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    Part A: Personal

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    vikasnavale1990
    Vikas Navale has submitted an online transfer claim form to transfer his provident fund balance from his previous account under Chowgule Industries Private Ltd to his current account under T & M Services Consulting Pvt. Ltd. The form provides details of his previous and current PF accounts such as account numbers, dates of joining and leaving, employer names and addresses. He certifies that all information provided is true and correct.

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    Part A: Personal

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    vikasnavale1990
    11 views2 pages
    Vikas Navale has submitted an online transfer claim form to transfer his provident fund balance from his previous account under Chowgule Industries Private Ltd to his current account under T & M Services Consulting Pvt. Ltd. The form provides details of his previous and current PF accounts such as account numbers, dates of joining and leaving, employer names and addresses. He certifies that all information provided is true and correct.

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    Vikas Navale has submitted an online transfer claim form to transfer his provident fund balance from his previous account under Chowgule Industries Private Ltd to his current account under T & M Services Consulting Pvt. Ltd. The form provides details of his previous and current PF accounts such as account numbers, dates of joining and leaving, employer names and addresses. He certifies that all information provided is true and correct.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    11 views2 pages

    Part A: Personal

    Uploaded by

    vikasnavale1990
    Vikas Navale has submitted an online transfer claim form to transfer his provident fund balance from his previous account under Chowgule Industries Private Ltd to his current account under T & M Services Consulting Pvt. Ltd. The form provides details of his previous and current PF accounts such as account numbers, dates of joining and leaving, employer names and addresses. He certifies that all information provided is true and correct.

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    ONLINE TRANSFER CLAIM FORM [FORM 13 (REVISED) ]

    ( Tracking ID: 10137279929305001 )


    Claim Date : 03/02/2024
    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,
    GOA,
    Bhavishya Nidhi Bhawan, 24, Patto Plaza, Panaji, Goa

    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 : VIKAS NANDAKUMAR NAVALE

    2. Mobile Number : 9975180032

    3. E-mail id : vikasnavale1990@gmail.com

    4. Bank Account Number : 311801000139

    5. Bank IFSC : ICIC0003118

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

    1. PF Account No. (with EPFO : GAGOA00098210001016441

    2. Name of the Establishment : CHOWGULE INDUSTRIES PRIVATE LTD

    3. Address of the Establishment : DIPAK MAHAL,MURMAGOA, VASCO-DA-GAMA,GOA MORMUGAO 666

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

    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 : VIKAS NANDAKUMAR NAVALE

    10. Date of Birth : 18/08/1990

    11. Father's/Spouse Name : NANDAKUMAR

    12. Relationship : FATHER

    13. Date of joining : 16/08/2023

    14. Date of leaving : 30/11/2023


    PART C : DETAILS OF PRESENT PF

    1. PF Account No. (with EPFO : KDMAL00913270000192826

    2. Name of the Establishment : T & M SERVICES CONSULTING PVT. LTD.

    3. Address of the Establishment : T & M HOUSE, KOHINOOR COMPLEX A WING NEXT TO GUJRAT
    GAURAV HOTEL W. E. H BORIVALI DAHISAR EAST 599
    4. PF A/C No. held by : RO MALAD (KANDIVALI)

    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 : VIKAS NANDAKUMAR NAVALE

    10. Date of Birth : 18/08/1990

    11. Father's/Spouse Name : NANDAKUMAR

    12. Relationship : FATHER

    13. Date of joining : 06/11/2023

    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. CHOWGULE INDUSTRIES PRIVATE LTD

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