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Ayyaz PF Detail Flipbook PDF
Ayyaz PF Detail
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ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ] ( Tracking ID: 10060837554605001 ) Claim Date : 27/01/2020 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, BOMMASANDRA, ANNAPOORNESHWARI COMPLEX, 6TH MAIN, SINGASANDRA HOSUR MAIN RD, Bangalore 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
: AYAZ AHMAD
2. Mobile Number
: 8454890838
3. E-mail id
: [email protected]
4. Bank Account Number
: 915010042013657
5. Bank IFSC
: UTIB0000052
PART B : DETAILS OF PREVIOUS PF ACCOUNTS (WHICH IS TO BE TRANSFERRED) 1. PF Account No. (with EPFO
: PYBOM00342720000792728
2. Name of the Establishment
: ADECCO INDIA PVT. LTD.
3. Address of the Establishment
: NO 2, NAL WIND TUNNEL ROAD, MURGESH PALYA, BANGALORE 656
4. PF A/C No. held by
: TRUST
5. Name of the Trust
: ADECCO EMPLOYEES PROVIDENT FUND TRUST
6. PF A/C No. in Trust
: PYBOM00342720000792728
7. Bank A/C No. of Trust
: 910010050413042
8. IFS Code of the Bank Branch of : UTIB0000009 Trust where account is 9. Member's Name
: AYAZ AHMAD
10. Date of Birth
: 10/09/1994
11. Father's/Spouse Name
: NAZEERRUDDIN
12. Relationship
: FATHER
13. Date of joining
: 01/10/2015
14. Date of leaving
: 31/07/2019
PART C : DETAILS OF PRESENT PF 1. PF Account No. (with EPFO
: DSNHP09376500000010862
2. Name of the Establishment
: PASONA INDIA PVT. LTD.
3. Address of the Establishment
: F-127 & 128 RECTANGLE-I D-4, DISTRICT CENTRE, SAKET NEW DELHI 190
4. PF A/C No. held by
: RO DELHI (SOUTH)
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 : NOT APPLICABLE Trust where account is 9. Member's Name
: AYAZ AHMAD
10. Date of Birth
: 10/09/1994
11. Father's/Spouse Name
: NAZEERRUDDIN
12. Relationship
: FATHER
13. Date of joining
: 01/08/2019
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 Previous Establishment i.e. ADECCO INDIA PVT. LTD.