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ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

( Tracking ID: 10154050315105005 )


Claim Date : 25/04/2024
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,
PUNE,
2-3rd Flr,Pune Cant. Board Blding, Near Golibar Maidan, Camp, Pune

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 : SONAWANE SHUBHAM GANGARAM

2. Mobile Number : 9175011526

3. E-mail id : shubhsonawane15@gmail.com

4. Bank Account Number : 50100468503851

5. Bank IFSC : HDFC0000486

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

1. PF Account No. (with EPFO : PUPUN20614540000011072

2. Name of the Establishment : SWAMINI ENTERPRISES

3. Address of the Establishment : 2114 REVENUE COLONY SHIRUR PUNE SHIRUR PUNE PUNE PUNE

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

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 : SONAWANE SHUBHAM GANGARAM

10. Date of Birth : 15/09/2000

11. Father's/Spouse Name : SONVANE

12. Relationship : FATHER

13. Date of joining : 01/06/2022

14. Date of leaving : 31/07/2022


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : NGAUR26070500000010031

2. Name of the Establishment : PLACEWELL H R SOLUTION

3. Address of the Establishment : Flat No.5, Swapnapurti Apartment Mhada Colony Tisgaon AURANGABAD

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

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 : SONAWANE SHUBHAM GANGARAM

10. Date of Birth : 15/09/2000

11. Father's/Spouse Name : SONVANE

12. Relationship : FATHER

13. Date of joining : 15/12/2023

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. PLACEWELL H R SOLUTION

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