ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]
( Tracking ID: 10111725323405005 )
Claim Date : 29/01/2025
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,
PUNE,
2-3rd Flr,Pune Cant. Board Blding, Near Golibar Maidan, Camp, Pune
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
1. Name : PRADEEP VIKRAMRAO LOKHANDE
2. Mobile Number : 9665594525
3. E-mail id : PRADEEPLOKHANDE259@GMAIL.COM
4. Bank Account Number : 22911499926
5. Bank IFSC : SCBL0036050
PART B : DETAILS OF PREVIOUS PF ACCOUNTS (WHICH IS TO BE TRANSFERRED)
1. PF Account No. (with EPFO : PUPUN01240830000010550
2. Name of the Establishment : SOHAN HEALTHCARE PVT LTD
3. Address of the Establishment : D-30,KURKUMBH MIDC TAL,DAUND PUNE 601
4. PF A/C No. held by : PUNE
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 account is : NOT APPLICABLE
9. Member's Name : PRADEEP VIKRAMRAO LOKHANDE
10. Date of Birth : 25/09/1989
11. Father's/Spouse Name : VIKRAM LAXMAN LOKHANDE
12. Relationship : FATHER
13. Date of joining : 06/11/2020
14. Date of leaving : 22/10/2022
PART C : DETAILS OF PRESENT PF
1. PF Account No. (with EPFO : PUPUN32008660000010023
2. Name of the Establishment : ASP ENVIRO TECH PRIVATE LIMITED
3. Address of the Establishment : S No 15/2, Flat No 7 Akshay Park Building Aundh Road Thergaon PUNE
4. PF A/C No. held by : RO PUNE
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 account is : NOT APPLICABLE
9. Member's Name : PRADEEP VIKRAMRAO LOKHANDE
10. Date of Birth : 25/09/1989
11. Father's/Spouse Name : VIKRAM LAXMAN LOKHANDE
12. Relationship : FATHER
13. Date of joining : 01/06/2024
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