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Part A: Personal

This document is an Online Transfer Claim Form for transferring Vijay Maroti Sangode's Provident Fund balance to his current account. It includes personal details, previous and present PF account information, and a certification of the accuracy of the provided information. The claim is submitted to the Regional P.F. Commissioner in Nagpur.

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Shardul Sangode 01
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25 views2 pages

Part A: Personal

This document is an Online Transfer Claim Form for transferring Vijay Maroti Sangode's Provident Fund balance to his current account. It includes personal details, previous and present PF account information, and a certification of the accuracy of the provided information. The claim is submitted to the Regional P.F. Commissioner in Nagpur.

Uploaded by

Shardul Sangode 01
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: 10040416236905001 )


Claim Date : 02/02/2025
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,
NAGPUR,
132-A, Ridge Road Tukdoji Square, Raghuji Nagar Nagpur

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 : VIJAY MAROTI SANGODE

2. Mobile Number : 9156724515

3. E-mail id : shardulsangode04@gmail.com

4. Bank Account Number : 0648104000077835

5. Bank IFSC : IBKL0000648

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

1. PF Account No. (with EPFO : NGNAG00682740000000229

2. Name of the Establishment : BAJAJ GINTECH PVT LTD

3. Address of the Establishment : PLOT NO 539,540 IMMAMBADA ROAD NAGPUR 585

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

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 : VIJAY MAROTI SANGODE

10. Date of Birth : 01/12/1969

11. Father's/Spouse Name : MAROTI

12. Relationship : FATHER

13. Date of joining : 08/10/2013

14. Date of leaving : 30/06/2016


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : NGNAG21935620000010344

2. Name of the Establishment : ORIENTAL ASSOCIATES AND FACILITY MANAGEMENT

3. Address of the Establishment : 181 Dixit Nagar, Nagpur, Nagpur 181 DIXIT NAGAR, NAGPUR, NAGPUR
Nagpur NAGPUR
4. PF A/C No. held by : RO NAGPUR

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 : VIJAY MAROTI SANGODE

10. Date of Birth : 01/12/1969

11. Father's/Spouse Name : MAROTI

12. Relationship : FATHER

13. Date of joining : 01/11/2021

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

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