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Part A: Personal

This document is an Online Transfer Claim Form for the transfer of Provident Fund balance from a previous employer, SIS Limited, to the current employer, Bhoir Industries. The form includes personal details of the member, Salunke Nitesh Himmat, as well as information about both the previous and current PF accounts. The member certifies the accuracy of the information provided and is required to submit a signed copy to the previous establishment.

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16 views2 pages

Part A: Personal

This document is an Online Transfer Claim Form for the transfer of Provident Fund balance from a previous employer, SIS Limited, to the current employer, Bhoir Industries. The form includes personal details of the member, Salunke Nitesh Himmat, as well as information about both the previous and current PF accounts. The member certifies the accuracy of the information provided and is required to submit a signed copy to the previous establishment.

Uploaded by

salunkesonali34
Copyright
© © 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: 10073664554205002 )


Claim Date : 25/01/2025
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,
PATNA,
R-Block, Road No. 06, Serpantine Road,Near M.L.A. Flats, Patna

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 : SALUNKE NITESH HIMMAT

2. Mobile Number : 8767255733

3. E-mail id : salunkenitesh68@gmail.com

4. Bank Account Number : 03030110176986

5. Bank IFSC : UCBA0000303

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

1. PF Account No. (with EPFO : BRPAT00050200001218932

2. Name of the Establishment : SIS LIMITED

3. Address of the Establishment : NISHANT REGENCY FRAZER ROAD PATNA PATNA

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

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 : SALUNKE NITESH HIMMAT

10. Date of Birth : 10/03/1985

11. Father's/Spouse Name : HIMMAT

12. Relationship : FATHER

13. Date of joining : 01/10/2018

14. Date of leaving : 30/06/2020


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : THTHA02020700000010359

2. Name of the Establishment : BHOIR INDUSTRIES.

3. Address of the Establishment : RAGHU SMRUTI,OPP.CENTURY RAYON STAFF GATE PLOT NO.1,
SHAHAD. THANE 597
4. PF A/C No. held by : RO THANE (MUMBAI-II)

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 : SALUNKE NITESH HIMMAT

10. Date of Birth : 10/03/1985

11. Father's/Spouse Name : HIMMAT

12. Relationship : FATHER

13. Date of joining : 03/03/2021

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 Previous
Establishment i.e. SIS LIMITED

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