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    Revised Form 13

    Uploaded by

    vijayrede
    This document is a transfer claim form used to transfer a member's provident fund balance and pension service details from their previous account to their present account. The form contains sections for the member to provide their personal information, details of their previous account that is to be transferred including account number, dates of joining and leaving, and employer information. It also contains a section for the member to provide details of their present account including account number, dates of joining, and employer information. The member signs to certify the information provided is correct, and the form can be attested by either the previous or present employer to help expedite the transfer process depending on which employer attests the form. Instructions are provided on how to

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    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd

    Revised Form 13

    Uploaded by

    vijayrede
    111 views4 pages
    This document is a transfer claim form used to transfer a member's provident fund balance and pension service details from their previous account to their present account. The form contains sections for the member to provide their personal information, details of their previous account that is to be transferred including account number, dates of joining and leaving, and employer information. It also contains a section for the member to provide details of their present account including account number, dates of joining, and employer information. The member signs to certify the information provided is correct, and the form can be attested by either the previous or present employer to help expedite the transfer process depending on which employer attests the form. Instructions are provided on how to

    Original Description:

    Revised Form 13

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    This document is a transfer claim form used to transfer a member's provident fund balance and pension service details from their previous account to their present account. The form contains sections for the member to provide their personal information, details of their previous account that is to be transferred including account number, dates of joining and leaving, and employer information. It also contains a section for the member to provide details of their present account including account number, dates of joining, and employer information. The member signs to certify the information provided is correct, and the form can be attested by either the previous or present employer to help expedite the transfer process depending on which employer attests the form. Instructions are provided on how to

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
    111 views4 pages

    Revised Form 13

    Uploaded by

    vijayrede
    This document is a transfer claim form used to transfer a member's provident fund balance and pension service details from their previous account to their present account. The form contains sections for the member to provide their personal information, details of their previous account that is to be transferred including account number, dates of joining and leaving, and employer information. It also contains a section for the member to provide details of their present account including account number, dates of joining, and employer information. The member signs to certify the information provided is correct, and the form can be attested by either the previous or present employer to help expedite the transfer process depending on which employer attests the form. Instructions are provided on how to

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
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    TRANSFER CLAIM FORM

    CLAIM ID
    (For EPFO Use only)

    FORM 13 (REVISED)

    (PARA 57)

    To,
    The Regional P F Commissioner,
    Office Name:
    Office Address:

    To,
    Trust Name:
    Trust Address:

    _
    (Please see instruction 3)
    Establishment)
    Si
    r,

    (in case the PF A/C is with Exempted

    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 INFORMATION


    1. *Name:
    2. *

    3. Mobile number:

    4. E-mail id:

    5. Bank A/C number:

    6. IFS code of Bank branch:

    PART B: DETAILS OF PREVIOUS ACCOUNT (WHICH IS TO BE


    TRANSFERRED)
    1. *PF Account No. :
    In case the previous establishment is exempted
    Scheme,1952 Pension Fund Account No. :

    Provident Fund
    _

    2. *Name and Address of the previous establishment:

    3. *PF Account is held by: (Name of EPF Office/ PF Trust)


    4. *Date of Birth:

    (dd/mm/yyyy) 5. *Date of joining :

    _(dd/mm/yyyy)
    6. *Date of leaving:

    (dd/mm/yyyy)

    PART C: DETAILS OF PRESENT ACCOUNT


    1. *PF Account No. :
    In case the present establishment is exempted
    Scheme,1952
    Pension Fund Account No. :

    Provident Fund

    2. *Name and Address of the present establishment:

    3. *Account is held by: (Name of EPF Office / PF Trust)


    4. *Date of joining :

    (dd/mm/yyyy)

    5. #Name of Trust (to whom funds are to be paid in case of present


    establishment being exempted under EPF Scheme, 1952) :

    6. #Employee code under the Trust:


    (* indicates mandatory fields)

    _
    (# Strike off if not applicable)

    I, Certify that all the information given above is true to the best of my
    knowledge and I have ensured the correctness of my present and previous
    account numbers.

    Signature of the
    Member Date:

    IMPORTANT: Member has the option to get the claim form attested by
    present or previous employer. In case of attestation by the previous
    employer, time taken in settlement will be relatively less.
    Certified that I have verified the data in Part B in respect of the member
    mentioned in Part A of this form and the signature of the member.

    Signature of Previous Employer


    Seal of the Establishment
    Date:
    OR
    Certified that I have verified the data in Part C in respect of the member
    mentioned in Part A of this form.

    Seal of the Establishment

    Signature of Present Employer


    Date:

    INSTRUCTIONS AND GUIDELINES


    1. The Bank A/C details are for verification purpose even if the Fund is
    transferred to the EPFO Office/Trust maintaining the present account number.
    2. In case the Previous Account was maintained by PF Trust of the exempted
    establishment, the member should submit a Transfer Claim Form {Form13(Revised)} to the Trust while sending another Transfer Claim Form {Form13(Revised)} to the PF Office for transferring the service details under the
    Pension Fund to the new account.
    3. The Form should be submitted to that PF Office under which previous or the
    present account is maintained, depending upon as to which employer has
    attested the claim. (In case the claim is attested by the present employer,
    claim should be submitted with the PF Office under which the present account
    is maintained, and so on).

    4. The mobile number (wherever provided) of the member would be used for
    sending an SMS alert informing him/her the processing of his/her claim and is
    non-mandatory for Physical form.

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