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    DOC-20241011-WA0006_241111_035901

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    DOC-20241011-WA0006_241111_035901

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    dharmendrak626
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    Vmc

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    Copyright:

    © All Rights Reserved
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    0 views2 pages

    DOC-20241011-WA0006_241111_035901

    Uploaded by

    dharmendrak626
    Vmc

    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: 10164149066605017 )


    Claim Date : 20/09/2024
    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,
    NOIDA,
    A-2C, Sector 24 Noida

    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 : DHARMENDRA KUMAR

    2. Mobile Number : 9325974795

    3. E-mail id : -

    4. Bank Account Number : 12160101106095

    5. Bank IFSC : UCBA0001216

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

    1. PF Account No. (with EPFO : MRNOI20846200000012766

    2. Name of the Establishment : INNOVATIVE PROFESSIONAL SERVICES & COMPANY

    3. Address of the Establishment : 701, Tower T-20, Plot - Gh05 Shri Radha Sky Garden, Sector 16/b Greater
    Noida West GAUTAM BUDDHA NAGAR
    4. PF A/C No. held by : NOIDA

    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 : DHARMENDRA KUMAR

    10. Date of Birth : 03/03/1994

    11. Father's/Spouse Name : DINESH PRASAD SINGH

    12. Relationship : FATHER

    13. Date of joining : 25/09/2023

    14. Date of leaving : 12/01/2024


    PART C : DETAILS OF PRESENT PF

    1. PF Account No. (with EPFO : HRFBD32497010000010041

    2. Name of the Establishment : JBMR ENTERPRISES

    3. Address of the Establishment : Mcf B.38 Bhagat Singh Colony Ballabgarh Ballabgarh FARIDABAD

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

    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 : DHARMENDRA KUMAR

    10. Date of Birth : 03/03/1994

    11. Father's/Spouse Name : DINESH PRASAD SINGH

    12. Relationship : FATHER

    13. Date of joining : 01/05/2024

    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. JBMR ENTERPRISES

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