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This document is an Online Transfer Claim Form for transferring Provident Fund balance from a previous employer, VIBGYOR PAINTS & CHEMICALS PONDICHERRY, to the current employer, AAPT OUTSOURCING SOLUTIONS PVT. LTD. The member, Balaganesan Gnanamoorthi, provides personal details, previous and current PF account information, and certifies the accuracy of the information. The form must be printed and submitted to the current employer for processing.

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6 views

2

This document is an Online Transfer Claim Form for transferring Provident Fund balance from a previous employer, VIBGYOR PAINTS & CHEMICALS PONDICHERRY, to the current employer, AAPT OUTSOURCING SOLUTIONS PVT. LTD. The member, Balaganesan Gnanamoorthi, provides personal details, previous and current PF account information, and certifies the accuracy of the information. The form must be printed and submitted to the current employer for processing.

Uploaded by

Bala Apache
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

( Tracking ID: 10130900037605002 )


Claim Date : 04/01/2025
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,
VELLORE,
S-1,T.N.H.B., Phase-III, Sathuvachari, Vellore

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 : BALAGANESAN GNANAMOORTHI

2. Mobile Number : 9500293837

3. E-mail id : [email protected]

4. Bank Account Number : 69710100006378

5. Bank IFSC : BARB0VJAGAM

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

1. PF Account No. (with EPFO : TBVLR00749890000010120

2. Name of the Establishment : VIBGYOR PAINTS & CHEMICALS PONDICHERRY

3. Address of the Establishment : SIPTCOT RANIPET RANIPET 687

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

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 : BALAGANESAN GNANAMOORTHI

10. Date of Birth : 16/02/1990

11. Father's/Spouse Name : GNANAMOORTHI

12. Relationship : FATHER

13. Date of joining : 01/05/2018

14. Date of leaving : 04/04/2022


PART C : DETAILS OF PRESENT PF

1. PF Account No. (with EPFO : DSSHD00220080000038115

2. Name of the Establishment : AAPT OUTSOURCING SOLUTIONS PVT. LTD.

3. Address of the Establishment : 7 MATHURA ROAD, JANGPURA B JANPURA DELHI 190

4. PF A/C No. held by : SRO LAXMI NAGAR

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 : BALAGANESAN GNANAMOORTHI

10. Date of Birth : 16/02/1990

11. Father's/Spouse Name : GNANAMOORTHI

12. Relationship : FATHER

13. Date of joining : 25/03/2024

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. AAPT OUTSOURCING SOLUTIONS PVT. LTD.

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