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Bhola Datt Bhatt2

This document is an Online Transfer Claim Form for the Employees' Provident Fund Scheme, submitted by Bhola Datt Bhatt on 01/04/2025. It requests the transfer of his Provident Fund balance from a previous employer, Airplaza Retail Holdings P Ltd, to his current employer, Quess Corp Limited. The form includes personal information, details of previous and present PF accounts, and a certification of the accuracy of the information provided.

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deepak singh
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16 views3 pages

Bhola Datt Bhatt2

This document is an Online Transfer Claim Form for the Employees' Provident Fund Scheme, submitted by Bhola Datt Bhatt on 01/04/2025. It requests the transfer of his Provident Fund balance from a previous employer, Airplaza Retail Holdings P Ltd, to his current employer, Quess Corp Limited. The form includes personal information, details of previous and present PF accounts, and a certification of the accuracy of the information provided.

Uploaded by

deepak singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

( Tracking ID: 10125191685605004 )


Claim Date : 01/04/2025
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,
GURGAON,
Bhavishyanidhi Bhawan,Plot No.43, Sector 44, Institutional Area, Gurgaon

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 INFORMATION

1. Name : BHOLA DATT BHATT

2. Mobile Number : 9410732495

3. E-mail id : -

4. Bank Account Number : 20640100019131

5. Bank IFSC : BARB0PATLOT


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

1. PF Account No. (with EPFO : GNGGN00318630000079015

2. Name of the Establishment : AIRPLAZA RETAIL HODLINGS P LTD

3. Address of the : 5TH FLOOR, PLATINUM TOWER, PLOT NO. 184, UDYOG VIHAR PH-1
GURGAON 179
4. PF A/C No. held by : GURGAON

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 : NOT APPLICABLE

9. Member's Name : BHOLA DATT BHATT

10 Date of Birth : 02/06/1998

11 Father's/Spouse Name : BHAIRAV DATT BHATT

12 Relationship : FATHER

13 Date of joining : 13/04/2022

14 Date of leaving : 11/07/2022

PART C : DETAILS OF PRESENT PF ACCOUNT

1. PF Account No. (with EPFO : PYKRP00139920000503897

2. Name of the Establishment : QUESS CORP LIMITED

3. Address of the : SY. NO.32/4, SKY WALK AVENUE, 299, ROOPENA AGRAHARA.
BOMMANAHALLI BENGALURU BENGALURU (BANGALORE) URBAN

4. PF A/C No. held by : SRO K R PURAM (WHITEFIELD)


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 : NOT APPLICABLE

9. Member's Name : BHOLA DATT BHATT

10 Date of Birth : 02/06/1998

11 Father's/Spouse Name : BHAIRAV DATT BHATT

12 Relationship : FATHER

13 Date of joining : 15/01/2024


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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