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EPF Online Transfer Claim Form 13

B Surendra has submitted an online transfer claim form to transfer his PF balance from his previous account with Pay Asia Management Pvt Ltd to his current account with Future Generali India Life Insurance Company Ltd. He provides details of both his previous and current PF accounts, including account numbers, dates of joining and leaving employment, bank account details and other identification information. He signs to certify the accuracy of the details provided in the form.

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mukkapati manojkumar
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75 views2 pages

EPF Online Transfer Claim Form 13

B Surendra has submitted an online transfer claim form to transfer his PF balance from his previous account with Pay Asia Management Pvt Ltd to his current account with Future Generali India Life Insurance Company Ltd. He provides details of both his previous and current PF accounts, including account numbers, dates of joining and leaving employment, bank account details and other identification information. He signs to certify the accuracy of the details provided in the form.

Uploaded by

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

( Tracking ID: 10121512701805001 )


Claim Date : 27/01/2021
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,
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 : B SURENDRA

2. Mobile Number : 9491629623

3. E-mail id : babusurendra2631@gmail.com

4. Bank Account Number : 62248569053

5. Bank IFSC : SBIN0020883

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

1. PF Account No. (with EPFO : PYBOM00602320002935138

2. Name of the Establishment : PAY ASIA MANAGEMENT PVT. LTD.

3. Address of the Establishment : NO.7, 1ST CROSS, 3RD MAIN, ASHWINI LAYOUT, EJIPURA, BANGALORE
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 : B SURENDRA

10. Date of Birth : 31/07/1992

11. Father's/Spouse Name : D BABU

12. Relationship : FATHER

13. Date of joining : 06/11/2017

14. Date of leaving : 26/09/2019


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : MHBAN00487080000066990

2. Name of the Establishment : FUTURE GENERALI INDIA LIFE INSURANCE COMPANY LTD.

3. Address of the Establishment : 06TH FLOOR, TOWER 3, INDIABULLS FINANCE CENTRE,SENAPATI


BAPAT MARG ELPHINSTONE ROAD, MUMBAI 599
4. PF A/C No. held by : RO BANDRA(MUMBAI-I)

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 : B SURENDRA

10. Date of Birth : 31/07/1992

11. Father's/Spouse Name : D BABU

12. Relationship : FATHER

13. Date of joining : 30/09/2019

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. PAY ASIA MANAGEMENT PVT. LTD.

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