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This document is an Online Transfer Claim Form for the transfer of Provident Fund balance from a previous employer to a current one. The member, KADAVALA PIYUSH ARVIDBHAI, requests the transfer and provides personal and account details for both previous and current PF accounts. The form is to be submitted to the Regional P.F. Commissioner in Ahmedabad.

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2 views

1

This document is an Online Transfer Claim Form for the transfer of Provident Fund balance from a previous employer to a current one. The member, KADAVALA PIYUSH ARVIDBHAI, requests the transfer and provides personal and account details for both previous and current PF accounts. The form is to be submitted to the Regional P.F. Commissioner in Ahmedabad.

Uploaded by

kadavalapiyush62
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: 10156763291805001 )


Claim Date : 04/11/2023
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,
AHMEDABAD,
Bhavishyanidhi Bhawan, Near Income Tax Circle,Ashram Road Ahmedabad

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 : KADAVALA PIYUSH ARVIDBHAI

2. Mobile Number : 9773288235

3. E-mail id : [email protected]

4. Bank Account Number : 50100477530783

5. Bank IFSC : HDFC0006350

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

1. PF Account No. (with EPFO : GJAHD21006120000010109

2. Name of the Establishment : POSITRON ENERGY PRIVATE LIMITED

3. Address of the Establishment : Office No.3, Ground Floor, I T Tower-2, Bank Of Baroda, Infocity Branch
Infocity GANDHINAGAR
4. PF A/C No. held by : AHMEDABAD

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 : KADAVALA PIYUSH ARVIDBHAI

10. Date of Birth : 11/05/2000

11. Father's/Spouse Name : ARVIDBHAI

12. Relationship : FATHER

13. Date of joining : 01/11/2022

14. Date of leaving : 25/08/2023


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : GJAHD00555660000010351

2. Name of the Establishment : GUJARAT INTERNATIONAL FINANCE TEC -CITY COMPANY LTD

3. Address of the Establishment : OFFICE-1, GIFT CITY, ZONE-5, GANDHINAGAR 553

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

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 : KADAVALA PIYUSH ARVIDBHAI

10. Date of Birth : 11/05/2000

11. Father's/Spouse Name : ARVIDBHAI

12. Relationship : FATHER

13. Date of joining : 01/09/2023

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. GUJARAT INTERNATIONAL FINANCE TEC -CITY COMPANY LTD

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