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Raksha Kumari has submitted an online transfer claim form to transfer her PF balance from her previous account with HDB Financial Services Limited to her present account with Square Yards Consulting Pvt Ltd. She provides her personal details like name, mobile number, email and bank account. She also provides details of her previous PF account like PF account number, name and address of previous establishment and date of joining and leaving. Similarly, she provides details of her present PF account like PF account number, name and address of present establishment and date of joining. She signs to certify that all information provided is true.

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271 views2 pages

2 Od Details

Raksha Kumari has submitted an online transfer claim form to transfer her PF balance from her previous account with HDB Financial Services Limited to her present account with Square Yards Consulting Pvt Ltd. She provides her personal details like name, mobile number, email and bank account. She also provides details of her previous PF account like PF account number, name and address of previous establishment and date of joining and leaving. Similarly, she provides details of her present PF account like PF account number, name and address of present establishment and date of joining. She signs to certify that all information provided is true.

Uploaded by

Savior Alice
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

( Tracking ID: 10124596038505002 )


Claim Date : 19/02/2023
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,
BANDRA(MUMBAI-I),
341, Bhavishya Nidhi Bhawan Bandra (East), Mumbai

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 : RAKSHA KUMARI

2. Mobile Number : 8678081996

3. E-mail id : [email protected]

4. Bank Account Number : 50100411337206

5. Bank IFSC : HDFC0000344

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

1. PF Account No. (with EPFO : MHBAN00496110000322364

2. Name of the Establishment : HDB FINANCIAL SERVICES LIMITED

3. Address of the Establishment : ZENITH HOUSE, OPP. MAHALAXMI RACE COURSE, K.K.MARG,
MAHALAXMI, MUMBAI MAHALAXMI MUMBAI CITY
4. PF A/C No. held by : BANDRA(MUMBAI-I)

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 : RAKSHA KUMARI

10. Date of Birth : 10/04/1998

11. Father's/Spouse Name : RAJ KUMAR

12. Relationship : FATHER

13. Date of joining : 06/04/2021

14. Date of leaving : 07/07/2021


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : GNGGN00336350000622601

2. Name of the Establishment : SQUARE YARDS CONSULTING PVT. LTD.

3. Address of the Establishment : 442-443, SPAZE I TECH PARK, B-BLOCK SOHNA ROAD 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 : RAKSHA KUMARI

10. Date of Birth : 10/04/1998

11. Father's/Spouse Name : RAJ KUMAR

12. Relationship : FATHER

13. Date of joining : 19/04/2022

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. HDB FINANCIAL SERVICES LIMITED

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