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Part A: Personal Information

This document is an Online Transfer Claim Form submitted by Brajesh Kumar for the transfer of his Provident Fund balance from his previous employer, Shri Krishan Manpower Services, to his current employer, Bimbo Bakeries India Private Limited. It includes personal information, details of previous and present PF accounts, and a certification of the accuracy of the information provided. The claim was made on 05/09/2025 and is addressed to the Regional P.F. Commissioner in Gurgaon.

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5 views3 pages

Part A: Personal Information

This document is an Online Transfer Claim Form submitted by Brajesh Kumar for the transfer of his Provident Fund balance from his previous employer, Shri Krishan Manpower Services, to his current employer, Bimbo Bakeries India Private Limited. It includes personal information, details of previous and present PF accounts, and a certification of the accuracy of the information provided. The claim was made on 05/09/2025 and is addressed to the Regional P.F. Commissioner in Gurgaon.

Uploaded by

sonuemitra09
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: 10123579356505009 )


Claim Date : 05/09/2025
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 : BRAJESH KUMAR

2. Mobile Number : 8307562195

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

4. Bank Account Number : 34706924269

5. Bank IFSC : SBIN0031070


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

1. PF Account No. (with EPFO : GNGGN10418620000028926

2. Name of the Establishment : SHRI KRISHAN MANPOWER SERVICES

3. Address of the : SHOP NO- 416, 2ND FLOOR, GANPATI ARCADE, GURUDWARA ROAD,
GURGAON 179
4. PF A/C No. held by : GURGAON

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 : BRAJESH KUMAR

10 Date of Birth : 08/06/1992

11 Father's/Spouse Name : RAGHUNATH SINGH

12 Relationship : FATHER

13 Date of joining : 06/06/2023

14 Date of leaving : 30/09/2023

PART C : DETAILS OF PRESENT PF ACCOUNT

1. PF Account No. (with EPFO : RJRAJ00285760000020441

2. Name of the Establishment : BIMBO BAKERIES INDIA PRIVATE LIMITED

3. Address of the : F-28 TO F-37, RIICO IND AREA SARE KHURD, TIJARA ALWAR

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

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 : BRAJESH KUMAR

10 Date of Birth : 08/06/1992

11 Father's/Spouse Name : RAGHUNATH SINGH

12 Relationship : FATHER

13 Date of joining : 07/03/2024


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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