ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]
( Tracking ID: 10121576751205009 )
Claim Date : 17/09/2024
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
1. Name : ZIAD UDDIN
2. Mobile Number : 8150084515
3. E-mail id : Ziaduddin121@gmail.com
4. Bank Account Number : 7745506392
5. Bank IFSC : KKBK0008077
PART B : DETAILS OF PREVIOUS PF ACCOUNTS (WHICH IS TO BE TRANSFERRED)
1. PF Account No. (with EPFO : MHBAN00416180008025995
2. Name of the Establishment : HARD CASTLE RESTAURANT PVT. LTD.
3. Address of the Establishment : 1001-1002, TOWER-3, 10 FLOOR INDIABULLS FINANCE CENTRE,
S.B.MARG ELPHINSTONE ROAD 599
4. PF A/C No. held by : BANDRA(MUMBAI-I)
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 : ZIAD UDDIN
10. Date of Birth : 14/08/1996
11. Father's/Spouse Name : JAMIR UDDIN
12. Relationship : FATHER
13. Date of joining : 05/11/2018
14. Date of leaving : 31/07/2022
PART C : DETAILS OF PRESENT PF
1. PF Account No. (with EPFO : KNMYS22424200000010201
2. Name of the Establishment : Paryaavarneer Engineers & Consultants Private Limited
3. Address of the Establishment : 50-b Kadakola Industrial Area Kadakola MYSORE
4. PF A/C No. held by : SRO MYSORE
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 : ZIAD UDDIN
10. Date of Birth : 14/08/1996
11. Father's/Spouse Name : JAMIR UDDIN
12. Relationship : FATHER
13. Date of joining : 01/12/2022
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 Present
Establishment i.e. Paryaavarneer Engineers & Consultants Private Limited
