ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]
( Tracking ID: 10135894606105001 )
Claim Date : 26/01/2022
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,
TAMBARAM,
3, Rajaji Salai, Tambaram
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 : KOICHOR MIAH
2. Mobile Number : 9612660922
3. E-mail id : ASIMIYC@YAHOO.COM
4. Bank Account Number : 38931061974
5. Bank IFSC : SBIN0040226
PART B : DETAILS OF PREVIOUS PF ACCOUNTS (WHICH IS TO BE TRANSFERRED)
1. PF Account No. (with EPFO : TBTAM10417340000015571
2. Name of the Establishment : ABANS FACILITY MANAGEMENT INDIA PRIVATE LIMITED
3. Address of the Establishment : OLD NO 7 NEW NO 4 NO 1A NARAYANAKRU JEEVARATHNAM NAGAR
ISTREET ADYAR CHENNAI 685
4. PF A/C No. held by : 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 : KOICHOR MIAH
10. Date of Birth : 10/01/2000
11. Father's/Spouse Name : KHALIK MIAH
12. Relationship : FATHER
13. Date of joining : 05/09/2018
14. Date of leaving : 05/03/2020
PART C : DETAILS OF PRESENT PF
1. PF Account No. (with EPFO : TNMAS16167490000013873
2. Name of the Establishment : QUALITY PROPERTY MANAGEMENT SERVICES PRIVATE LIMITED
3. Address of the Establishment : FLATNO GD,CORAL GARDEN,DOOR NO.38 2ND MAIN ROAD, RA PURAM,
CHENNAI 685
4. PF A/C No. held by : RO CHENNAI
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 : KOICHOR MIAH
10. Date of Birth : 10/01/2000
11. Father's/Spouse Name : KHALIK MIAH
12. Relationship : FATHER
13. Date of joining : 13/05/2021
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. QUALITY PROPERTY MANAGEMENT SERVICES PRIVATE LIMITED
