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EPF Online Transfer Claim Form

Nasreen Banu has submitted an online transfer claim form to transfer her Provident Fund balance from her previous account under Infinite Computer Solutions to her present account under Primus Global Technologies. She provides her personal details including name, contact information and bank account. She also provides details of both her previous and present PF accounts, including account numbers, employer names and addresses, dates of employment and other relevant information. She signs to certify that the information provided is true and correct.

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nasreenrai7991
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107 views2 pages

EPF Online Transfer Claim Form

Nasreen Banu has submitted an online transfer claim form to transfer her Provident Fund balance from her previous account under Infinite Computer Solutions to her present account under Primus Global Technologies. She provides her personal details including name, contact information and bank account. She also provides details of both her previous and present PF accounts, including account numbers, employer names and addresses, dates of employment and other relevant information. She signs to certify that the information provided is true and correct.

Uploaded by

nasreenrai7991
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

ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

( Tracking ID: 10025936928705004 )


Claim Date : 23/01/2020
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,
BANGALORE,
Bhavishyanidhi Bhavan, No. 13, Raja Ram Mohan Roy Road, 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 : Nasreen Banu

2. Mobile Number : 8019278914

3. E-mail id : [email protected]

4. Bank Account Number : 10687799823

5. Bank IFSC : SBIN0060454

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

1. PF Account No. (with EPFO : BGBNG00246280000005114

2. Name of the Establishment : INFINITE COMPUTER SOLUTIONS (INDIA) LIMITED

3. Address of the Establishment : NO 157 EPIP ZPNE PHASE II WHITE FIELD ROAD BANGALORE 656

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

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 : NASREEN BANU

10. Date of Birth : 21/03/1974

11. Father's/Spouse Name : S M SHARIFF

12. Relationship : FATHER

13. Date of joining : 06/11/2009

14. Date of leaving : 29/12/2010


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : PYBOM00464510000017828

2. Name of the Establishment : PRIMUS GLOBAL TECHNOLOGIES PVT LTD

3. Address of the Establishment : 28/2 SIDDAPURA WHITEFIELD MAIN ROAD BANGALORE BANGALORE
656
4. PF A/C No. held by : SRO 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 : Nasreen Banu

10. Date of Birth : 21/03/1974

11. Father's/Spouse Name : S M Shariff

12. Relationship : FATHER

13. Date of joining : 11/12/2019

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. PRIMUS GLOBAL TECHNOLOGIES PVT LTD

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