PF Receipt
PF Receipt
(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
3. E-mail id : devatheboss1991@gmial.com
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)
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.
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.