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Get IN Nomination and Declaration Form for Unexempted Establishments (Form 2)

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. Account No. ___________________ 4. *Sex : MALE/FEMALE: ______________________ 5. Marital Status ________________________________________ 6. Address Permanent / Temporary : ____________________.

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