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whet fe PART PRT ao er Per, 1052 & ere + 4) sit
‘sheer 8 eater & fire iter tert ar et
Consent Letter of Majority of Employees for Voluntary Coverage under Section (4)
of the Employees” Provident Funds and Miscellaneous Provisions Act, 1952
ta 4/To, anita /Date 22-7.
rst after FAY aTgART/ The Regional Provident Fund Commissioner,
Pe 7 a Gs
fava: te (erearg cen iba) at oferty ter ART fer
seb der RAPE 1952 eet (4) eb skeen ae A
Sub; Extenbion of Emplayes’Povient Funds and Miseslpeoys Provisions Act, 1952 under Seton 1)
to Mis ...M@t.. Managam pai... hSSoe' sus (including branes, ete.) ~
Consent of majority of Employees ~ Regarding
eke / Sir,
eH oreheeen®) dere : nee (OCT RC)
ator afer wf, oe weit ae afr, 1052 @ aime Fe. e etfow ory
cae are RY wer TT EH ARE gS aToTE A meme TAT a sievfe we A ifr HT wt et
fired wr fey PAR aierert a after a ae a 8A at gage) ee wer A ade fh OTT
ra BY onerearl) PY ce wr eT ow HY aT aT TET wT
We the undersigned majority of employees of Mis ...avagampatt Associate
cluding branches ete) do hereby consent and apply tobe covered under the Employees’ Provident Funds and
Miscellaneous Provisions Act, 1952 on voluntary basis with effect from 22.7.8. 2.°%Ahe last date of the
month in whigh the nication is published in the Gazzte of India, and we are willing to pay our share of
Provident Fund contribution at the rate of .. ....% We also undertake to abide by the requirements of the
sai statute andthe rules framed there unde as amended fom time to time.
2. or oper we BAS nine ae FAY PT a Te APTN 1952 A eT (4) & sieer se
cote seer one are aT ae
We request that necessary notification under Section 1(4) of the Act may be issued at an early dee.
regia Yours faithfully
art / Name ‘foet ar aH /Father's | a fait /Date of ‘eee / Signature
SINo name Birth
Kanif Keme | ranibnas ail 211997 eer
ae
2 Sumi Gurhnte | AShOK Gunsh ne] 03-11-1998 fo
3 jor Babar | Boban 1388
meses Taylor tee MH (So
Page 1 of 4OTT 104) & skerfe fore at ty Aa -
(@"8) Consent of majority of Employees of Mis
coverage under Section 1(4) (Continued)
4 | Pima Bharti | Batterushna
Brant}
Oa 1-971 Fol —
10
"1
12 ]
13
14
15
16
17
18
19
4# put additional sheets ifso required
Sa—
fae rer at
Counter Signed by Employer
Page 2 of aFritore # aes Consent of Employer
‘wen aii Re ger ee ca Pet & eo meat er a rot 8
We. momacuddhy. Kamit Kayne. et ee a
mererDiretorPariner of Mis... Managampali Aasadighe "ic hereby apply for coverage
pase Section (4) ofthe Employes” Provide Funds and Miscellaeors Prog s Act, 1952 on voluntary
basis with effect from..O22.2S:.8O2. the lect date of the month in which the Notification is
Published in the Gazette of India. We, as employer(s), do heret undertake to and will pay ‘my our share of
Provident Fund and Pension Fund contribution at the rate of ....“23 «--% as provided under Section 6 and 6A
pte said Act read with paragraph 29 and 38 of Employees’ Providers hones Scheme, 1952 and paragraph 4 of
EmmicBees Psion Scheme.1995 and Administrative charges as provided ence Paragraphs 38 and 39 of
dnd cag toviden Funds Scheme 1952 and to abide by al provisions ad nani ofthe said status
and the rules frame there under as amended from time to tines,
2 siren ate sitar & at Reet afters a we 8 rar wet & fey yaw t yer afer
Foe Feet Se AMET eT oud inks en ng a @ Geted @ oeeeen ey Re
‘were B 1 ee vider A ret far wee dior #1
The majority of the employees are willing to pay their shares of contributions at the rate of ..\%.... % and
have agreed to comply withthe provisions of the Employees" Provider: Peon aa Miscellaneous Provisions
‘Act 1982 and the Scheme framed there under. The writen conscmt to thc einen enclosed,
ane, RR we ee wer le ag Pa amy wh
Sohcine® mPloyerts) do hereby undertake to and will pay the Employees" Deposit Linked Insurance
pattem: 1976 Contributions atthe rate of 0.5% as provided under Stetina or the said Act read with
Pan 3 ck ate ceald Scheme and Administrative Charges at the rate of ©0196 so provided under
Fane esc ite Scheme and to abide by all provisions and requirements andthe scat and the rules
framed there under from time to time,
6. ase Prater (at) & we mol & sirens ah ae - afcrere 4 3 fy IE aftr ae &, gor
A /em want after Fa aan, tesz fr 20 afer Pde weg Ar chm, 1076 @ et @ sine
ee Pee SR aR we Peer Teer meres HMR TAM et weekend
UNG: As Employers) have no objection tothe workers, contibution atthe rate of. Veeeasartees 96
dime to amanda fo Pay the necessary administrative charges as fixed by the Contal Gesenggent from
time to time under paragraph 39 of the Employees’ Provident Funds Scheme, 1952 and paragraph 8 of the
Employees’ Deposit Linked Insurance Scheme, 1976,
Page 3 0f46 Ste fel AR a ae A ae 4) a are gE a we fe nee
reer 2
Necessary Arrangements may kindly be made to issue the necessary n under Section 1 (4) of the
Act, by the Central Provident Fund Commissioner.
‘adh / Yours faithfully
Se
‘ratore (ei) er eve: / Signature of Employerts)
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