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Part A: Personal

Tez Prasad Bhattarai has submitted an online transfer claim form to transfer his Provident Fund balance from his previous employer Sree Vinayaka Enterprises to his current employer Accunity HR Services Private Limited. He provides details of his previous and current PF accounts, including account numbers, dates of joining and leaving employment, bank account and IFSC details. He signs to certify the accuracy of the information provided for processing the online transfer claim.

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Sameer G
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71 views2 pages

Part A: Personal

Tez Prasad Bhattarai has submitted an online transfer claim form to transfer his Provident Fund balance from his previous employer Sree Vinayaka Enterprises to his current employer Accunity HR Services Private Limited. He provides details of his previous and current PF accounts, including account numbers, dates of joining and leaving employment, bank account and IFSC details. He signs to certify the accuracy of the information provided for processing the online transfer claim.

Uploaded by

Sameer G
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

( Tracking ID: 10103721234705001 )


Claim Date : 21/07/2020
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,
BOMMASANDRA,
ANNAPOORNESHWARI COMPLEX, 6TH MAIN, SINGASANDRA HOSUR MAIN RD, Bangalore

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 : TEZ PRASAD BHATTARAI

2. Mobile Number : 9590715031

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

4. Bank Account Number : 50100286157320

5. Bank IFSC : HDFC0004260

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

1. PF Account No. (with EPFO : PYBOM00340500000013472

2. Name of the Establishment : SREE VINAYAKA ENTERPRISES

3. Address of the Establishment : 18-19, 4TH FLR, SURABHI NAGAR WEST OPP BWSSB, 8TH PHASE, J P
NAGAR BANGALORE 656
4. PF A/C No. held by : BOMMASANDRA

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 : TEZ PRASAD BHATTARAI

10. Date of Birth : 28/05/1978

11. Father's/Spouse Name : OMNATH BHATTARI

12. Relationship : FATHER

13. Date of joining : 02/01/2017

14. Date of leaving : 04/08/2018


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : BGBNG14863310000010032

2. Name of the Establishment : ACCUNITY HR SERVICES PRIVATE LIMITED

3. Address of the Establishment : 156, SAMPIGE, 1ST BLOCK,SIR M V LAYOUT, KENGARI, SATELLITE
TOWN BANGALORE 656
4. PF A/C No. held by : RO BANGALORE

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 : TEZ PRASAD BHATTARAI

10. Date of Birth : 28/05/1978

11. Father's/Spouse Name : OMNATH BHATTARI

12. Relationship : FATHER

13. Date of joining : 01/09/2018

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. ACCUNITY HR SERVICES PRIVATE LIMITED

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