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Annexure 13

Abhinav Gupta has submitted an online transfer claim form to transfer his Provident Fund balance from his previous employer, Project - Equipment Corpn. Of India Ltd, to his current employer, ICICI Bank Ltd. The form provides details of his previous and current PF account numbers, bank account details, employment dates and other identifying information to facilitate the transfer. He has certified that the information provided is true and correct.

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0% found this document useful (0 votes)
221 views2 pages

Annexure 13

Abhinav Gupta has submitted an online transfer claim form to transfer his Provident Fund balance from his previous employer, Project - Equipment Corpn. Of India Ltd, to his current employer, ICICI Bank Ltd. The form provides details of his previous and current PF account numbers, bank account details, employment dates and other identifying information to facilitate the transfer. He has certified that the information provided is true and correct.

Uploaded by

Abhinav Gupta
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

( Tracking ID: 10078334405705001 )


Claim Date : 23/02/2020
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 (NORTH),
28, Community Centre, Wazirpur Industrial Area, 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 : ABHINAV GUPTA

2. Mobile Number : 9958070920

3. E-mail id : abhi000_mnit@yahoo.com

4. Bank Account Number : 072201502326

5. Bank IFSC : ICIC0000722

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

1. PF Account No. (with EPFO : DLCPM00042480000000762

2. Name of the Establishment : PROJECT - EQUIPMENT CORPN.OF INDIA LTD

3. Address of the Establishment : HANSALAYA,BARA KHAMBA ROAD NEW DELHI 181

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

5. Name of the Trust : Project & Equipment Corpn. Of India Ltd. Employees Provident Fund

6. PF A/C No. in Trust : DLCPM00042480000000762

7. Bank A/C No. of Trust : 00031110001147


8. IFS Code of the Bank Branch of
Trust where account is : HDFC0000003

9. Member's Name : ABHINAV GUPTA

10. Date of Birth : 21/02/1984

11. Father's/Spouse Name : SH SUSHIL CHANDRA GUPTA

12. Relationship : FATHER

13. Date of joining : 02/04/2009

14. Date of leaving : 18/11/2014


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : MHBAN00187960000296446

2. Name of the Establishment : ICICI BANK

3. Address of the Establishment : ICICI TOWER BANDRA KURLA COMPLEX BANDRA EAST, MUMBAI 598

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

5. Name of the Trust : ICICI BANK LTD. PROVIDENT FUND

6. PF A/C No. in Trust : MHBAN18796000304030

7. Bank A/C No. of Trust : 000401121201


8. IFS Code of the Bank Branch of
Trust where account is : ICIC0000004

9. Member's Name : ABHINAV GUPTA

10. Date of Birth : 21/02/1984

11. Father's/Spouse Name : SUSHIL CHANDRA GUPTA

12. Relationship : FATHER

13. Date of joining : 03/12/2014

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. PROJECT - EQUIPMENT CORPN.OF INDIA LTD

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