Scribd
Upload
4 views2 pages

Part A: Personal

This document is an Online Transfer Claim Form for transferring Provident Fund balance from a previous account to a current account. The claimant, Mini Thankachan, provides personal details, previous and current PF account information, and certifies the accuracy of the information. The form is to be submitted to the Regional P.F. Commissioner in Delhi.

Uploaded by

nithin110299
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
4 views2 pages

Part A: Personal

This document is an Online Transfer Claim Form for transferring Provident Fund balance from a previous account to a current account. The claimant, Mini Thankachan, provides personal details, previous and current PF account information, and certifies the accuracy of the information. The form is to be submitted to the Regional P.F. Commissioner in Delhi.

Uploaded by

nithin110299
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

( Tracking ID: 10136093258705001 )


Claim Date : 13/10/2024
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,
DELHI (NORTH),
28, Community Centre, Wazirpur Industrial Area, Delhi

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 : MINI THANKACHAN

2. Mobile Number : 8527950559

3. E-mail id : -

4. Bank Account Number : 10592281001502

5. Bank IFSC : ORBC0100144

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

1. PF Account No. (with EPFO : DLCPM00165210000018439

2. Name of the Establishment : ALERT ENTERPRISES,

3. Address of the Establishment : G-55,LEFT SIDE BASEMENT EAST OF KAILASH NEW DELHI NEW DELHI

4. PF A/C No. held by : DELHI (NORTH)

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 : MINI THANKACHAN

10. Date of Birth : 22/01/1974

11. Father's/Spouse Name : P THANKACHAN

12. Relationship : HUSBAND

13. Date of joining : 02/12/2021

14. Date of leaving : 31/05/2023


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : DSSHD00212940000016950

2. Name of the Establishment : SHIVALIK HOUSEKEEPING SERVICE

3. Address of the Establishment : 148-SOUTH ANARKALI, SOM BAZAR CHANDR NAGAR, DELHI 181

4. PF A/C No. held by : SRO LAXMI NAGAR

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 : MINI THANKACHAN

10. Date of Birth : 22/01/1974

11. Father's/Spouse Name : P THANKACHAN

12. Relationship : HUSBAND

13. Date of joining : 01/06/2023

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. ALERT ENTERPRISES,

You might also like