For Office Use only.
                                                                 Date.Seal/Reg.No……….

              ...
TO BE FILLED IN BY THE PRESENT EMPLOYER

9. Name & Address of the establishment :

10. EPF Code & Account No. allotted to ...
(FOR USE OF P.F.OFFICE ONLY)


A Sum of Rs…………………(Rupees………………………………………………………………………………….)
is authorised for transfer, vide...
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Form 13 R

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Revised Form-13(R) for Transfer of EPF account in Word Format.

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Form 13 R

  1. 1. For Office Use only. Date.Seal/Reg.No………. FORM-13 (Revised) THE EMPLOYEES’ PROVIDENT FUND SCHEME,1952 (Para 57) [ Application for Transfer of EPF Account] Note: (1) To be submitted by the member to the present employer for onward transmission to the Commissioner, EPF by whom the transfer is to be effected. (2) In case the P.F. transfer is due from the P.F. Trust of an exempted establishment, the application should be sent direct by the employer to the P.F.Trust of the exempted establishment with a copy to the RPFC concerned for details of the Family Pension membership. To To The Commissioner, M/s Employees’ Provident Fund, (To be filled in, if Note(2) above is applicable) Sir, I request that my Provident Fund balance along with the Membership details in Family Pension Fund may be please be transferred to my present account under intimation to me. Necessary particulars are furnished below. 1. Name : 2. Father’s/Husband’s name : (in case of married women) 3. Name & Address of previous employer : 4. EPF account number with previous : employer 5. By whom the P.F.Account of the Regional P.F.Commissioner Name of Trust. previous is kept. 6. E.P.F. Account number with previous : Employer (If allotted a separate one) 7. Date of joining with the previous : employer. (a) Date of leaving service with the previous employer. 8. Date of joining the present employer : (a) Date of birth of the member : Date: Signature/Left Hand Thumb impression of the Member
  2. 2. TO BE FILLED IN BY THE PRESENT EMPLOYER 9. Name & Address of the establishment : 10. EPF Code & Account No. allotted to : the member. 11. EPF Account No. allotted to the : member. 12. By whom the EPF account of the member in the present establishment is kept: Being an Un-exempted establishment (a) By Regional Office at (b) Sub-Regional Office at Being an exempted establishment (c) By exempted PF,Trust, Viz, (d) By Private PF-Not covered under the act Viz, 13. By whom the EPF account of the : (a) PF Regional Office at Member in the present establishment (b) PF Sub-Regional Office at is kept 14. In whose favour transfer is to be : effected, i.e.,payee’s details Enclosures: 1. Particulars of Non-contributory Service in the previous employment. 2. Form 3A(R) for the last spell of Financial Year in the previous employment. 3. F.No.5 & 10. Date: Signature of Employer/Authorised Official with Official Seal.
  3. 3. (FOR USE OF P.F.OFFICE ONLY) A Sum of Rs…………………(Rupees………………………………………………………………………………….) is authorised for transfer, vide Annexure, ‘K’ (Revised), Transfer proceeds to be sent along with Annexure ‘K’ Revised. By D.D. to the Regional PF Commissioner/Office-in-charge of Sub Regional Office…………… By D.D to the P.F.Trust of the establishment with License to the details Serial No.14 above. Membership details under Family Pension Fund forwarded to P.F. Regional Office/ Sub-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 number. Transfer intimation/Copy of Annexure-K(Revised) to the member placed below. P.I.No. Clerk S.S A.A.O. A.P.F.C Scroll No. Paid by cheque no…………………………dated………………….. Cashier/Clerk. Section supervisor A.P.F.C.

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