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    Part A: Personal

    Uploaded by

    pravesh kumar pream
    Uhj

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    © All Rights Reserved
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    Part A: Personal

    Uploaded by

    pravesh kumar pream
    3 views2 pages
    Uhj

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    Uhj

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    3 views2 pages

    Part A: Personal

    Uploaded by

    pravesh kumar pream
    Uhj

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

    ( Tracking ID: 10143322109205002 )


    Claim Date : 21/10/2021
    EMPLOYEES' PROVIDENT FUND SCHEME, 1952
    (PARA 57)

    (This form has been printed on the basis of Online Transfer Claim Form filled up by the member under Unified Portal for submission to the
    employer.)

    To,
    The Regional P.F. Commissioner,
    DELHI (SOUTH),
    EPFO Complex, Plot No. 23 Behind ACP Office,Sector-23,Dwarka, New Delhi

    Sir,
    I request that my Provident Fund balance along with my Pension Service Details may please be transferred to my present
    account under intimation to me. My details are as under :

    PART A : PERSONAL

    1. Name : PRAVESH KUMAR

    2. Mobile Number : 9534896426

    3. E-mail id : [email protected]

    4. Bank Account Number : 15200110058244

    5. Bank IFSC : UCBA0001520

    PART B : DETAILS OF PREVIOUS PF ACCOUNTS (WHICH IS TO BE TRANSFERRED)

    1. PF Account No. (with EPFO : DSNHP09398040000064693

    2. Name of the Establishment : KUTUMBH CARE PVT LTD

    3. Address of the Establishment : 216-A, 2ND FLOOR GAUTAM NAGAR NEW DELHI 190

    4. PF A/C No. held by : DELHI (SOUTH)

    5. Name of the Trust : NOT APPLICABLE

    6. PF A/C No. in Trust : NOT APPLICABLE

    7. Bank A/C No. of Trust : NOT APPLICABLE


    8. IFS Code of the Bank Branch of
    Trust where account is : NOT APPLICABLE

    9. Member's Name : PRAVESH KUMAR

    10. Date of Birth : 04/01/1993

    11. Father's/Spouse Name : PAGAL MANDAL

    12. Relationship : FATHER

    13. Date of joining : 12/03/2019

    14. Date of leaving : 26/03/2019


    PART C : DETAILS OF PRESENT PF

    1. PF Account No. (with EPFO : MRNOI15495220000019420

    2. Name of the Establishment : AYUSH ENTERPRISES

    3. Address of the Establishment : B-148 POCKET P 3 GREATER NOIDA 234

    4. PF A/C No. held by : SRO NOIDA

    5. Name of the Trust : NOT APPLICABLE

    6. PF A/C No. in Trust : NOT APPLICABLE

    7. Bank A/C No. of Trust : NOT APPLICABLE


    8. IFS Code of the Bank Branch of
    Trust where account is : NOT APPLICABLE

    9. Member's Name : PRAVESH KUMAR

    10. Date of Birth : 04/01/1993

    11. Father's/Spouse Name : PAGAL MANDAL

    12. Relationship : FATHER

    13. Date of joining : 17/08/2021

    I, Certify that all the information given above are true to the best of my knowledge and I have ensured the correctness of
    my present and previous account numbers.

    Signature of the member

    Note : Member should take a printout of this form and a signed copy of the same should be submitted to the Present
    Establishment i.e. AYUSH ENTERPRISES

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