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Withdraw PF PDF

1. Kiran N has submitted an online transfer claim form to transfer her PF balance from her previous employer L&T Technology Services Ltd to her present employer Tata Consultancy Services Limited. 2. She provides her personal details like name, mobile number, email id and bank account number along with details of her previous and present PF accounts including PF numbers, employer names and addresses. 3. She certifies that all the information provided is true and correct and notes that a signed printout of this form needs to be submitted to her previous employer.

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Kiran N
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177 views2 pages

Withdraw PF PDF

1. Kiran N has submitted an online transfer claim form to transfer her PF balance from her previous employer L&T Technology Services Ltd to her present employer Tata Consultancy Services Limited. 2. She provides her personal details like name, mobile number, email id and bank account number along with details of her previous and present PF accounts including PF numbers, employer names and addresses. 3. She certifies that all the information provided is true and correct and notes that a signed printout of this form needs to be submitted to her previous employer.

Uploaded by

Kiran N
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: 10055828434905001 )


Claim Date : 04/01/2020
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,
THANE (MUMBAI-II),
Vardan Commercial Complex,6thFloor, M.I.D.C. Road No.16,Wagle Estate, Thane

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 : KIRAN N

2. Mobile Number : 9066165121

3. E-mail id : -

4. Bank Account Number : 055801621379

5. Bank IFSC : ICIC0002301

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

1. PF Account No. (with EPFO : THTHA02061700000010152

2. Name of the Establishment : M/S L & T TECHNOLOGY SERVICES LTD

3. Address of the Establishment : KRISLON HOUSE,4TH FLR,MARWAH ROAD, OFF SAKI VIHAR RD,SAKI
NAKA, ANDHERI EAST MUMBAI 598
4. PF A/C No. held by : TRUST

5. Name of the Trust : The Larsen & Toubro Officer and Supervisory Statt Provident Fund,

6. PF A/C No. in Trust : THTHA02061700000010152

7. Bank A/C No. of Trust : 00601110005352


8. IFS Code of the Bank Branch of
Trust where account is : HDFC0000060

9. Member's Name : KIRAN N

10. Date of Birth : 18/05/1992

11. Father's/Spouse Name : NAGABHUSHANA N. U.

12. Relationship : FATHER

13. Date of joining : 11/11/2014

14. Date of leaving : 12/11/2019


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : MHBAN00484750002264319

2. Name of the Establishment : TATA CONSULTANCY SERVICES LIMITED

3. Address of the Establishment : 11TH FLOOR, AIR INDIA BUILDING NARIMAN POINT MUMBAI 599

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

5. Name of the Trust : TATA CONSULTANCY SERVICES EMPLOYEES PROVIDENT FUND

6. PF A/C No. in Trust : MHBAN004847501790345

7. Bank A/C No. of Trust : 00601110003419


8. IFS Code of the Bank Branch of
Trust where account is : HDFC0000060

9. Member's Name : KIRAN N

10. Date of Birth : 18/05/1992

11. Father's/Spouse Name : NAGABHUSHANA N. U.

12. Relationship : FATHER

13. Date of joining : 13/11/2019

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 Previous
Establishment i.e. M/S L & T TECHNOLOGY SERVICES LTD

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