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Part A: Personal

This document is an Online Transfer Claim Form for the transfer of Provident Fund balance from a previous employer, Husys Consulting Limited, to the current employer, Integrated Personnel Services Limited. The member, Selvakumar, has provided personal details, previous and current PF account information, and has certified the accuracy of the information. The claim was submitted to the Regional P.F. Commissioner in Hyderabad on 05/02/2025.

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selvaa kumar
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13 views2 pages

Part A: Personal

This document is an Online Transfer Claim Form for the transfer of Provident Fund balance from a previous employer, Husys Consulting Limited, to the current employer, Integrated Personnel Services Limited. The member, Selvakumar, has provided personal details, previous and current PF account information, and has certified the accuracy of the information. The claim was submitted to the Regional P.F. Commissioner in Hyderabad on 05/02/2025.

Uploaded by

selvaa kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

( Tracking ID: 10123383410805003 )


Claim Date : 05/02/2025
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,
HYDERABAD,
Bhavishyanidhi Bhawan, No. 3-4-763, Barkatpura Chaman, Hyderabad

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 : SELVAKUMAR

2. Mobile Number : 9715569637

3. E-mail id : selvaak477@gmail.com

4. Bank Account Number : 110007982120

5. Bank IFSC : CNRB0001447

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

1. PF Account No. (with EPFO : APHYD00538920000037682

2. Name of the Establishment : HUSYS CONSULTING LIMITED

3. Address of the Establishment : 1-8-505 E D A,OPP BEGUMPET AIRPORT PRAKASH NAGAR


EXTN.,BEGUMPET HDYERABAD HYDERABAD
4. PF A/C No. held by : HYDERABAD

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 : SELVAKUMAR

10. Date of Birth : 10/12/1994

11. Father's/Spouse Name : GOVINDARASU

12. Relationship : FATHER

13. Date of joining : 26/02/2024

14. Date of leaving : 04/10/2024


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : KDMAL00931180000098939

2. Name of the Establishment : INTEGRATED PERSONNEL SERVICES LIMITED

3. Address of the Establishment : SHOP NO 14 WHISPERING SHOPPING COMPLEX LOKHANDWALA


TOWNSHIP AKURLI ROAD KANDIVALI EAST MUMBAI SUBURBAN
4. PF A/C No. held by : RO MALAD (KANDIVALI)

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 : SELVAKUMAR

10. Date of Birth : 10/12/1994

11. Father's/Spouse Name : GOVINDARASU

12. Relationship : FATHER

13. Date of joining : 07/10/2024

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

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