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ConsentLetterOfMajorityOfEmployees... Q #2

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349En* arRmir mkaiRal aiT*pit n1

Consent Letter ot Nlajority of Employees for \ olunta, Co, era,: under Section 1141
of the Employees' Provident Funds and Miscellaneous Provisions Act. 1952

*m4/To, meat/ Date

atzt +e4.1 Mitt altzlet/The Regional Provident Fund Commissioner.

ft= 4iTTI .._. (*rant z. earft wftn) an win?* nftta RR/ ftftu
TOM znan arftfkan 1952 ft In* 1( 4 ft arms* ft*, *74 ft wernfit * fiie
Sub : Extension of Employees' Provident Funds and Miscellaneous Provisions Act. 1952 under Section
1(4) t o M / s ( i n c l u d i n g b r a n c h e s . e t c . )
- Consent of majority of Employees - Regarding

nere- 4 / Sir.

are ft 4frff (*Rmit Trftn) at


arlizasth anitrr* as.4.14. afri naftvf znant _______ 1 9 5 2 air* ft * * *Wm 3ntri
ar .ufAl a, N, innnt t roar / s 4 nrwr Tram a, 4 - 4re 4 sranftm ______ al atm* 3ift4 Rift an an44
fti* ar 4f4.7 Aft 3irrrn rq* tI Ea aim *t a t f 4 5 van
* anarrasnt act mr rfira Tpra az me iirkral an arm 444

We the undersigned majority of employees of M/s


(including branches etc.) do hereby consent and apply to be covered under the Employees' Provident Funds and
Miscellaneous Provisions Act. 1952 on voluntary basis with effect from ...................... the last date of the
month in which the notification is published in the Gazette of India and we are willing to pay our sham of
Provident Fund contribution at the rate of . 96 We also undertake to abide by the requirements of the
said statute and the rules framed there under as amended from time to time.

2 . vn 3T - 104 * - R * t*4- 441 nftsn tit qzi fa R OM aftafaa________1952 41 we 1( 4) * aimf* war.


3 1 1 4 , 4 m a.aihr wr* *74 wr *- sz

We request that necessary naification under Section 1(4) of the Act may be issued at an early date.

a/ Yours faithfully

97-1 Name RraT , i/ F a t h e r ' s ./Date of Ti,rrET/Signature


SI No name Birth

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