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This document is an online transfer claim form submitted by Ravi Kushwaha to transfer his PF balance and pension details from his previous account to his current account. The form provides personal details of Ravi Kushwaha, details of his previous PF account with Polaris Smart Metering Private Limited, and details of his current PF account with Genus Power Infrastructures Ltd.

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Ravi Kushwaha
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16 views

Training Devops

This document is an online transfer claim form submitted by Ravi Kushwaha to transfer his PF balance and pension details from his previous account to his current account. The form provides personal details of Ravi Kushwaha, details of his previous PF account with Polaris Smart Metering Private Limited, and details of his current PF account with Genus Power Infrastructures Ltd.

Uploaded by

Ravi Kushwaha
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: 10041865607505001 )


Claim Date : 27/04/2024
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,
JAIPUR,
Nidhi Bhawan,Vidyut Marg, Jyoti Nagar, Jaipur

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 : RAVI KUSHWAHA

2. Mobile Number : 9610089089

3. E-mail id : [email protected]

4. Bank Account Number : 50100044971501

5. Bank IFSC : HDFC0001843

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

1. PF Account No. (with EPFO : RJRAJ13373510000010071

2. Name of the Establishment : POLARIS SMART METERING PRIVATE LIMITED

3. Address of the Establishment : E-418, ROAD NO. 14 VKI AREA JAIPUR JAIPUR

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

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 : RAVI KUSHWAHA

10. Date of Birth : 24/06/1988

11. Father's/Spouse Name : RAJKUMAR KUSHWAHA

12. Relationship : FATHER

13. Date of joining : 01/05/2017

14. Date of leaving : 31/07/2017


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : RJRAJ00091680000015938

2. Name of the Establishment : GENUS POWER INFRASTRUCTRES LTD.

3. Address of the Establishment : SPL-3, RIICO INDUSTRIAL AREA, SITAPURA,TONK ROAD, JAIPUR 203

4. PF A/C No. held by : RO JAIPUR

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 : RAVI KUSHWAHA

10. Date of Birth : 24/06/1988

11. Father's/Spouse Name : R.K. KUSHWAHA

12. Relationship : FATHER

13. Date of joining : 04/08/2017

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. POLARIS SMART METERING PRIVATE LIMITED

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