F O R M NO 13 (Revised) EMPLOYEE’S PROVIDENT …

1 f o r m no 13 ( revised ). employee 'S PROVIDENT FUNDS SCHEME, 1952 (Para 57). APPLICATION FOR TRANSFER OF EPF ACCOUNT. To: I request that my PROVIDENT fund balance along with the Membership details in employee 's Pension fund may please be transferred to my present account under intimation to me, necessary particulars are furnished below. 1. Name : 2. Parent / Spouse Name : 3. Name & address of previous employer : 4. EPF account number with the previous Employer : 5. By whom the PF account of the previous Est. : is maintained 6. EPSF Account Number with the previous Employer : 7 Date of leaving service with previous Employer. : 8 Date of joining the present Employer : Date: Signature of the Member. To be filled in by the present Employer Name and address of the Establishment : Code & Account No allotted to the member : Account No allotted to the member : 12.

2 By whom the EPF Account of the member in the Present establishment is maintained a) Being an un-exempted establishment : b) Being an Exempted Establishment whom the EPSF Account of the member in : the present Establishment is maintained. whose favour transfer is to be effected : , payee's details (Signature of the Employer). (For the use of PF office only). A sum of Rs _____. In authorised for transfer vide Annexure K' ( revised ). Transfer proceeds to be sent along with Annexure K'. ( revised ). By DD to the Regional PROVIDENT fund Commissioner/officer in charge of Sub Regional Office. By DD to the Pf Trust of the establishment with reference to details in serial no 14 above Membership details under EPS forwarded to PF Regional office at_____. By transfer entries to the member's ledger card bearing number_____ in the present establishment from the ledger card bearing number _____of the previous establishment _____ _____ _____ _____ _____.

3 NO Clerk Section Supervisor APFC. Paid by cheque no_____dt_____. _____ _____ _____ _____. Cashier/clerk Section Supervisor APFC. This document was created with Win2 PDF available at The unregistered version of Win2 PDF is for evaluation or non-commercial use only. This page will not be added after purchasing Win2 PDF.