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    Part A: Personal

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    asrjsharma

    Copyright:

    © All Rights Reserved
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    Part A: Personal

    Uploaded by

    asrjsharma
    4 views2 pages

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    4 views2 pages

    Part A: Personal

    Uploaded by

    asrjsharma

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    © All Rights Reserved
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    ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

    ( Tracking ID: 10139905928705001 )


    Claim Date : 02/06/2024
    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,
    VADODARA,
    B/H VMC Ward-6 Office, Akota Stadium Road, Vadodara

    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 : SHARMA UMESH

    2. Mobile Number : 7984341621

    3. E-mail id : -

    4. Bank Account Number : 33078100002368

    5. Bank IFSC : BARB0BAJWAX

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

    1. PF Account No. (with EPFO : VDBRD00202410000013380

    2. Name of the Establishment : AIRON CORPORATION

    3. Address of the Establishment : RAJMAHAL ROAD VADODARA 566

    4. PF A/C No. held by : VADODARA

    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 : SHARMA UMESH

    10. Date of Birth : 11/03/2000

    11. Father's/Spouse Name : SHARMA VINODKUMAR

    12. Relationship : FATHER

    13. Date of joining : 19/12/2018

    14. Date of leaving : 24/12/2018


    PART C : DETAILS OF PRESENT PF

    1. PF Account No. (with EPFO : RJUDR10642340000010130

    2. Name of the Establishment : VINAY ELECTRICALS

    3. Address of the Establishment : RATHORE BHAWAN BEHIND FOREST OFFICE KOTA ROAD
    CHITTORGARH 220
    4. PF A/C No. held by : SRO UDAIPUR

    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 : SHARMA UMESH

    10. Date of Birth : 11/03/2000

    11. Father's/Spouse Name : SHARMA VINODKUMAR

    12. Relationship : FATHER

    13. Date of joining : 12/08/2022

    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. VINAY ELECTRICALS

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