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Part A: Personal

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Nabab Sarif
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11 views

Part A: Personal

Uploaded by

Nabab Sarif
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: 10121779528605001 )


Claim Date : 23/09/2024
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,
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 : FIROJ SEKH

2. Mobile Number : 9647007992

3. E-mail id : -

4. Bank Account Number : 43350811374

5. Bank IFSC : SBIN0012390

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

1. PF Account No. (with EPFO : MHBAN00198440000720727

2. Name of the Establishment : SHAPOORJI PALLONJI AND CO PVT LTD.

3. Address of the Establishment : SP CENTRE 41/44, MINOO DESAI MARG COLABA, MUMBAI MUMBAI
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 : FIROJ SEKH

10. Date of Birth : 09/05/1981

11. Father's/Spouse Name : ABDUL MANNAN

12. Relationship : FATHER

13. Date of joining : 13/09/2017

14. Date of leaving : 30/11/2017


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : JLJNG00135220000011508

2. Name of the Establishment : NUR BIRI WORKS PVT LTD.

3. Address of the Establishment : DEBIDASPUR P.O.-KANKURIA MURSHIDABAD MURSHIDABAD 423

4. PF A/C No. held by : SRO JANGIPUR

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 : FIROJ SEKH

10. Date of Birth : 09/05/1981

11. Father's/Spouse Name : ABDUL MANNAN

12. Relationship : FATHER

13. Date of joining : 01/09/2019

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. NUR BIRI WORKS PVT LTD.

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