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Jeeva

This document is an Online Transfer Claim Form for the Employees' Provident Fund Scheme, submitted by Jeevanandam R to transfer his Provident Fund balance to a new account. It includes personal information, details of previous and present PF accounts, and confirms the accuracy of the provided information. The claim is addressed to the Regional P.F. Commissioner in Bangalore.

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jeevagowri1212
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11 views3 pages

Jeeva

This document is an Online Transfer Claim Form for the Employees' Provident Fund Scheme, submitted by Jeevanandam R to transfer his Provident Fund balance to a new account. It includes personal information, details of previous and present PF accounts, and confirms the accuracy of the provided information. The claim is addressed to the Regional P.F. Commissioner in Bangalore.

Uploaded by

jeevagowri1212
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

( Tracking ID: 10122616759605002 )


Claim Date : 22/04/2025
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,
BANGALORE,
Bhavishyanidhi Bhavan, No. 13, Raja Ram Mohan Roy Road, Bangalore

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 : JEEVANANDAM R

2. Mobile Number : 9710846630

3. E-mail id : -

4. Bank Account Number : 30569085496

5. Bank IFSC : SBIN0000965


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

1. PF Account No. (with EPFO : BGBNG00448200000019130

2. Name of the Establishment : VESTIAN GLOBAL WORK PLACE SERVICES PRIVATE LIMITED

3. Address of the : IST FLOOR WEST WING DUPARE TRINITY NO 17 M G ROAD


BANGALORE BENGALURU (BANGALORE) URBAN
4. PF A/C No. held by : BANGALORE

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 : JEEVANANDAM R

10 Date of Birth : 15/10/1982

11 Father's/Spouse Name : RAMAMOORTHY

12 Relationship : FATHER

13 Date of joining : 20/04/2022

14 Date of leaving : 30/11/2023

PART C : DETAILS OF PRESENT PF ACCOUNT

1. PF Account No. (with EPFO : BGBNG00448200000026470

2. Name of the Establishment : VESTIAN GLOBAL WORK PLACE SERVICES PRIVATE LIMITED

3. Address of the : IST FLOOR WEST WING DUPARE TRINITY NO 17 M G ROAD


BANGALORE BENGALURU (BANGALORE) URBAN

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


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 : JEEVANANDAM R

10 Date of Birth : 15/10/1982

11 Father's/Spouse Name : RAMAMOORTHY

12 Relationship : FATHER

13 Date of joining : 24/04/2024


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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