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PF Transfer Out Form-13

The document is a Transfer Claim Form for transferring an employee's provident fund balance and pension service details to a new account. It contains sections for personal information, details of the previous account, and details of the present account, with mandatory fields marked. The form requires verification and signature from either the previous or present employer.

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padmachandran.meno
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43 views2 pages

PF Transfer Out Form-13

The document is a Transfer Claim Form for transferring an employee's provident fund balance and pension service details to a new account. It contains sections for personal information, details of the previous account, and details of the present account, with mandatory fields marked. The form requires verification and signature from either the previous or present employer.

Uploaded by

padmachandran.meno
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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HDFC EMP CODE :- ___

TRANSFER CLAIM FORM CLAIM ID_________________________________


FORM 13 (REVISED) (For EPFO Use only)

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,
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 INFORMATION


1. *Name: ___ ______________________________________________
2. *Father's/Husband's name: ___________________ ________________________
3. Mobile number:_______________ 4. E-mail id:___________________________________
5. Bank A/C number:_____________ 6. IFS code of Bank branch:____________________

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

1. *PF Account No. :__________________________________________________________


In case the previous establishment is exempted under Employees' Provident Fund
Scheme,1952 Pension Fund Account No.
:__MH/___________________________________________
2.*Name and Address of the previous establishment:_ HDFC BANK LTD COVERED
EPF TRUST
PAD FINANCE, LODHA- I THINK TECHNO CAMPUS, ALPHA BLDG 8 TH FLOOR
____ KANJURMARG - EAST, MUMBAI - 400 042
3. *Account is held by: (Name of EPF Office / PF Trust)_HDFC BANK LTD COVERED EPF
TRUST
4. *Date of Birth:_____________(dd/mm/yyyy) 5.*Date of joining:__________ (dd/mm/yyyy)
6. *Date of Leaving:___________(dd/mm/yyyy)

PART C: DETAILS OF PRESENT ACCOUNT

1. *PF Account No. :_______________________________________________


In case the present establishment is exempted under Employees' Provident Fund
Scheme,1952 Pension Fund Account No. :_____________________________
2.*Name and Address of the present establishment:__________ _________
_______________________________________________________________

3. *Account is held by: (Name of EPF Office / PF Trust)_________________________


4. *Date of joining:_________ (dd/mm/yyyy)
5. #Name of Trust (to whom funds are to be paid in case of present establishment
being exempted under EPF Scheme, 1952):_ ____________________________________
6. #Employee code under the Trust:____________________________________
(* indicates mandatory fields) (# Strike off if not applicable)

I, Certify that all the information given above is true to the best of my
knowledge and I have ensured the correctness of my present and previous
account numbers.

Signature of the Member


Date: _______________

IMPORTANT: Member has the option to get the claim form attested
by present or previous employer. In case of attestation by the
previous employer, time taken in settlement will be relatively less.

Certified that I have verified the data in Part B in respect of the


member mentioned in Part A of this form and the signature of the
member.

Signature of Previous Employer


Seal of the Establishment Date:
OR
Certified that I 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:
______________________________________________________________________________

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