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    Anurag Nawal

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    Anurag Nawal
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    4 views2 pages

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    Uploaded by

    Anurag Nawal

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    ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

    ( Tracking ID: 10058189164905001 )


    Claim Date : 11/01/2024
    EMPLOYEES' PROVIDENT FUND SCHEME, 1952
    (PARA 57)

    (This form has been printed on the basis of Online Transfer Claim Form filled up by the member under Unified Portal for submission to the
    employer.)

    To,
    The Regional P.F. Commissioner,
    PUNE,
    2-3rd Flr,Pune Cant. Board Blding, Near Golibar Maidan, Camp, Pune

    Sir,
    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

    1. Name : ANURAG NAWAL

    2. Mobile Number : 7066009360

    3. E-mail id : [email protected]

    4. Bank Account Number : 10481610010865

    5. Bank IFSC : HDFC0001048

    PART B : DETAILS OF PREVIOUS PF ACCOUNTS (WHICH IS TO BE TRANSFERRED)

    1. PF Account No. (with EPFO : PUPUN16025490000010007

    2. Name of the Establishment : ODC UNIVERSAL TECHNOGICAL SOLUTIONS PRIVATE LIMITED

    3. Address of the Establishment : 4TH FLOOR, GULMOHAR PARK SANEWADI, AUNDH PUNE 601

    4. PF A/C No. held by : PUNE

    5. Name of the Trust : NOT APPLICABLE

    6. PF A/C No. in Trust : NOT APPLICABLE

    7. Bank A/C No. of Trust : NOT APPLICABLE


    8. IFS Code of the Bank Branch of
    Trust where account is : NOT APPLICABLE

    9. Member's Name : ANURAG NAWAL

    10. Date of Birth : 16/05/1989

    11. Father's/Spouse Name : Pradeep Kumar Singh

    12. Relationship : FATHER

    13. Date of joining : 01/12/2016

    14. Date of leaving : 31/05/2018


    PART C : DETAILS OF PRESENT PF

    1. PF Account No. (with EPFO : TNMAS00495030001014674

    2. Name of the Establishment : MAVERIC SYSTEMS LIMITED.

    3. Address of the Establishment : NO1 124 BLOCK 5 2ND 6TH 10TH FLOOR NANDAMBAKKAM
    POONAMALLE ROAD RAMAPURAM CHENNAI
    4. PF A/C No. held by : RO CHENNAI

    5. Name of the Trust : NOT APPLICABLE

    6. PF A/C No. in Trust : NOT APPLICABLE

    7. Bank A/C No. of Trust : NOT APPLICABLE


    8. IFS Code of the Bank Branch of
    Trust where account is : NOT APPLICABLE

    9. Member's Name : ANURAG NAWAL

    10. Date of Birth : 16/05/1989

    11. Father's/Spouse Name : Pradeep Kumar Singh

    12. Relationship : FATHER

    13. Date of joining : 20/06/2022

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

    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 Previous
    Establishment i.e. ODC UNIVERSAL TECHNOGICAL SOLUTIONS PRIVATE LIMITED

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