law. The form collects information such as the name and address of the factory or establishment, details about the industry, registration number, date of pension scheme applicability, and signatures of authorized officials. It notes that each employee must also submit a declaration form and changes to authorized officials must be reported.
This document is a form that must be filled out by employers to report employees who are required to be members of the Employees' Provident Fund and Pension Fund schemes under Indian law. The form collects information such as the name and address of the factory or establishment, details about the industry, registration number, date of pension scheme applicability, and signatures of authorized officials. It notes that each employee must also submit a declaration form and changes to authorized officials must be reported.
This document is a form that must be filled out by employers to report employees who are required to be members of the Employees' Provident Fund and Pension Fund schemes under Indian law. The form collects information such as the name and address of the factory or establishment, details about the industry, registration number, date of pension scheme applicability, and signatures of authorized officials. It notes that each employee must also submit a declaration form and changes to authorized officials must be reported.
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FORM - 9 (Revised)
THE EMPLOYEES' PROVIDENT FUND SCHEME, 1952 [PARA 36(1)] AND THE EMPLOYEES' PENSION SCHEME, 1995 [PARA 20(1)] RETURN OF EMPLYEES WHO ARE ENTITLED AND REQUIRED TO BECOME MEMBERS OF EMPLOYEES' PROVIDEND FUND AND PENSION FUND
Code No. Name & Addressof the Factory / Establishment
Industry in which the Factory / Establishment is engaged Date of Coverage
Registration No. of the Factory / Establishment Date from which Employees' Pension Scheme is applicable
If Factory / Establishment is covered under E.S.I. Act inidicate the Code No. allotted under E.S.I. E.S.I. Code No.
If not, furnish the details of the designated Medical Officer of the Factory / Establishment Name of the Designated Medical Officer
SPECIMEN SIGNATURE OF THE EMPLOYER OR AUTHORISED OFFICAL
SL.NO. NAME DESIGNATION SPECIMEN SIGNATURE
Remarks, if any :
Signature of the Employer or other Authorised Officer
Date and stamp of Factory / Establishment Notes : (1) This Form should be accompanied by declaration in Form 2 by every Employee. (2) Any change in the Authorised Offical / Designated Medical Officer should be intimated to the Commissioner FORM - 9 (Revised) No. of Employees enrolled as members on the sate of Coverage RM - 9 (Revised) 52 [PARA 36(1)] AND THE EMPLOYEES' PENSION SCHEME, 1995 [PARA 20(1)] RED TO BECOME MEMBERS OF EMPLOYEES' PROVIDEND FUND AND PENSION FUND
Date from which Employees' Pension Scheme is applicable
SPECIMEN SIGNATURE
Signature of the Employer or other Authorised Officer
Date and stamp of Factory / Establishment FORM - 9 (Revised)
THE EMPLOYEES' PROVIDENT FUND SCHEME, 1952 [PARA 36(1)]
