The Employees Provident Fund Scheme Form No.13
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1
2FORM NO.13 (Revised)
p
(For office use only )
The Employees Provident Fund Scheme,
Sr. No: _____________________
1952
1952
Inward No: __________________
(Para 57)
Office Seal and
Registration No.______________
Group No:___________________
APPLICATION FOR TRANSFER OF EPF ACCOUNT
Date _______________________
Office at: ____________________
P
Note: 1) To be submitted by the member to the present employer for onward transmission to the Commissioner, EPF by
whom the transfer is to be effected.
2) In case the P.F. transfer is due from the P. F. Trust of an exempted establishment, the application should be sent
direct by the employer to the P. F. Trust of the exempted establishment, with a copy to the RPFC conderned for
details of the Family Pension membership.
To
To,
The Commissioner,
M/s._________________________________________________
Employees' Provident Fund,
IMP NOTE
Only point (1) to (8) has to be filled
:
( To be filled in, if Note ( 2 ) above is applicable )
by employee. Please fill the details in block letters
Sir,
I request that my Provident Fund balance alongwith the membership details in Family Pension Fund may please be transferred to my present
account under intimation to me. Necessary particulars are furnished below. :
Write your full name here
1)
Name : ________________________________________________________________________________________________________________
Father’s / Husband’s full name as applicable
2)
Father's Name ( or Husband's name in case of married woman ) : _______________________________________________________________
3)
Name & Address of
* Please mention full name of your previous company
Previous Employer:
* Please mention detailed address of registered office where HR is allocated as we
will be sending these forms back to your previous employer for verification and
onward submission to the concerned PF office
Mandatory / Please write full PF Account no. of previous company
4) EPF account Number with the Previous Employer: _____________________________________________________________________________
5) By whom the P.F. account
Regional PF
Name of the PF Trust
Of the Previous Estt. Is kept.
Commissioner at
IF PF IS NOT WITH GOVT Write full name
IF PF IS WITH GOVT Please write full address of the
and correspondence address of the PF Trust
PF office of your previous employer. You need to get in
touch with HR in your previous company for the same
Mandatory / If allotted separately
6) F.P.F. account Number with the Previous Employer (if allotted a separate one): ____________________________________________________
DD/MM/YY should be reliving date from previous employer
7) Date of leaving service with Previous Employer: _________________________________
8) Date of joining the Present Employer: __________________________________________
Date of joining at JPM
SIGN HERE
Date: _________________________
_______________________________________________
Date of signing the form
Signature / L.H.T.I. of the Member
9) Name & address of the establishment:
To be filled in by Company
10) EPF code & Account No. allotted to the member: ______________________________________________________________________________
11) EPF Account No. allotted to the member separately if any: ______________________________________________________________________
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