Professional Documents
Culture Documents
To M/s ..
(To be filled in, If Note (ii) above is applicable)
Sir, I request that my Provident Fund balance alongwith the membership details in Pension Funds may please be transferred to my present account under intimation to me. Necessary particulars are furnished below : 1. 2. 3. 4. 5. Name : Father's/Husband's name in case of married Woman : Name & Address of Previous employer : EPF account Number with the previous employer By whom the PF account of the previous Estt. is kept Pension Fund Account Number with the previous employer (if allotted a separate one) Date of leaving service with previous employer : Date of joining the present employer : Signature/Left Hand Thumb Impression of the Member Regional PF Commissioner at Name of the PF Trust
6. 7. 8.
Date.
10. EPF Code & Account No. allotted to the member 11. Pension Fund Account No. allotted to the member
separately, if any:
P.T.O
12. By whom the EPF account of the member in the present establishment is kept : a) Being an unexempted establishment (i) By Regional office at station: Bangalore (ii) Sub-Regional office at b) Being an exempted establishment (i) By exempted PF Trust, VIZ. (ii) By private PF-Not covered under the Act viz.
Date..
CLERK
S.S.
A.A.O./APFC
Cashier/Clerk
Section Supervisor
A.P.F.C.