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PF Receipt

Deva has submitted an online transfer claim form to transfer his Provident Fund balance from his previous employer, Prolific HR Consultants India Ltd, to his current account with his present employer Nova Human Resources Outsourcing Pvt. Ltd. The form provides details of Deva's personal information like name, contact details and bank account. It also lists the PF account numbers and dates of joining and leaving for both his previous and present employers. Deva certifies that the information provided is true and correct.

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0% found this document useful (0 votes)
77 views2 pages

PF Receipt

Deva has submitted an online transfer claim form to transfer his Provident Fund balance from his previous employer, Prolific HR Consultants India Ltd, to his current account with his present employer Nova Human Resources Outsourcing Pvt. Ltd. The form provides details of Deva's personal information like name, contact details and bank account. It also lists the PF account numbers and dates of joining and leaving for both his previous and present employers. Deva certifies that the information provided is true and correct.

Uploaded by

Veera Svg
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
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ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

( Tracking ID: 10098572044005001 )


Claim Date : 20/03/2020
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,
BOMMASANDRA,
ANNAPOORNESHWARI COMPLEX, 6TH MAIN, SINGASANDRA HOSUR MAIN RD, Bangalore

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 : DEVA

2. Mobile Number : 9003256082

3. E-mail id : devatheboss1991@gmial.com

4. Bank Account Number : 6638995351

5. Bank IFSC : IDIB000C123

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

1. PF Account No. (with EPFO : PYBOM00347740000042935

2. Name of the Establishment : PROLIFIC HR CONSULTANTS INDIA LTD.

3. Address of the Establishment : NO.139/26, PATEL ENCLAVE AMARJYOTHI LAYOUT, KORMANGALA


BANGALORE 656
4. PF A/C No. held by : BOMMASANDRA

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 : DEVA

10. Date of Birth : 10/01/1993

11. Father's/Spouse Name : PANJARAM

12. Relationship : FATHER

13. Date of joining : 19/12/2016

14. Date of leaving : 03/08/2017


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : THTHA02054950000010942

2. Name of the Establishment : NOVA HUMAN RESOURCES OUTSOURCING PVT.LTD.

3. Address of the Establishment : 203, KUNTAL BUILDING, MODI ESTATES LBS MARG, GHATKOPAR WEST
GHATKOPAR WEST, MUMBAI 598
4. PF A/C No. held by : RO THANE (MUMBAI-II)

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 : DEVA

10. Date of Birth : 10/01/1993

11. Father's/Spouse Name : PANJARAM

12. Relationship : FATHER

13. Date of joining : 01/04/2019

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. NOVA HUMAN RESOURCES OUTSOURCING PVT.LTD.

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