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peacock_form13

This document is an Online Transfer Claim Form for the transfer of Provident Fund balance and Pension Service Details for the member Narendra S V. It includes personal details, previous and present PF account information, and certifies the accuracy of the provided information. The form is to be submitted to the current employer, WAFER SPACE SEMICONDUCTOR TECHNOLOGIES PVT. LTD.

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Narendra Sv
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9 views

peacock_form13

This document is an Online Transfer Claim Form for the transfer of Provident Fund balance and Pension Service Details for the member Narendra S V. It includes personal details, previous and present PF account information, and certifies the accuracy of the provided information. The form is to be submitted to the current employer, WAFER SPACE SEMICONDUCTOR TECHNOLOGIES PVT. LTD.

Uploaded by

Narendra Sv
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: 10049980468905014 )


Claim Date : 23/01/2023
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,
BANGALORE,
Bhavishyanidhi Bhavan, No. 13, Raja Ram Mohan Roy Road, 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 : NARENDRA S V

2. Mobile Number : 8884061342

3. E-mail id : [email protected]

4. Bank Account Number : 233201500690

5. Bank IFSC : ICIC0002332

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

1. PF Account No. (with EPFO : BGBNG11032990000000047

2. Name of the Establishment : PEACOCK CONSULTING PRIVATE LIMITED

3. Address of the Establishment : 55 2ND FLOOR S V COMPLEX K R ROAD BANGALORE 656

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

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 : NARENDRA S V

10. Date of Birth : 21/07/1991

11. Father's/Spouse Name : VENKTESH G

12. Relationship : FATHER

13. Date of joining : 19/05/2015

14. Date of leaving : 30/04/2018


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : PYBOM00606100000011234

2. Name of the Establishment : WAFER SPACE SEMICONDUCTOR TECHNOLOGIES PVT. LTD.

3. Address of the Establishment : NO.3/E, 5TH FLOOR, MONARCH RAMANI 7TH C MAIN RD, 3RD BLOCK
KORAMANGAL BANGALORE 656
4. PF A/C No. held by : SRO BOMMASANDRA

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 : NARENDRA S V

10. Date of Birth : 21/07/1991

11. Father's/Spouse Name : VENKTESH G

12. Relationship : FATHER

13. Date of joining : 09/12/2022

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. WAFER SPACE SEMICONDUCTOR TECHNOLOGIES PVT. LTD.

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