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PF Form1

Varun Kumar has submitted an Online Transfer Claim Form to transfer his Provident Fund balance from his previous employer, FIS Global Business Solutions India Pvt Ltd, to his current employer, Teleperformance Global Services Private Limited. The form includes personal details, previous and present PF account information, and a certification of the accuracy of the provided information. The signed form must be printed and submitted to the current establishment.

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Aditya Modi
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43 views2 pages

PF Form1

Varun Kumar has submitted an Online Transfer Claim Form to transfer his Provident Fund balance from his previous employer, FIS Global Business Solutions India Pvt Ltd, to his current employer, Teleperformance Global Services Private Limited. The form includes personal details, previous and present PF account information, and a certification of the accuracy of the provided information. The signed form must be printed and submitted to the current establishment.

Uploaded by

Aditya Modi
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: 10172763945605002 )


Claim Date : 01/09/2023
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,
GURGAON,
Bhavishyanidhi Bhawan,Plot No.43, Sector 44, Institutional Area, Gurgaon

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 : VARUN KUMAR

2. Mobile Number : 6395585615

3. E-mail id : [email protected]

4. Bank Account Number : 50100593769020

5. Bank IFSC : HDFC0001890

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

1. PF Account No. (with EPFO : GNGGN00105920000069506

2. Name of the Establishment : FIS GLOBAL BUSINESS SOLUTIONS INDIA PVT LTD.

3. Address of the Establishment : 402, IPARK, PKOT NO-15 UDYOG VIHAR PH- IV GURGAON 179

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

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 : VARUN KUMAR

10. Date of Birth : 30/03/1999

11. Father's/Spouse Name : NARESH CHAND

12. Relationship : FATHER

13. Date of joining : 17/06/2022

14. Date of leaving : 18/06/2023


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : GNGGN00252970000354808

2. Name of the Establishment : TELEPERFORMANCE GLOBAL SERVICES PRIVATE LIMITED

3. Address of the Establishment : 94-95,UDYOOG VIHAR PHASE-IV GURGAON 179

4. PF A/C No. held by : RO GURGAON

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 : VARUN KUMAR

10. Date of Birth : 30/03/1999

11. Father's/Spouse Name : NARESH CHAND

12. Relationship : FATHER

13. Date of joining : 19/06/2023

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 Present
Establishment i.e. TELEPERFORMANCE GLOBAL SERVICES PRIVATE LIMITED

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