Part A: Personal
Part A: Personal
Part A: Personal
(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,
GURGAON,
Bhavishyanidhi Bhawan,Plot No.43, Sector 44, Institutional Area, Gurgaon
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
3. E-mail id : kaushikchatterjee73@yahoo.co.in
3. Address of the Establishment : 305, 3rd Floor Time Centre, Sector-54 Golf Course Road GURGAON
3. Address of the Establishment : POST BAG NO 9994 1004-527 RAHEJA CHAMBERS 213, NARIMAN POINT
599
4. PF A/C No. held by : RO BANDRA(MUMBAI-I)
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.
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. STUP CONSULTANTS PVT. LTD.