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    Hamanta Claim

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    SARRALLE EQUIPMENT INDIA PVT LTD
    The document is an online transfer claim form submitted by Hemanta Mondal to transfer his provident fund balance from his previous account to his present account. It provides details of Mondal's personal information like name, mobile number, bank account. It also lists the details of his previous PF account under Meera Enterprise and his present PF account under SIS Limited including account numbers, employer names and addresses. Mondal signs off certifying that the information provided is true and the account numbers are correct.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Hamanta Claim

    Uploaded by

    SARRALLE EQUIPMENT INDIA PVT LTD
    26 views2 pages
    The document is an online transfer claim form submitted by Hemanta Mondal to transfer his provident fund balance from his previous account to his present account. It provides details of Mondal's personal information like name, mobile number, bank account. It also lists the details of his previous PF account under Meera Enterprise and his present PF account under SIS Limited including account numbers, employer names and addresses. Mondal signs off certifying that the information provided is true and the account numbers are correct.

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    hamanta claim

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    The document is an online transfer claim form submitted by Hemanta Mondal to transfer his provident fund balance from his previous account to his present account. It provides details of Mondal's personal information like name, mobile number, bank account. It also lists the details of his previous PF account under Meera Enterprise and his present PF account under SIS Limited including account numbers, employer names and addresses. Mondal signs off certifying that the information provided is true and the account numbers are correct.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    26 views2 pages

    Hamanta Claim

    Uploaded by

    SARRALLE EQUIPMENT INDIA PVT LTD
    The document is an online transfer claim form submitted by Hemanta Mondal to transfer his provident fund balance from his previous account to his present account. It provides details of Mondal's personal information like name, mobile number, bank account. It also lists the details of his previous PF account under Meera Enterprise and his present PF account under SIS Limited including account numbers, employer names and addresses. Mondal signs off certifying that the information provided is true and the account numbers are correct.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

    ( Tracking ID: 10142853632905001 )


    Claim Date : 29/12/2022
    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,
    PARK STREET,
    44 Park Street, 7th - 8th Floor, Kolkata

    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 : HEMANTA MONDAL

    2. Mobile Number : 9830653026

    3. E-mail id : -

    4. Bank Account Number : 00420100023617

    5. Bank IFSC : BARB0BAGNAN

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

    1. PF Account No. (with EPFO : WBPRB00396260000011949

    2. Name of the Establishment : MEERA ENTERPRISE

    3. Address of the Establishment : 38 TANUPUKUR ROAD (NRIPEN BANERJEE ROAD) DHAKURIA KOLKATA
    KOLKATA
    4. PF A/C No. held by : PARK STREET

    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 : HEMANTA MONDAL

    10. Date of Birth : 05/12/1986

    11. Father's/Spouse Name : GOPAL MONDAL

    12. Relationship : FATHER

    13. Date of joining : 01/02/2019

    14. Date of leaving : 30/06/2022


    PART C : DETAILS OF PRESENT PF

    1. PF Account No. (with EPFO : BRPAT00050200001445262

    2. Name of the Establishment : SIS LIMITED

    3. Address of the Establishment : NISHANT REGENCY FRAZER ROAD PATNA PATNA

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

    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 : HEMANTA MONDAL

    10. Date of Birth : 05/12/1986

    11. Father's/Spouse Name : GOPAL MONDAL

    12. Relationship : FATHER

    13. Date of joining : 01/07/2022

    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. SIS LIMITED

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