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Part A: Personal Information

The document is an Online Transfer Claim Form for the transfer of Provident Fund balance from a previous employer to a current one. It includes personal information of the member, Sreekantha T S, and details of both the previous and present PF accounts. The claim is submitted to the Regional P.F. Commissioner for processing.

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Srikanth Sriramachar
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28 views3 pages

Part A: Personal Information

The document is an Online Transfer Claim Form for the transfer of Provident Fund balance from a previous employer to a current one. It includes personal information of the member, Sreekantha T S, and details of both the previous and present PF accounts. The claim is submitted to the Regional P.F. Commissioner for processing.

Uploaded by

Srikanth Sriramachar
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: 10136066715905005 )


Claim Date : 24/04/2025
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,
PEENYA,
NO. 62,1ST MAIN(MEI ROAD),3RD CROSS INDL. SUBURB,YESHWANTPUR 2ND STAGE Bangaluru

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 : SREEKANTHA T S

2. Mobile Number : 7349352112

3. E-mail id : srikanth.ast@gmail.com

4. Bank Account Number : 37701983274

5. Bank IFSC : SBIN0040659


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

1. PF Account No. (with EPFO : PYPNY15983130000010083

2. Name of the Establishment : BIOORGANICS AND APPLIED MATERIALS PRIVATE LIMITED

3. Address of the : B 64/1,IIIRD STAGE, PEENYA INDUSTRIAL ESTATE BANGALORE 656

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

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 : SREEKANTHA T S

10 Date of Birth : 12/06/1985

11 Father's/Spouse Name : SREERAMCHAR T K

12 Relationship : FATHER

13 Date of joining : 10/08/2021

14 Date of leaving : 31/08/2024

PART C : DETAILS OF PRESENT PF ACCOUNT

1. PF Account No. (with EPFO : KDMAL12162320000010856

2. Name of the Establishment : CLEARSYNTH LABS LIMITED

3. Address of the : 413,LAXMI MALL,LAXMI INDUSTRIAL ESTATE,NEW LINK ROAD,ANDHERI


WEST MUMBAI 599

4. PF A/C No. held by : RO MALAD (KANDIVALI)


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 : SREEKANTHA T S

10 Date of Birth : 12/06/1985

11 Father's/Spouse Name : SREERAMCHAR T K

12 Relationship : FATHER

13 Date of joining : 05/08/2024


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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