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EPF Online Transfer Claim Form 13

Sathesh requests that his Provident Fund balance and Pension Service Details be transferred from his previous account with HCL Technologies Limited to his present account with Karya Technologies (India) Pvt Limited. He provides details of both his previous account with HCL Technologies where his PF Account Number is GNGGN00055720000270361 and date of leaving was 30/12/2015, and his present account with Karya Technologies where his PF Account Number is TBTAM00615400000010707 and date of joining is 30/10/2017. He certifies that all information provided is true and correct.

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112 views2 pages

EPF Online Transfer Claim Form 13

Sathesh requests that his Provident Fund balance and Pension Service Details be transferred from his previous account with HCL Technologies Limited to his present account with Karya Technologies (India) Pvt Limited. He provides details of both his previous account with HCL Technologies where his PF Account Number is GNGGN00055720000270361 and date of leaving was 30/12/2015, and his present account with Karya Technologies where his PF Account Number is TBTAM00615400000010707 and date of joining is 30/10/2017. He certifies that all information provided is true and correct.

Uploaded by

sathesh
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© © All Rights Reserved
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ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

( Tracking ID: 10001003758905002 )


Claim Date : 12/06/2019
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,
GURGAON,
Bhavishyanidhi Bhawan,Plot No.43, Sector 44, Institutional Area, Gurgaon

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 : SATHESH

2. Mobile Number : 7092511179

3. E-mail id : acshandran84@gmail.com

4. Bank Account Number : 42611388436

5. Bank IFSC : SCBL0036079

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

1. PF Account No. (with EPFO : GNGGN00055720000270361

2. Name of the Establishment : HCL TECHNOLOGIES LIMITED

3. Address of the Establishment : PLOT NO. 3, UDYOG VIHAR PHASE-I GURGAON 179

4. PF A/C No. held by : TRUST

5. Name of the Trust : Hindustan Instrument Ltd.

6. PF A/C No. in Trust : GNGGN00055720000270361

7. Bank A/C No. of Trust : 04851110000043


8. IFS Code of the Bank Branch of
Trust where account is : HDFC0000485

9. Member's Name : SATHESH

10. Date of Birth : 13/11/1984

11. Father's/Spouse Name : CHANDRASEKARAN A

12. Relationship : FATHER

13. Date of joining : 14/02/2014

14. Date of leaving : 30/12/2015


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : TBTAM00615400000010707

2. Name of the Establishment : KARYA TECHNOLOGIES (INDIA) PVT LIMITED

3. Address of the Establishment : MCM TECH PARK 6TH FLOOR, SUPER B-3 THIRU-VI-KA INDL.ESTATE,
GUINDY CHENNAI 686
4. PF A/C No. held by : RO TAMBARAM

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 : SATHESH

10. Date of Birth : 13/11/1984

11. Father's/Spouse Name : CHANDRASEKARAN A

12. Relationship : FATHER

13. Date of joining : 30/10/2017

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 Previous
Establishment i.e. HCL TECHNOLOGIES LIMITED

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