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64 views2 pages

Default Folder 20230821

Uploaded by

mandapati
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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ual: lool psokdo 23. paws BOKPM 54 56h ‘TRANSFER CLAIM FORM CLAM ID. * FORM 13 (REVISED) (For EPFO Use only) ® EMPLOYEES’ PROVIDENT FUND SCHEME, 1952 (PARA $7) To, To, ‘The Regional P F Commissioner, ‘Trust Name: Office Name:. Trust Address: Office Address: (Please see instruction 3) {in case the PF A/C is with Exempted Establishment) ‘Sir, | request that my provident fund balance along with my pension service details may please be intimation to me. My details are as under: \: PERSONAL INFORMATION 1. *Name: a 2. *Father’s/Husband's name: Ranga Raj. a.mobie umber 48}190 86/02” 4.emaiis:Vayina «mandapud goth com. S.BankA/Cnumber: 25 12] 40a) € 6.18 code of Bank branch: 0 aah 31 PART B: DETAILS OF PREVIOUS ACCOUNT (WHICH IS TO BE TRANSFERRED) 1. *PF Account No. : | HA | LEXSS4 S444 van: lao he so4bee3 In case the previous establishment is exempted under Employees’ Provident Fund Scheme,1952 Pension Fund Account No. : 2. *Name and Address of the previous establishment: ‘i . ’ ate 3."PF Account is held by: (Name of EPF Office/ PF Trust) 4. Pa ASI cTINED sdinir 5. *Date of joining : Ot In [20 Dp. (sayin 6.*Date of teaving: 24 Joe] 901 & (aa/mm/yyyy) PART C: DFTAILS QF PRESENT ACCOUNT 1, *PF Account No. : fv BH A2, 0 Incase the present establishment is exempted under Employees’ Provident Fund Scheme, 1952 Pension Fund Account No. : al” eh muh 3. *Account Is held by: (Name of EPF Office /PF Trust) 4,*Date of joining nl eele steam Sees 5, Name of Trust (to whom funds are to be paid in case of present establishment being exempted der ePr Schume, 1952), ce a 6. #Employee code under the Trust: ("indicates mandatory fields) (# Strike off if not applicable) 1, Certify that all the information given above is true to the best of my knowledge and | have ensured the correctness of my present and previous account numbers. Signature of the Member Date: IMPORTANT: Member has the to get the claim form ai by present or previous e1 In.case of ion vious employer, time taken i ¢ will be relatively less. Certified that | have verified the data in Part 8 in respect of the member mentioned in Part A of this form and the signature of the member. 4 Vos ‘Signature of Previous Employer Seal ofthe Establishment Date: oR Certified that | have verified the data in Part C in respect of the member mentioned in Part A of this form. Signature of Present Employer Seal of the Establishment Date: INSTRUCTIONS AND GUIDELINES 1. The Bank A/C details are for verification purpose even if the Fund is transferred to the EPFO ffice/Trust maintaining the present account number. 2. Im case the Previous Account was maintained by PF Trust of the exempted establishment, the member should submit a Transfer Claim Form {Form-13(Revised)} to the Trust while sending another Transfer Claim Form {Form-13(Revised)} to the PF Office for transferring the service details under the Pension Fund to the new account, 3, The Form sould be submited to that PF Office under which previous or the present account i ‘maintained, depending upon as to which employer has attested the claim. (In case the claim is attested by the present employer, claim should be submitted with the PF Office under which the ‘present account is maintained, and so on). 4,.-The mobile number (wherever provided) of the member would be used for sending an SMS alert informing him/her the processing of his/her claim and is non-mandatory for Physical form.

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