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Deepak ValviONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]
( Tracking ID: 10136424461505001 )
Claim Date : 15/12/2020
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,
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 : DEEPAK YASHVANT VALVI
2. Mobile Number : 9998464028
3. E-mail id : [email protected]
4. Bank Account Number : 11178100011461
5. Bank IFSC : BARB0ANASTA
PART B : DETAILS OF PREVIOUS PF ACCOUNTS (WHICH IS TO BE TRANSFERRED)
1. PF Account No. (with EPFO : GJAHD00522050000012381
2. Name of the Establishment : KRISHNA INDUSTRIAL SECURITY & FIRE SERVICES
3. Address of the Establishment : 39, SUBH LAXMI SHOPPING CENTRE STATION ROAD ANAND 562
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 : DEEPAK YASHVANT VALVI
10. Date of Birth : 26/01/1989
11. Father's/Spouse Name : YASHVANT VALVI
12. Relationship : FATHER
13. Date of joining : 01/09/2018
14. Date of leaving : 02/05/2020
PART C : DETAILS OF PRESENT PF
1. PF Account No. (with EPFO : SRSRT00339460000010535
2. Name of the Establishment : AMI ORGANICS LIMITED
3. Address of the Establishment : 440/5,6,G I D C, SACHIN SURAT 569
4. PF A/C No. held by : RO SURAT
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 : DEEPAK YASHVANT VALVI
10. Date of Birth : 26/01/1989
11. Father's/Spouse Name : YASHVANT VALVI
12. Relationship : FATHER
13. Date of joining : 06/07/2020
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. KRISHNA INDUSTRIAL SECURITY & FIRE SERVICES
