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(FORM 2 REVISED) NOMINATION AND DECLARATION FORM …

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( form 2 REVISED) NOMINATION AND DECLARATION form FOR UNEXEMPTED/EXEMPTED ESTABLISHMENTSDeclaration and NOMINATION form under the Employees Provident Funds and Employees Pension Schemes(Paragraph 33 and 61 (1) of the Employees Provident Fund Scheme 1952 and Paragraph 18 of the EmployeesPension Scheme 1995)1. Name (IN BLOCK LETTERS) : ________________________________________ _______________________________________ Name Father s / Husband s Name Surname2. Date of Birth : ___________________ 3.

Declaration and Nomination Form under the Employees Provident Funds and Employees Pension Schemes (Paragraph 33 and 61 (1) of the Employees Provident Fund Scheme 1952 and Paragraph 18 of the Employees Pension Scheme 1995) 1. Name (IN BLOCK LETTERS) : _____ Name Father’s / Husband’s Name Surname 2. Date of Birth : _____ 3. ...

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