Gramin Digital Seva

Employees' Provident Fund Organisation

Date of Birth Correction Request Form

1. Member Details

Full Name (as per Aadhaar)

Father’s/Spouse’s Name

UAN Number

Gender Select Male Female Other

Marital Status Select Single Married

Nationality

2. Contact & Address Details

Mobile Number

Email ID

Residential Address

City

State

PIN Code

Country

3. KYC & Account Details

Aadhaar Number

PAN Number

4. Date Of Birth Correction

Wrong DOB (as per PF)

Correct DOB (as per Aadhaar)

Payment Mode

Payment Mode Select Google Pay PhonePe Paytm

Scan & Pay

Transaction ID & UTR

5. Declaration

I hereby declare that all information provided is true and correct to the best of my knowledge. I agree to abide by the terms and conditions of HDFC Bank.

Place

Date