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Vidya

This document is an Online Transfer Claim Form for the transfer of Provident Fund balance from a previous employer, Tata Motors Ltd., to the current employer, Kunal Associates. The claimant, Vidya Ravindra Phakatkar, provides personal details, previous and current PF account information, and certifies the accuracy of the information. The form must be printed and submitted to the current establishment for processing.

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vidhyaphakatkar
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24 views2 pages

Vidya

This document is an Online Transfer Claim Form for the transfer of Provident Fund balance from a previous employer, Tata Motors Ltd., to the current employer, Kunal Associates. The claimant, Vidya Ravindra Phakatkar, provides personal details, previous and current PF account information, and certifies the accuracy of the information. The form must be printed and submitted to the current establishment for processing.

Uploaded by

vidhyaphakatkar
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: 10142313987405001 )


Claim Date : 15/08/2022
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,
PUNE,
2-3rd Flr,Pune Cant. Board Blding, Near Golibar Maidan, Camp, Pune

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 : VIDYA RAVINDRA PHAKATKAR

2. Mobile Number : 8010994902

3. E-mail id : -

4. Bank Account Number : 38091155560

5. Bank IFSC : SBIN0008370

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

1. PF Account No. (with EPFO : PUPUN00302760000952089

2. Name of the Establishment : M/S TATA MOTORS LTD.

3. Address of the Establishment : PIMPRI, PUNE PIMPRI, PUNE PUNE PUNE

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

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 : VIDYA RAVINDRA PHAKATKAR

10. Date of Birth : 12/04/1999

11. Father's/Spouse Name : RAVINDRA PHAKATKAR

12. Relationship : FATHER

13. Date of joining : 05/08/2021

14. Date of leaving : 10/03/2022


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : PUPUN01220660000059920

2. Name of the Establishment : M/S KUNAL ASSOCIATES

3. Address of the Establishment : NEAR VAISHALI DHABA KOHINOOR CENTE R CHAKAN PUNE 601

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

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 : VIDYA RAVINDRA PHAKATKAR

10. Date of Birth : 12/04/1999

11. Father's/Spouse Name : RAVINDRA PHAKATKAR

12. Relationship : FATHER

13. Date of joining : 01/04/2022

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. M/S KUNAL ASSOCIATES

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