FORM No 5A Date : 11-Aug-2025
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 BY ONLINE FILLING/ UPDATION OF FORM 5A THROUGH ECR LOGIN
OF EMPLOYER. APPLICATION NUMBER IS 10000156046.]
Code Number : PBCHD1751244000
1. Name of Establishment : Telenet Marketing Private Limited
2. Code Number of the Establishment under EPF : PBCHD1751244000
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3. Postal address of the Establishment and : Telenet Marketing Private Limited, Sco 1128-29 2nd Level Sector-22b,
its branches Chandigarh, CHANDIGARH, CHANDIGARH - 160022
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4. Industry or business in which :
ELEC, MECH OR GEN ENGG PRODUCTS
5. Date of commencement of business :
01/01/2006
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6. Date of closure by previous :
N/A
7. Whether run by owner or lessee :
Run by Owner
8. Particulars of owners :
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S. Name Date of Status Father's Name Residential Position
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No. Birth Address Date
1 Mr. PARDEEP 08/02/1972 DIRECTOR BAL KRISHAN PARDEEP KUMAR 01/02/2006
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KUMAR AGGARWAL AGGARWAL AGGARWAL HOUSE NO
2261 SEC - 35C
CHANDIGARH
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CHANDIGARH
CHANDIGARH 160036
2 Ms. RUCHI 14/01/1978 DIRECTOR TARSEM LAL RUCHI AGGARWAL 01/02/2006
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AGGARWAL GOYAL HOUSE NO 2261 SEC -
35C CHANDIGARH
CHANDIGARH
CHANDIGARH 160036
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9. In case on lease, particulars of : N/A
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S.No. Name Date of Birth Father's Name Residential Address Position
Date
10. If registered under Factories Act, particulars of : N/A
11. Particulars of persons mentioned above who are incharge and responsible for conduct of
S. Name Date of Status Father's Name Residential Position
No. Birth Address Date
Application Number : 10000156046 Page 1 of 4
Code Number : PBCHD1751244000
S. Name Date of Status Father's Name Residential Position
No. Birth Address Date
1 Mr. PARDEEP 08/02/1972 DIRECTOR BAL KRISHAN PARDEEP KUMAR 01/02/2006
KUMAR AGGARWAL AGGARWAL AGGARWAL HOUSE NO
2261 SEC - 35C
CHANDIGARH
CHANDIGARH
CHANDIGARH 160036
Date:
ANNEXURE - I
Details of Branches of the Establishment
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ANNEXURE - II
List of Branches having Separate/ Sub Code Number
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ANNEXURE - III
Details of Bank Account Number
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No. IFSC CODE BANK NAME BRANCH NAME ACCOUNT NO ACCOUNT TYPE PRIMARY
ACCOUNT
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1 BKID0006203 BANK OF INDIA SECTOR 35 C-P 620330110000053 CURRENT YES
BANKING
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Copy of cheque of the primary account number : 620330110000053
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Application Number : 10000156046 Page 2 of 4
Code Number : PBCHD1751244000
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Application Number : 10000156046 Page 3 of 4
Code Number : PBCHD1751244000
SPECIMEN SIGNATURE CARD
To be submitted with all documents after the Code number is allotted through the online
FULL NAME OF THE AUTHORISED SIGNATORY __________________________________________________
Name of Establishment : Telenet Marketing Private Limited
Address of the Establishment : Telenet Marketing Private Limited, Sco 1128-29 2nd Level Sector-22b, Chandigarh,
CHANDIGARH, CHANDIGARH - 160022
Code Number of the : PBCHD1751244000
STATUS OF THE SIGNATORY : # EMPLOYER / AUTHORISED SIGNATORY
# Strike whichever is not applicable
SPECIMEN SIGNATURE 1. _____________________________
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2. _____________________________
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3. _____________________________
SPECIAL INSTRUCTION, IF ANY _______________________________________________________
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SPECIMEN SIGNATURE OF Mr/Ms _______________________________________________________
Signature of employer _____________________________
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Name of Employer _____________________________
Designation of Employer
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Seal of Establishment Mobile number _____________________________
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[ ] Please tick if "Not Applicable" due to upload of digital signature
To be submitted separately for each Authorised Officer, if more than one.
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Not to be submitted in this format if the employer after allotment of code number has uploaded digital signatures of the
Authorised signatories.
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In such case the letter generated from the portal after uploading the digital signature(s) to be sent.
In case of upload of digital signature, when page (6) specimen signature card is not applicable, strike this, but keep as
enclosure to the form 5A.
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Application Number : 10000156046 Page 4 of 4
Code Number : PBCHD1751244000
