EMPLOYEES' PROVIDENT FUND ORGANISATION (A statutory Body under the Ministry of Labour and Employment, Government of India) www.epfindia.gov.in PROVIDENT FUND CODE NUMBER INTIMATION LETTER Validity of this letter is of three wage months from date of issue. Based on remittance, inspection and submission of all documents, certificate of coverage will be made available in ECR Login. No: 2527967784GJNRD Date: 12-06-2016 To, Mr. MAHENDRASINGH NARESHSINGH KUSHWAH PROPRIETOR SHIV HUMAN RESOURCE SERVICES A-174 TEJENDRA VIHAR PART-1, VIRATNAGAR, NARODA AHMEDABAD, AHMEDABAD GUJARAT - 382415 Sub: Allotment of Code Number to establishment M/s SHIV HUMAN RESOURCE SERVICES under Employees' Provident Fund and Miscellaneous Provisions Act, 1952-regarding. Sir, Based on the information submitted online by you, your establishment is registered with Employees' Provident Fund Organisation with the following code number : Code Number : GJNRD1481010 This code number is allotted based on the following declarations by you: 1. Name of Establishment : SHIV HUMAN RESOURCE SERVICES 2. PAN of establishment : BAHPK3021P 3. Date on which employment strength crossed 19 : 06-06-2016 4. Section under which covered : 0001(3)(b) 5. Primary Activity : EXPERT SERVICES 6. Ownership Type : PROPRIETORY FIRMS 7. The address proof of the establishment is 1. any license/certificate/number issued by any Govt. authority
8. The proof of date of set up 23-05-2016 is Others. 9. As at the time of application, your establishment is having the following licenses and registrations: S.No. TYPE NUMBER DATE
ISSUED BY ISSUED AT PLACE a Central Excise BAHPK3021PSD001 23-05-2016 SUPRITENDENT AHMEDABAD SERICE TAX 10. As on date of your application, your establishment is registered with ESIC with code number 37001081250001099.
The office under which you have to comply is : SUB REGIONAL OFFICE NARODA Shankar Vijay Saw Mill Compound, Nr G D.High School Bus Stop, 382345 firstname.lastname@example.org Please note that This intimation letter is generated with the Owners' Details in Form 5A and the intimated letter will be valid only if the Form 5A is attached with it.
Important information: 1. By virtue of the sections 1(3)(a) and 1(3)(b) of the Act, it applies on an establishment on its own volition and you as an employer, are required to comply with the provisions of the Act accordingly. The obligations/duties/responsibilities cast upon you as an employer of this establishment and penalties, on account of non-compliance with the same, are explained on our website www.epfindia.gov.in and there is a Application Number : 2527967784 Page 1 of 5 Code Number : GJNRD1481010
link on ECR (Electronic Challan cum Return) portal also for the same. You are required to go through them carefully. A Starter's Kit for compliance under the Act is available for download from the ECR portal a link to which is provided from the epfindia.gov.in home page. 2. Remittance of dues under the provisions of the Act is to be made only through a Challan generated through the ECR (Electronic Challan cum Return) portal. (The process for registration on the portal, preparation of the ECR txt file and related information is available on the website and the portal). 3. In case this letter is produced as a proof of the code number of the establishment, before any person including any Inspector from EPFO, the Form 5A generated through the portal at the time of registration should be a part of this letter. The remittance details of the establishment will be available on the EPFO website through the link "Establishment Search" where from March 2012 wages onwards, all payments with the names of employees are available on the link in cases of remittances made after uploading the ECR.
4. Please quote the Code Number for all the future correspondence with EPFO. This is a system generated letter and needs no signature. Employees' Provident Fund Organisation Encl: Form 5A Dated: 12-06-2016 Application Number : 2527967784 Page 2
FORM No 5A Date: 12-06-2016 EMPLOYEES' PROVIDENT FUND SCHEME 1952 (Please refer Para 36A) EMPLOYEES' PENSION SCHEME 1995 (Please refer Para ) EMPLOYEES' DEPOSIT LINKED INSURANCE SCHEME1976 (Please refer Para 10) (Ist RETURN OF OWNERSHIP AFTER ONLINE APPLICATION FOR CODE NUMBER) [THIS FORM 5A HAS BEEN GENERATED BASED ON ONLINE DECLARATION BY THE EMPLOYER WHILE APPLYING FOR THE CODE NUMBER THROUGH APPLICATION ACKNOWLEDGEMENT NUMBER 2527967784 Date 10-06-2016 AND IS A MANDATORY PART OF THE CODE ALLOTMENT LETTER] 1. Name of the Establishment : SHIV HUMAN RESOURCE SERVICES 2. Code Number of the Establishment under EPF Scheme 1952 : GJNRD1481010 3. Postal address of the Establishment and its branches : A-174 TEJENDRA VIHAR PART-1 VIRATNAGAR, NARODA [No Branch] 4. Industry or business in which engaged : EXPERT SERVICES 5. Date of commencement of business : 23-05-2016 6. Date of closure by previous management : N/A 7. Whether run by owner or lessee : Run by Owner 8. Particulars of owners :
Name Date of Status Father's Name Residential Address Date From Which In Birth Position (a) (b) (c) (d) (e) (f) Mr. MAHENDRASINGH 01-07-1980 PROPRIETOR NARESHSINGH A-174 TEJENDRA VIHAR 23-05-2016 NARESHSINGH PART-1 KUSHWAH 9. In case on lease, particulars of lessee: N/A 10. If registered under Factories Act, particulars of Manager or occupier. N/A Application Number : 2527967784 Page 3
11. Particulars of persons mentioned above who are in charge and responsible for conduct of business of the establishment.
Name Date of Status Father's Name Residential Address Date From Which In Birth Position (a) (b) (c) (d) (e) (f) Mr. MAHENDRASINGH 01-07-1980 PROPRIETOR NARESHSINGH A-174 TEJENDRA VIHAR 23-05-2016 NARESHSINGH PART-1 KUSHWAH Date:
Signature of employer_____________________ Name of Employer________________________ Designation of Employer___________________ Seal of Establishment Mobile number___________________________ Note: Any change in the information given above should be intimated in writing to the Regional Commissioner within fifteen days of such change by registered post and in prescribed manner. Application Number : 2527967784 Page 4
ANNEXURE - I Details of Branches of the Establishment Name Of Unit Address State District PIN Unit Type No Of Employee No branch declared in online application for code number GJNRD1481010 Application Number : 2527967784 Page 5