Abdullah

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

Submitted online at UAN e-seva portal on 2021-05-10 16:54:44 www.epfindia.gov.

in

deZpkjh Hkfo"; fuf/k ;kstuk] 1952


EMPLOYEES' PROVIDENT FUND SCHEME,1952
EMPLOYEES' Pension Scheme,1995
UAN Based Combined Claim Form 19/10C WB/31 for Advances/PF Final Settlement/Pension Fund Withdrawal
(mu ekeyksa esa ykxw tgka QkeZ 11(u;k)esa deZpkjh dk iwjk fooj.k] vk/kkj la[;k vkSj cSad [kkrk la[;k ;w-,-,u- iksVZy vkSj ij
miyC/k gS rFkk ;w-,-,u- esa lfØ; gSA)
(Applicable in cases where employee's complete details in Form 11(New),Aadhaar Number and Bank
Accounts details are available on UAN Portal and UAN has been activated.)
Mobile Number / eksckby uacj - 7351647775
1. I want to apply for PF Final Settlement
2. Universal Account Number(UAN) / ;wfuolZy [kkrk la[;k 101424987291
3. Name of the member ABDULLAH KASIM
4. Date of Joining 09-Feb-2020
5. Date of Leaving Service/ NksM+us dk fnukad 10-Feb-2020
6. Reason of Leaving Service/ lsok NksM+us dk dkj.k CESSATION (SHORT SERVICE) - Any other
reason

7. Permanent Account number / LFkk;h [kkrk la[;k ETPPK0286L

8. Payee Address Bulandshahr green park


colony,Bulandshar,BULANDSHAHR,UTTAR
PRADESH-203001

* eSa çekf.kr djrk gw¡ fd eSaus ;w , ,u iksVZy ij lhM MkVk dks Hkyh Hkk¡fr ns[k fy;k gS rFkk QkeZ u- 11( u;k ) cSad [kkrk fooj.k vkSj vk/kkj
la[;k lfgr lHkh MkVk lgh ik;k x;k gSA
* I certify that I have gone through the data seeded in UAN Portal and found all data including Form No.11
(New) , bank account details and Aadhar Number to be correct
Father/Husband/Spouse Name: MUHD MEER KASIM Date Of Birth: 21-Jan-1998
Bank Account Number 4568001700045693 Bank IFSC Code PUNB0456800
Bank Details PUNJAB NATIONAL BANK,YAMUNA PURAM
Aadhaar 76XXXXXXXX08
Member ID MRMRT20174230000010083
* —i;k ;w-,-,u-iksVZy ij n'kkZ, x, cSad [kkrs esa Hkqxrku djsaA
* Please make payment in the bank account mentioned in the UAN portal .
UAN - 101424987291 Tracking ID - 10142498729101001

You might also like