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Part A: Personal

This document is an Online Transfer Claim Form for the transfer of Provident Fund balance from ICICI Bank to Axis Bank, submitted by member Suresh Reddy. It includes personal details, previous and present PF account information, and a certification of accuracy by the member. The form must be printed and submitted to the previous establishment, ICICI Bank.

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4 views2 pages

Part A: Personal

This document is an Online Transfer Claim Form for the transfer of Provident Fund balance from ICICI Bank to Axis Bank, submitted by member Suresh Reddy. It includes personal details, previous and present PF account information, and a certification of accuracy by the member. The form must be printed and submitted to the previous establishment, ICICI Bank.

Uploaded by

manasvireddy69
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

( Tracking ID: 10037489102005003 )


Claim Date : 29/09/2023
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 : SURESH REDDY

2. Mobile Number : 8496876777

3. E-mail id : SOORI_C@YAHOO.CO.IN

4. Bank Account Number : 919010077468101

5. Bank IFSC : UTIB0002179

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

1. PF Account No. (with EPFO : MHBAN00187960005376969

2. Name of the Establishment : ICICI BANK

3. Address of the Establishment : ICICI TOWER BANDRA KURLA COMPLEX MUMBAI MUMBAI SUBURBAN

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

5. Name of the Trust : ICICI BANK LTD. PROVIDENT FUND

6. PF A/C No. in Trust : MHBAN00187960005376969

7. Bank A/C No. of Trust : 000401121201


8. IFS Code of the Bank Branch of
Trust where account is : ICIC0000004

9. Member's Name : SURESH REDDY

10. Date of Birth : 01/05/1982

11. Father's/Spouse Name : RAGHUNATH REDDY

12. Relationship : FATHER

13. Date of joining : 10/05/2017

14. Date of leaving : 25/09/2019


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : MHBAN00452390000157445

2. Name of the Establishment : AXIS BANK LIMITED

3. Address of the Establishment : CENTER OFFICE, P B MARG, BOMBAY DYEING MILL COMPOUND,
WORLI MUMBAI SUBURBAN
4. PF A/C No. held by : TRUST

5. Name of the Trust : PROVIDENT FUND OF THE AXIS BANK LTD.

6. PF A/C No. in Trust : MHBAN00452390000157445

7. Bank A/C No. of Trust : 004010100103589


8. IFS Code of the Bank Branch of
Trust where account is : UTIB0000004

9. Member's Name : SURESH REDDY

10. Date of Birth : 01/05/1982

11. Father's/Spouse Name : RAGHUNATH REDDY

12. Relationship : FATHER

13. Date of joining : 27/09/2019

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. ICICI BANK

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