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Uan Transfer Infy PDF

This document is an online transfer claim form submitted by Saleha Rehan to transfer her provident fund balance from her previous employer, Infosys Limited, to her current employer, Deloitte Consulting India Pvt Ltd. The form provides Saleha's personal details like name, contact information, bank account, as well as details of both her previous and current PF accounts, including account numbers, dates of employment and other relevant information. Saleha has certified that all information provided is true and correct.
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0% found this document useful (0 votes)
174 views2 pages

Uan Transfer Infy PDF

This document is an online transfer claim form submitted by Saleha Rehan to transfer her provident fund balance from her previous employer, Infosys Limited, to her current employer, Deloitte Consulting India Pvt Ltd. The form provides Saleha's personal details like name, contact information, bank account, as well as details of both her previous and current PF accounts, including account numbers, dates of employment and other relevant information. Saleha has certified that all information provided is true and correct.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

( Tracking ID: 10071515278205001 )


Claim Date : 01/12/2019
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,
BOMMASANDRA,
ANNAPOORNESHWARI COMPLEX, 6TH MAIN, SINGASANDRA HOSUR MAIN RD, Bangalore

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 : Saleha Rehan

2. Mobile Number : 6301267630

3. E-mail id : [email protected]

4. Bank Account Number : 037001522151

5. Bank IFSC : ICIC0001690

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

1. PF Account No. (with EPFO : PYBOM00100880000316359

2. Name of the Establishment : INFOSYS LIMITED

3. Address of the Establishment : 44 & 97A, 3RD CROSS, ELECTRONIC CITY, HOSUR ROAD BANGALORE
656
4. PF A/C No. held by : TRUST

5. Name of the Trust : INFOSYS LIMITED EMPLOYEES' PROVIDENT FUND TRUST

6. PF A/C No. in Trust : PYBOM00100880000316359

7. Bank A/C No. of Trust : 000201006266


8. IFS Code of the Bank Branch of
Trust where account is : ICIC0000552

9. Member's Name : Saleha Rehan

10. Date of Birth : 13/11/1990

11. Father's/Spouse Name : MOHD FAIYAZ KHAN

12. Relationship : FATHER

13. Date of joining : 01/02/2016

14. Date of leaving : 13/12/2017


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : APHYD00378850000048473

2. Name of the Establishment : DELOITTE CONSULTING INDIA PVT LTD.

3. Address of the Establishment : PLOT NO.14&15, DELLOITTE DRIVE, ROAD NO.2, HITECH CITY LAYOUT
MADHAPUR 617
4. PF A/C No. held by : RO HYDERABAD

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 : Saleha Rehan

10. Date of Birth : 13/11/1990

11. Father's/Spouse Name : MOHD FAIYAZ KHAN

12. Relationship : FATHER

13. Date of joining : 08/01/2018

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. INFOSYS LIMITED

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