FOR OFFICE USE ONLY

Date Seal/Reg.No.......................

FORM-13 (REVISED)
THE EMPLOYEES' PROVIDENT FUND SCHEME, 1952
(Para-57)

[APPLICATION FOR TRANSFER OF EPF ACCOUNT]

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 concerned for details of the Family Pension
membership.

To To
M/s
The Commissioner
Employees' Provident Fund,

(To be filled in, if Note (2) above is applicable)

Sir,
I request that my Provident Fund balance along with the Membership details in Family Pension Fund
may please be transferred to my present account under intimation to me. Necessary particulars are
furnished below: ]
Sandeep Kumar Verma
1. Name ..................................................................
Kalyan Sahay Verma
2. Father's/Husband's name in case of married women: ..................................................................

3. Name & Address of Previous Employer NBCC (India) Ltd.,

..................................................................
NBCC Bhawan, Lodhi Road, New Delhi - 110003
..................................................................

4. EPF account Number with the previous Employer: DLCPM00055630000019821 ( UAN No.- 101170200958 )
..................................................................

5. By whom the PF account of the Regional PF Commissioner Name of the P.F. Trust
Previous estt is kept. NBCC CPF TRUST

6. FPF Account Number with the previous

employer (if allotted a separate one) ……………………………………………….

03 - JULY - 2023
7. Date of leaving service with previous employer: ………………………………………………..
05 - JULY - 2023
8. Date of joining the present employer: ………………………………………………..

Date…………. Signature/Left Hand Thumb impression of the Member.

To be filled by the present employer:

9. Name and address of the establishment: .............……....................................................

10. EPF Code and Account No. allotted to

the Member : .........................……............................…….....
11. FPF Account No. allotted
to the member separately, if any : ..................................................................…...

12. By whom the EPF account of the member in the

present establishment is kept:

Being an un-exempted establishment (a) By Regional Office at....................….....

(b) Sub-Regional Office at...............…….....…..

Being an exempted establishment (c) By exempted PF, Trust, viz..........……….....

(d) By Private PF-Not covered under the act-

viz..................…………………............................

13- By whom the FPF Account of the member (a) PF Regional Office ….......................... at

in the present establishment is kept: (b) PF Sub-Regional Office........................at

14- In whose favour transfer is to be effected,

i.e. payee's details: ......................................................................

Date:............... Signature of Employer/Authorised

Official with Official Seal
 (FOR USE OF P. F. OFFICE ONLY)

A sum of Rs..................................................................... (Rupees ...................................................

is authorised for transfer, vide Annexure, 'K' (Revised), Transfer proceeds to be sent along with
Annexure 'K' Revised),

By D.D. to the Regional PF Commissioner/office-in-charge of Sub Regional Office...........................

By D.D, to the P.F. Trust of the establishment with License to the details Serial No. 14 above.

Membership details under Family Pension Fund forwarded to P.F. Regional Office/Sub-Regional
Office at.

By transfer entries to the Member's Ledqer Card bearing Number

in the present establishment from the Ledger Card bearing Number
of the previous establishment.

Transfer intimation/copy of Annexure-K (Revised) to the member placed below :

P.I.No. Clerk Head Clerk A. A.0. A.0./A..P.F.C.

Scroll No.

Paid by Cheque No.......................................dated.............................................

Cashier/Clerk, Head clerk Asst. Provident Fund Commissioner

 3ITETRT Government of India
AADHAAR

COvermmentornola 3T9TR TETA HTUT , TTRDTT TETI

QR T/35E XML/ 3-TI7 3sffecha À

nigue ldentification Authority of India

TTHTCD H/ Enrolment No.: 0000/00596/93558 INFORMATION
To a proof of identity, not of citizenship.
Sandeep Kumar Verma
Aadhaar i
Sandeep Kumar Verma Verify idetity using Secure QR Code/ Offine XMLI Online
C/O KALYAN SAHAY VERMA Authentication.
10/A
This is electronically generated letter.
HANS ENCLAVE
SECTOR 33
Rajiv Chowk
Gurgaon
Gurgaon
Gurgaon Haryana 122001
8448338388

HTTR 37À FAE T R, mAadhaar App

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XXXX XXXX 7302 Carry Aadhaar in your smart phone -use
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* * ** ** *

Government of india
Unique ldentification Authority of tndia AADHAAR

Sandeep Kumar Verma U HE TA, 10/g, FH Ta, ZIta atr,

Sandeep Kumar Verma aHT 33, TSTA, TGIId,
H fA/DOB: 23/05/1991 IRYUT - 122001
h / MALE
Address:
C/O KALYAN SAHAY VERMA, 10/A, HANS
ENCLAVE, Rajiv Chowk, SECTOR 33,
Gurgaon, Gurgaon,
Haryana - 122001

XxXX XXxx 7302

XXXX XXXx 7302
*****
VID:9133 0996 1882 2700
ÀIT 3TTETT, AU T6TT VID: 9133 0996 18822700
a 1947 help@uidai.gov.in www.uidai.gov.in
 GOVERNMENT OF INDIA
r

Sandeep Kumar Vema

Sandeep Kumar Vema
F AR/DOB: 23/05/1991
o4MALE

8415 2906 7302

VID 9111 0166 5769 40e0

UNIQUE IDENTIFICATION AUTHORITY OF-INDIA

HPT 33, SI, ISIS,,

8RAIP- 122001
Address
C/O KALYAN SAHA¥ VERMA, 10/A, HANS
ENCLAVE, Rajiv Chowk, SECTOR 33,
Gurgaon, Gu caon,
Haryana - 12200 i

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