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This document is an Online Transfer Claim Form for the Employees' Provident Fund Scheme, submitted by Mangesh Murlidhar Jadhav on 24/01/2025. It requests the transfer of his Provident Fund balance and Pension Service Details from his previous employer, Sankalp Engineering & Services Private Limited, to his current employer, Express HR Solutions. The form includes personal details, previous and current PF account information, and a certification of the accuracy of the provided information.

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7 views

3

This document is an Online Transfer Claim Form for the Employees' Provident Fund Scheme, submitted by Mangesh Murlidhar Jadhav on 24/01/2025. It requests the transfer of his Provident Fund balance and Pension Service Details from his previous employer, Sankalp Engineering & Services Private Limited, to his current employer, Express HR Solutions. The form includes personal details, previous and current PF account information, and a certification of the accuracy of the provided information.

Uploaded by

mh41infotech
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: 10120746511305003 )


Claim Date : 24/01/2025
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 : MANGESH MURLIDHAR JADHAV

2. Mobile Number : 7057488232

3. E-mail id : [email protected]

4. Bank Account Number : 919010095308391

5. Bank IFSC : UTIB0001469

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

1. PF Account No. (with EPFO : PUPUN01234940000011891

2. Name of the Establishment : SANKALP ENGINEERING & SERVICES PRIVATE LIMITED

3. Address of the Establishment : GAT NO 1093/1&1093/2 CHAKANSHIKRAPU R ROAD KARANDI TAL-


SHIRUR PUNE 601
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 : MANGESH MURLIDHAR JADHAV

10. Date of Birth : 26/04/1996

11. Father's/Spouse Name : MURLIDHARA JADHAV

12. Relationship : FATHER

13. Date of joining : 01/07/2017

14. Date of leaving : 01/06/2018


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : THVSH13840890000016990

2. Name of the Establishment : EXPRESS HR SOLUTIONS

3. Address of the Establishment : 3 3A ARENJA ARCADE SECTOR 17 VASHI NAVI MUMBAI 597

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

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 : MANGESH MURLIDHAR JADHAV

10. Date of Birth : 26/04/1996

11. Father's/Spouse Name : MURLIDHARA JADHAV

12. Relationship : FATHER

13. Date of joining : 30/06/2023

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

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