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Part A: Personal

Nikhil Girdhar has submitted an online transfer claim form to transfer his Provident Fund balance from his previous employer Jindal Tubular (India) Limited to his current employer Genpact India Private Limited. The form provides details of his previous and current PF accounts, including account numbers, employer addresses, dates of employment and other identifying information to correctly transfer the funds. He has signed the form certifying the information provided is true and correct.

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59 views

Part A: Personal

Nikhil Girdhar has submitted an online transfer claim form to transfer his Provident Fund balance from his previous employer Jindal Tubular (India) Limited to his current employer Genpact India Private Limited. The form provides details of his previous and current PF accounts, including account numbers, employer addresses, dates of employment and other identifying information to correctly transfer the funds. He has signed the form certifying the information provided is true and correct.

Uploaded by

ਨਿਖਿਲ ਗਿਰਧਰ
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: 10079163200005002 )


Claim Date : 02/07/2020
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,
DELHI (NORTH),
28, Community Centre, Wazirpur Industrial Area, Delhi

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 : NIKHIL GIRDHAR

2. Mobile Number : 9255545617

3. E-mail id : [email protected]

4. Bank Account Number : 32538399663

5. Bank IFSC : SBIN0000665

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

1. PF Account No. (with EPFO : DLCPM13629680000010034

2. Name of the Establishment : JINDAL TUBULAR (INDIA) LIMITED

3. Address of the Establishment : 28, SHIVAJI MARG NAJAFGARH ROAD NEW DELHI 188

4. PF A/C No. held by : DELHI (NORTH)

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 : NIKHIL GIRDHAR

10. Date of Birth : 01/11/1989

11. Father's/Spouse Name : NAND LAL

12. Relationship : FATHER

13. Date of joining : 01/07/2016

14. Date of leaving : 14/07/2016


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : PYKRP00450530000063136

2. Name of the Establishment : GENPACT INDIA PRIVATE LIMITED

3. Address of the Establishment : SALARPURIA SOFT ZONE GRND FLR BLK B SYNO 80/1 81/1 81/2 OUTER
RING ROAD BELLANDUR VARTHUR HOBLI 656
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 : NIKHIL GIRDHAR

10. Date of Birth : 01/11/1989

11. Father's/Spouse Name : NAND LAL GIRDHAR

12. Relationship : FATHER

13. Date of joining : 03/06/2019

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. GENPACT INDIA PRIVATE LIMITED

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