ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]
( Tracking ID: 10039024112905002 )
Claim Date : 25/07/2024
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 : PODUGU TEJASWI
2. Mobile Number : 8019699680
3. E-mail id : [email protected]
4. Bank Account Number : 50100026385181
5. Bank IFSC : HDFC0000364
PART B : DETAILS OF PREVIOUS PF ACCOUNTS (WHICH IS TO BE TRANSFERRED)
1. PF Account No. (with EPFO : BGBNG16813600000015450
2. Name of the Establishment : CARELON GLOBAL SOLUTIONS INDIA LLP
3. Address of the Establishment : MANYATA EMBASSY BUSINESS PARK SEZ, L1 BANYAN FLOORS 6-10
ORR NAGAVARA BENGALURU BENGALURU (BANGALORE) URBAN
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 : PODUGU TEJASWI
10. Date of Birth : 29/05/1992
11. Father's/Spouse Name : P SRINIVASARAO
12. Relationship : FATHER
13. Date of joining : 18/11/2019
14. Date of leaving : 31/08/2023
PART C : DETAILS OF PRESENT PF
1. PF Account No. (with EPFO : PYKRP00192140001145270
2. Name of the Establishment : IBM INDIA PVT LTD
3. Address of the Establishment : 12 SUBRAMANYA ARCADE BGHATTA RD BANGALORE BANGALORE
BENGALURU (BANGALORE) URBAN
4. PF A/C No. held by : SRO K R PURAM (WHITEFIELD)
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 : PODUGU TEJASWI
10. Date of Birth : 29/05/1992
11. Father's/Spouse Name : P SRINIVASARAO
12. Relationship : FATHER
13. Date of joining : 01/09/2023
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 Previous
Establishment i.e. CARELON GLOBAL SOLUTIONS INDIA LLP
