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Part A: Personal Information

This document is an Online Transfer Claim Form for the Employees' Provident Fund Scheme, submitted by Yashashwini D M to transfer her Provident Fund balance from Accenture Solutions Pvt. Ltd. to Infosys BPO Limited. It includes personal information, details of previous and present PF accounts, and a certification of the accuracy of the provided information. The claim date is 30/05/2025, and the form is addressed to the Regional P.F. Commissioner in Bandra, Mumbai.

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38 views3 pages

Part A: Personal Information

This document is an Online Transfer Claim Form for the Employees' Provident Fund Scheme, submitted by Yashashwini D M to transfer her Provident Fund balance from Accenture Solutions Pvt. Ltd. to Infosys BPO Limited. It includes personal information, details of previous and present PF accounts, and a certification of the accuracy of the provided information. The claim date is 30/05/2025, and the form is addressed to the Regional P.F. Commissioner in Bandra, Mumbai.

Uploaded by

cakok51090
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: 10115105384505003 )


Claim Date : 30/05/2025
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,
BANDRA(MUMBAI-I),
341, Bhavishya Nidhi Bhawan Bandra (East), Mumbai

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 : YASHASHWINI D M

2. Mobile Number : 8073704653

3. E-mail id : yashashwini1001@gmail.com

4. Bank Account Number : 50100205889531

5. Bank IFSC : HDFC0001206


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

1. PF Account No. (with EPFO : MHBAN00456650001250564

2. Name of the Establishment : ACCENTURE SOLUTIONS PVT. LTD.

3. Address of the : PLANT-3,GODREJ - BOYCE COMPLEX, LBS MARG, VIKHROLI 598

4. PF A/C No. held by : BANDRA(MUMBAI-I)

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 : YASHASHWINI D M

10 Date of Birth : 01/02/1994

11 Father's/Spouse Name : N T MURLIDHARA

12 Relationship : FATHER

13 Date of joining : 24/05/2019

14 Date of leaving : 22/07/2020

PART C : DETAILS OF PRESENT PF ACCOUNT

1. PF Account No. (with EPFO : PYBOM00341770001085462

2. Name of the Establishment : INFOSYS BPO LIMITED

3. Address of the : PLOT NO. 26/3, 26/4, 26/6, HOSUR ROAD, ELECTRONIC CITY
BANGALORE 656

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


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 : YASHASHWINI D M

10 Date of Birth : 01/02/1994

11 Father's/Spouse Name : N T MURLIDHARA

12 Relationship : FATHER

13 Date of joining : 02/02/2024


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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