Consent of Employer for Voluntary Coverage
Under The Employees’ Provident Funds and
Miscellaneous Provisions Act, 1952
From                                                               To
                                                                        The Regional Provident Fund Commissioner
                                                                        Regional Office, Vellore
                                                                        S-1, T.N.H.B., Phase-III Sathuvachari
Vellore-632 009.

Sub: Extension of Employees’ Provident Funds and Miscellaneous Provisions Act, 1952 under Sections 1(4) on voluntary basis – Consent and request for – Regarding.


1.                  I / We………………………………………………………..the Proprietor / Director / Partners of M/s.






do hereby apply for coverage under section 1(4) of 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 Gazatte of India.  I / We, as employer(s), do hereby undertake to & will pay my / our share(s) of Provident Fund & Family Pension Fund Contributions at the rate of as provided under Sections 6 and 6A of the said Act read with paragraph 29 and 38 of Employees’ Provident Fund Scheme, 1952 and Paragraphs 9 and 12 of the Employees’ Family Pension Scheme 1971 and Administrative Charges as provided under paragraphs 38 and 39 to the Employees’ Provident Fund Scheme and to abide by all provisions and requirements of the said statute and the rules framed thereunder as amended from time to time.