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13FORM

This online transfer claim form requests that Mahalakshmi S's Provident Fund balance and pension details be transferred from her previous account with Accenture Solutions Pvt. Ltd. to her current account with Synchrony International Services Private Ltd. It provides her personal details like name, DOB, father's name, account and IFSC numbers. It also lists the details of both her previous and present PF accounts, including account numbers, employer names and addresses. Mahalakshmi signs the form to certify the details are true.

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Manda Raghuramulu
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149 views2 pages

13FORM

This online transfer claim form requests that Mahalakshmi S's Provident Fund balance and pension details be transferred from her previous account with Accenture Solutions Pvt. Ltd. to her current account with Synchrony International Services Private Ltd. It provides her personal details like name, DOB, father's name, account and IFSC numbers. It also lists the details of both her previous and present PF accounts, including account numbers, employer names and addresses. Mahalakshmi signs the form to certify the details are true.

Uploaded by

Manda Raghuramulu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

( Tracking ID: 10047252463905003 )


Claim Date : 16/08/2019
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 : MAHALAKSHMI S

2. Mobile Number : 9676393628

3. E-mail id : [email protected]

4. Bank Account Number : 180401519308

5. Bank IFSC : ICIC0000002

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

1. PF Account No. (with EPFO : MHBAN00456650001133305

2. Name of the Establishment : ACCENTURE SOLUTIONS PVT. LTD.

3. Address of the Establishment : PLANT-3,GODREJ - BOYCE COMPLEX, LBS MARG, VIKHROLI 598

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 : MAHALAKSHMI S

10. Date of Birth : 20/06/1988

11. Father's/Spouse Name : K SUBRAMANI

12. Relationship : FATHER

13. Date of joining : 10/02/2017

14. Date of leaving : 16/03/2018


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : APHYD00505330000023996

2. Name of the Establishment : SYNCHRONY INTERNATIONAL SERVICES PRIVATE LIMITED

3. Address of the Establishment : 1-2ND FLOORS,I LABS HYDERABAD TECHNOLOGY CENTER,PLOT


NO.18,SOFTWA RE UNITS LAYOUT HITEC CITY MADHAPUR 617
4. PF A/C No. held by : RO HYDERABAD

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 : MAHALAKSHMI S

10. Date of Birth : 20/06/1988

11. Father's/Spouse Name : K SUBRAMANI

12. Relationship : FATHER

13. Date of joining : 24/09/2018

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. SYNCHRONY INTERNATIONAL SERVICES PRIVATE LIMITED

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