Letter No: A03541190 18-09-2024
To be submitted on company letterhead in duplicate to Regional Provident Fund Commissioner, BANGALORE
To,
Regional Provident Fund Commissioner,
BHAVISHYANIDHI BHAVAN, NO. 13, RAJA RAM
MOHAN ROY ROAD,
Reference: Establishment Code Number BGBNG2871987000
Subject: Submission of Authorized Signatory Information with respect to SERCHEBON
IMPLANTSWISS INDIA PRIVATE LIMITED for claim/returns related matters in
EPFO-regarding.
Sir
The following official is hereby authorized to deal with all correspondences including attestation of claims/ returns for
SERCHEBON IMPLANTSWISS INDIA PRIVATE LIMITED in connection with EPF matters.The specimen signature of the
official are placed below in the prescribed space.
1. The digital signature of the authorized signatory has been uploaded on the portal to digitally sign and forward claims/
returns to EPFO. Necessary action may kindly be taken to enable the digital signature at your end.
Name of the Authorized Designation Specimen Signature Digital
Sl.No. Signatory and Mobile No Signature Valid
1.____________________
HR SENIOR
1 RAMA KISHORE K 2.____________________ 18/04/2026
MANAGER
3.____________________
2. I undertake that:
(a) In case of expiry of validity of digital signature of the authorized signatory, the digital signature in respect of the respective
authorized signatory would be uploaded on the portal after its renewal.
(b) In case of de-authorization of the above official before expiry of the validity of digital signature, the same would be
revoked from the Portal instantly and EPFO would be informed about the same by submitting revocation request letter
immediately for completion of the revocation process.
Thanking You, Yours' faithfully,
Signatures of employer with Company
For EPFO office Use
Signature of employer verified from EPFO office records
Signatures of Dealing Assistant with name stamp Signatures of Assistant Commissioner with name
Date: stamp
Approved on RO/ SRO Portal
Signatures of Nodal officer with Name stamp
Date:
