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EPF Transfer Monisha

This document is an Online Transfer Claim Form for the Employees' Provident Fund Scheme, submitted by Monisha D on 29/05/2025. It requests the transfer of her Provident Fund balance from her previous employer, Mehta Multispeciality Hospitals, to her current employer, Vasantha Subramanian Hospitals. The form includes personal information, account details, and a certification of the accuracy of the provided information.

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12 views3 pages

EPF Transfer Monisha

This document is an Online Transfer Claim Form for the Employees' Provident Fund Scheme, submitted by Monisha D on 29/05/2025. It requests the transfer of her Provident Fund balance from her previous employer, Mehta Multispeciality Hospitals, to her current employer, Vasantha Subramanian Hospitals. The form includes personal information, account details, and a certification of the accuracy of the provided information.

Uploaded by

admin
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: 10163642981405001 )


Claim Date : 29/05/2025
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,
CHENNAI,
No. 37, Royapettah High Road, Opposite Swagat Hotel, Chennai

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 : MONISHA D

2. Mobile Number : 8870866543

3. E-mail id : -

4. Bank Account Number : 50100416161875

5. Bank IFSC : HDFC0001284


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

1. PF Account No. (with EPFO : TNMAS00856990000011939

2. Name of the Establishment : MEHTA MULTISPECIALITY HOSPITALS INDIA PVT LTD

3. Address of the : NO 02,MC NICHOLS ROAD, 3RD LANE CHETPET CHENNAI 685

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

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 : MONISHA D

10 Date of Birth : 31/05/1998

11 Father's/Spouse Name : DEVARAJ

12 Relationship : FATHER

13 Date of joining : 11/11/2020

14 Date of leaving : 31/08/2021

PART C : DETAILS OF PRESENT PF ACCOUNT

1. PF Account No. (with EPFO : TNMAS14683830000010809

2. Name of the Establishment : VASANTHA SUBRAMANIAN HOSPITALS INDIA PRIVATE LIMITED

3. Address of the : NO.13, EAST SPUR TANK ROAD CHETPET CHENNAI 685

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

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 : MONISHA D

10 Date of Birth : 31/05/1998

11 Father's/Spouse Name : DEVARAJ

12 Relationship : FATHER

13 Date of joining : 01/04/2023


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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