Date: 07/09/2013

The Regional P.F. Commissioner.

F-117/118, Vijay Chowk,
Main Market Laxmi Nagar,
Delhi-110092
Sub: Allotment of new E.P.F. Code No. W.e.f. 07th Sep,2013
Dear Sir,
We are submitting herewith the following documents for allotment of new Provident Fund Code
No.:
1. Pro-forma for coverage on Companys letterhead.
2. Copy of Certificate of Incorporation for proof of date of set up.
3. Copy of service tax registration no.
4. Copy of PAN No. of firm.
5. Resolution for Authorize Signatory for EPF Department.
6. NOC from Owner for use of premises proof of address.
7. One work orders for award of contract.
8. Detail of employees with wages.
9. Month wise detail of employees.
10. Cancelled Cheque for proof of bank Account.
11. Pro forma for allotment of business Number.

We hope you will find the same in order. Kindly register us with your department and allot us a
new P.F. Code Number and oblige.
Thanking You,
Yours truly,
For M.I.BUILDTECH PVT. LTD.

Authorized Signatory
Enc.: As stated above

PROFORMA FOR COVERAGE

1. Name of Establishment
and Address (Redg. Office)

: M/s M.I.BUILDTECH PVT. LTD.

T-196, GALI No. 1, GAUTAM PURI, MAIN
ENGINEERING COLLEGE ROAD,

SHASHTRI PARK,
DELHI-110053

2. Detail of Branch Office/

As above

with address.

3. Detail of Code No. if any

No

05th Auguest,2011

Allotted to the Head Office

4. Date of incorporation/Set up

5. Employment Strength
i)

At present

21 (As on 18-11-2012)

ii)

Month-wise employment

Detail of employees Separate encl.

Strength

6. Nature of business activity

CIVIL CONTRACTOR

7. Detail of legal Set-up of the

Company

Establishment

8. Details of employers/ownership

Mr. SARTAJ KHAN, PARTNER

Particular Names, Designation

C-81, GALI No. 11/6, CHAUHAN BANGAR

DELHI-110053

9. Wages disbursed for the month

10. Detail of Bankers & A/c No.

DECEMBER,2012

60083869432
BANK OF MAHARASHTRA
Press Enclave,
New Delhi-110017

11.
12. Income Tax PAN No.

AADFI5278B (Copy enclosed)

13. Details of employees

Separate Sheet enclosed

14. Details of Bank Draft

BANK NAME
DRAFT No.

: State Bank Of India

: 341245

Dated

: 18/12/2012

Amount

: 9,000/-

VERIFICATION

It is verified that the details furnished above are correct to the best of our knowledge and belief. It is
clearly understood that we are liable for coverage from a date antecedent to the date of set up
furnished above and legal consequences in the event of furnished above and other legal consequences
in the event of furnishing of false information.

Date: 19/12/2012
DETAIL OF EMPLOYEES WITH WAGES

S.No.

NAME OF EMPLOYEE

FATHERS NAME

JOINING

WAGES

ABHINAV KAUSHIK

NIRANJAN KAUSHIK

05-Aug2011

6500

ZUHAIB KHAN

MUGISS KHAN

05-Aug2011

5500

RAKESH ANAND

S.S. ANAND

01-Apr2012

3800

MOHD. HASEEN

SHARIF AHMED

01-Apr2012

3800

DEPENDRA

NAND RAM

18-Nov2012

3650

RAMSAKAL

SIYA RAM

18-Nov2012

3650

SUBARATI

MOHD. JAMAL

18-Nov2012

3650

JEETU

BALI RAI

18-Nov2012

3650

GOBIND RAI

JAINANDAN RAI

18-Nov2012

3650

10

RAJENDRA PRASAD

BAHADUR PRASAD

18-Nov2012

3650

11

KAPIL DEV

LIL MOHAN SINGH

18-Nov2012

3650

12

JANARDHAN

RAMPRASAD SINGH

18-Nov2012

3650

13

ROBIN RAI

HARI MOHAN RAI

18-Nov2012

3650

14

HARI RAI

TARNI PRASAD SINGH

18-Nov2012

3650

15

SURENDRA RAI

SHIVLAL RAI

18-Nov2012

3650

16

JAMUNA

PANCHANAND SINGH

18-Nov2012

3650

17

SONA LAL

VISHUN

18-Nov2012

3650

18

BUDHAN

BALESHWAR SINGH

18-Nov2012

3650

19

ASHOK RAI

GANESH RAI

18-Nov2012

3650

20

SURESH RAI

HARI RAI

18-Nov2012

3650

21

SHANKAR

RAM JEET

18-Nov2012

3650

Date: 19/12/2012

MONTHWISE DETAIL OF EMPLOYEES

YEA
R

JAN

FEB

MAR

APR

MAY

JUN

JUL

2011
2012

AUG

SEP

OCT

NOV

DEC

21