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    Part A: Personal Information

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    jaxxx143
    1. The document is an online transfer claim form submitted by Chandravadiya Jaykumar Jethabhai to transfer his PF balance from his previous account under Pratiksha Crane Service to his present account under Aditya Enterprise. 2. It provides details of Chandravadiya's previous and present PF accounts such as account numbers, dates of joining and leaving employment, employer names and addresses. 3. Chandravadiya certifies that all information provided on the form about his previous and present PF accounts is true and correct. He is required to submit a signed printout of this form to his previous employer Pratiksha Crane Service.

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

    Part A: Personal Information

    Uploaded by

    jaxxx143
    60 views2 pages
    1. The document is an online transfer claim form submitted by Chandravadiya Jaykumar Jethabhai to transfer his PF balance from his previous account under Pratiksha Crane Service to his present account under Aditya Enterprise. 2. It provides details of Chandravadiya's previous and present PF accounts such as account numbers, dates of joining and leaving employment, employer names and addresses. 3. Chandravadiya certifies that all information provided on the form about his previous and present PF accounts is true and correct. He is required to submit a signed printout of this form to his previous employer Pratiksha Crane Service.

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    1. The document is an online transfer claim form submitted by Chandravadiya Jaykumar Jethabhai to transfer his PF balance from his previous account under Pratiksha Crane Service to his present account under Aditya Enterprise. 2. It provides details of Chandravadiya's previous and present PF accounts such as account numbers, dates of joining and leaving employment, employer names and addresses. 3. Chandravadiya certifies that all information provided on the form about his previous and present PF accounts is true and correct. He is required to submit a signed printout of this form to his previous employer Pratiksha Crane Service.

    Copyright:

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

    Part A: Personal Information

    Uploaded by

    jaxxx143
    1. The document is an online transfer claim form submitted by Chandravadiya Jaykumar Jethabhai to transfer his PF balance from his previous account under Pratiksha Crane Service to his present account under Aditya Enterprise. 2. It provides details of Chandravadiya's previous and present PF accounts such as account numbers, dates of joining and leaving employment, employer names and addresses. 3. Chandravadiya certifies that all information provided on the form about his previous and present PF accounts is true and correct. He is required to submit a signed printout of this form to his previous employer Pratiksha Crane Service.

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    ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

    ( Tracking ID: 10076171515805001 )


    Claim Date : 27/09/2018
    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,
    RAJKOT,
    Bhavishyanidhi Bhawan, Panchayat Ngr Chwk,University Rd, Rajkot

    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 INFORMATION

    1. Name : CHANDRAVADIYA JAYKUMAR JETHABHAI

    2. Mobile Number : 9099338181

    3. E-mail id : ahirjay51@gmail.com

    4. Bank Account Number : 247201503456

    5. Bank IFSC : ICIC0002472

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

    1. PF Account No. (with EPFO office) : GJRAJ00772100000000625

    2. Name of the Establishment : PRATIKSHA CRANE SERVICE

    : 204 ARJUN HOTEL KHAMBHALIA HIGHWAY NEAR SIKKA PATIA MOTI


    3. Address of the Establishment KHAVDI NEAR SIKKA PATIA MOTI KHAVDI 557
    4. PF A/C No. held by : RAJKOT

    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 maintained : NOT APPLICABLE

    9. Member's Name : CHANDRAVADIYA JAYKUMAR JETHABHAI

    10. Date of Birth : 07/01/1992

    11. Father's/Spouse Name : JETHABHAI CHANDRAVADIYA

    12. Relationship : FATHER

    13. Date of joining : 04/06/2016

    14. Date of leaving : 01/08/2018


    PART C : DETAILS OF PRESENT PF ACCOUNT

    1. PF Account No. (with EPFO office) : GJRAJ13965150000010170

    2. Name of the Establishment : ADITYA ENTERPRISE

    3. Address of the Establishment : KAILESH COMPLEX NAGAR GATE KHAMBHALIYA 813

    4. PF A/C No. held by : SRO RAJKOT

    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 maintained : NOT APPLICABLE

    9. Member's Name : CHANDRAVADIYA JAYKUMAR JETHABHAI

    10. Date of Birth : 07/01/1992

    11. Father's/Spouse Name : JETHABHAI CHANDRAVADIYA

    12. Relationship : FATHER

    13. Date of joining : 06/08/2018

    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 Previous
    Establishment i.e. PRATIKSHA CRANE SERVICE

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