Pf, Esi, Placement, Payroll & Labour

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Hi everybody,
Recently EPF department has made it mandatory for every member of EPF / company covered under PF to fill in a Form for allotment of Social Security NUmber.
The application form for this purpose is available on their website but it is not clear and almost unreadable .
IF anybody has this form in clear readable format, can you please forward me at ?

Kindly click on the following link, it will give you some required information,

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