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Part A: Personal

The document is an online transfer claim form submitted by Shiv Kumar to transfer his PF balance and pension details from his previous account to his current account. It provides personal details of Shiv Kumar as well as details of his previous and current PF accounts including account numbers, employer names, and dates of joining and leaving.

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Er.Amandeep singh
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24 views2 pages

Part A: Personal

The document is an online transfer claim form submitted by Shiv Kumar to transfer his PF balance and pension details from his previous account to his current account. It provides personal details of Shiv Kumar as well as details of his previous and current PF accounts including account numbers, employer names, and dates of joining and leaving.

Uploaded by

Er.Amandeep singh
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: 10158898227305001 )


Claim Date : 12/05/2023
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,
LUDHIANA,
Bhavishaya Nidhi Bhawan, Sham Nagar, Near General Bus Stand, Ludhiana

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 : SHIV KUMAR

2. Mobile Number : 9592577927

3. E-mail id : -

4. Bank Account Number : 20065121410

5. Bank IFSC : SBIN0002342

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

1. PF Account No. (with EPFO : LDLDH14507400000011258

2. Name of the Establishment : STANDARD RECRUITMENT SOLUTION

3. Address of the Establishment : H.NO.869, SECTOR-32, SANJAY GANDHI COLONY, TEJPUR ROAD,
LUDHIANA PB LUDHIANA 138
4. PF A/C No. held by : LUDHIANA

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 : SHIV KUMAR

10. Date of Birth : 07/08/1971

11. Father's/Spouse Name : MEGHAN KUMAR

12. Relationship : FATHER

13. Date of joining : 08/06/2020

14. Date of leaving : 03/11/2020


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : LDLDH00035950000031390

2. Name of the Establishment : HIGHWAY INDUSTRIES LTD,

3. Address of the Establishment : G.T.ROAD, SAHNEWAL LUDHIANA 138

4. PF A/C No. held by : RO LUDHIANA

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 : SHIV KUMAR

10. Date of Birth : 07/08/1971

11. Father's/Spouse Name : MEGHAN KUMAR

12. Relationship : FATHER

13. Date of joining : 03/11/2020

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. STANDARD RECRUITMENT SOLUTION

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