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PF List

This document is an Online Transfer Claim Form submitted by Sagar Trivedi to request the transfer of his Provident Fund balance from HCL Technologies Limited to Tata Consultancy Services Limited. It includes personal information, details of previous and present PF accounts, and certifies the accuracy of the provided information. The form is to be printed and submitted to the previous establishment for processing.

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26 views3 pages

PF List

This document is an Online Transfer Claim Form submitted by Sagar Trivedi to request the transfer of his Provident Fund balance from HCL Technologies Limited to Tata Consultancy Services Limited. It includes personal information, details of previous and present PF accounts, and certifies the accuracy of the provided information. The form is to be printed and submitted to the previous establishment for processing.

Uploaded by

CYBER VILLA
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: 10103757917205001 )


Claim Date : 22/07/2025
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,
GURGAON,
Bhavishyanidhi Bhawan,Plot No.43, Sector 44, Institutional Area, Gurgaon

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 : SAGAR TRIVEDI

2. Mobile Number : 9871726292

3. E-mail id : SAGARTRIVEDIFRD@GMAIL.COM

4. Bank Account Number : 50100196390366

5. Bank IFSC : HDFC0000589


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

1. PF Account No. (with EPFO : GNGGN00055720002645913

2. Name of the Establishment : HCL TECHNOLOGIES LIMITED

3. Address of the : PLOT NO. 3, UDYOG VIHAR PHASE-I GURGAON 179

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

5. Name of the Trust : Hindustan Instrument Ltd.

6. PF A/C No. in Trust : GNGGN00055720002645913

7. Bank A/C No. of Trust : 04851110000043


8. IFS Code of the Bank Branch of
Trust where : HDFC0000485

9. Member's Name : SAGAR TRIVEDI

10 Date of Birth : 30/06/1996

11 Father's/Spouse Name : BRIJESH

12 Relationship : FATHER

13 Date of joining : 18/01/2022

14 Date of leaving : 12/05/2025

PART C : DETAILS OF PRESENT PF ACCOUNT

1. PF Account No. (with EPFO : MHBAN00484750002770028

2. Name of the Establishment : TATA CONSULTANCY SERVICES LIMITED

3. Address of the : 11TH FLOOR, AIR INDIA BUILDING NARIMAN POINT MUMBAI 599

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

5. Name of the Trust : TATA CONSULTANCY SERVICES EMPLOYEES PROVIDENT FUND

6. PF A/C No. in Trust : MHBAN00484750002770028

7. Bank A/C No. of Trust : 00601110003419


8. IFS Code of the Bank Branch of
Trust where : HDFC0000060

9. Member's Name : SAGAR TRIVEDI

10 Date of Birth : 30/06/1996

11 Father's/Spouse Name : BRIJESH

12 Relationship : FATHER

13 Date of joining : 14/05/2025


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 Previous
Establishment i.e. HCL TECHNOLOGIES LIMITED

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