ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ] (Tracking ID: 10171475080705001 ) Claim Date : 01/07/2023 EMPLOYEES’ PROVIDENT FUND SCHEME, 1952 (PARA 57) (This form has been printed on the basis of Online Transfer Claim Form filed up by the member under Unified Portal for submission to the ‘employer.) To, ‘The Regional P.F. Commissioner, VASHI, ‘Tower No.6, 5th Floor, Vashi Railway Station Complex, Navi Mumbai Sir, | 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 4. Name : ALOK KUMAR 2. Mobile Number : 7541065811 3, E-mallid : FINDALOK96@GMAIL.COM 4. Bank Account Number : 20170157832 5. Bank IFSC : SBINOQ00064 1, PF Account No. (with EPFO -—_: THVSH01172780000010155 2. Name of the Establishment : MIS NDT TECCHNOLOGIES (P) LTD 3. Address of the Establishment: PLOT 11 SECTOR 23 TURBHE NAVI MUMBAI 4, PF AIC No. held by VASHI 5. Name of the Trust : NOT APPLICABLE 6. PF AIC No. in Trust : NOT APPLICABLE 7. Bank AIC No. of Trust NOT APPLICABLE 8. IFS Code of the Bank Branch of Trust where account is : NOT APPLICABLE 9, Member's Name : ALOK KUMAR 10.Date of Birth : 08/08/1996 11. Father's/Spouse Name : VAY KUMAR 12.Relationship : FATHER 13.Date of joining 24/07/2021 14.Date of leaving : 31/03/2022PART C : DETAILS OF PRESENT PF 1. PF Account No. (with PFO: TNMAS00357910002865193 2. Name of the Establishment : RANDSTAD INDIA PRIVATE LIMITED 3. Addross ofthe Estabishment _: RANDSTAD HOUSE OLD NO S&5ANEW NO 8 PYCROFTS GARDEN 4, PF AIC No. held by : RO CHENNAI Name of the Trust : NOT APPLICABLE 6. PF AIC No. in Trust : NOT APPLICABLE 7. Bank AIC No. of Trust : NOT APPLICABLE 8. IFS Code of the Bank Branch of Trust where account is SS ere 9. Member's Name : ALOK KUMAR 10.Date of Birth +: 08/08/1996 11.Father's/Spouse Name : VAY KUMAR 12.Relationship : FATHER 18.Date of joining 2 01/12/2022 |, Certify that all the information given above are true to the best of my knowledge and | have ensured the correctness of ‘my present and previous account numbers. No wma 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. RANDSTAD INDIA PRIVATE LIMITED