ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]
( Tracking ID: 10189941542705001 )
Claim Date : 17/06/2025
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,
BANDRA(MUMBAI-I),
341, Bhavishya Nidhi Bhawan Bandra (East), Mumbai
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 : ABDUL BASIR SHEKH
2. Mobile Number : 8723029525
3. E-mail id : -
4. Bank Account Number : 50100448405207
5. Bank IFSC : HDFC0009250
PART B : DETAILS OF PREVIOUS PF ACCOUNTS (WHICH IS TO BE TRANSFERRED)
1. PF Account No. (with EPFO : MHBAN00492560000548596
2. Name of the Establishment : TATA CAPITAL LTD
3. Address of the : ONE FORBES, V.B.GANDHI MARG FORT, MUMBAI 599
4. PF A/C No. held by : TRUST
5. Name of the Trust : TATA CAPITAL LTD EMPLOYOEES PROVIDENT FUND
6. PF A/C No. in Trust : MHBAN00492560000548596
7. Bank A/C No. of Trust : 00121110000073
8. IFS Code of the Bank Branch of
Trust where : HDFC0000012
9. Member's Name : ABDUL BASIR SHEKH
10 Date of Birth : 21/10/1997
11 Father's/Spouse Name : ABUL HUSSAIN
12 Relationship : FATHER
13 Date of joining : 01/01/2024
14 Date of leaving : 10/12/2024
PART C : DETAILS OF PRESENT PF ACCOUNT
1. PF Account No. (with EPFO : BGBNG00352240007023289
2. Name of the Establishment : TEAMLEASE SERVICES LIMITED
3. Address of the : 315 WORK AVENUE CAMPUS, ASCENT BLDG JYOTI NIVAS COLLEGE
RD, KORAMANGALA 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 : ABDUL BASIR SHEKH
10 Date of Birth : 21/10/1997
11 Father's/Spouse Name : ABUL HUSSAIN
12 Relationship : FATHER
13 Date of joining : 02/01/2025
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
