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Part A: Personal Information

This document is an Online Transfer Claim Form for the Employees' Provident Fund Scheme, submitted by Sujoy Bhandary on 16/05/2025, requesting the transfer of his Provident Fund balance to his current account. It includes personal information, details of previous and present PF accounts, and certifies the accuracy of the provided information. The form must be printed and submitted to the current establishment, Sri Sai Services.

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14 views3 pages

Part A: Personal Information

This document is an Online Transfer Claim Form for the Employees' Provident Fund Scheme, submitted by Sujoy Bhandary on 16/05/2025, requesting the transfer of his Provident Fund balance to his current account. It includes personal information, details of previous and present PF accounts, and certifies the accuracy of the provided information. The form must be printed and submitted to the current establishment, Sri Sai Services.

Uploaded by

kunducsc2022
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: 10068424008505001 )


Claim Date : 16/05/2025
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,
DURGAPUR,
Red Cross Rd, Opp. Comm. TaxOffice, City Centre, Durgapur

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 : SUJOY BHANDARY

2. Mobile Number : 7602297375

3. E-mail id : -

4. Bank Account Number : 41814579984

5. Bank IFSC : SBIN0006608


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

1. PF Account No. (with EPFO : WBDGP00515430000000240

2. Name of the Establishment : K & K MINERALS PVT. LTD.

3. Address of the : KANSKA ROAD PO. PANAGARH BAZAR 425

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

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 : SUJOY BHANDARY

10 Date of Birth : 05/03/1986

11 Father's/Spouse Name : RABINDRANATH BHANDARI

12 Relationship : FATHER

13 Date of joining : 05/09/2014

14 Date of leaving : 28/09/2022

PART C : DETAILS OF PRESENT PF ACCOUNT

1. PF Account No. (with EPFO : JHJAM27632960000010250

2. Name of the Establishment : SRI SAI SERVICES

3. Address of the : Gali No-3 Nirmal Path Chhota Gamharia SERAIKELA-KHARSAWAN

4. PF A/C No. held by : SRO JAMSHEDPUR

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 : SUJOY BHANDARY

10 Date of Birth : 05/03/1986

11 Father's/Spouse Name : RABINDRANATH BHANDARI

12 Relationship : FATHER

13 Date of joining : 07/03/2024


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

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. SRI SAI SERVICES

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