The Employees Provident Fund Scheme Form No.13 Page 2

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It has to be filled in by company
12) By whom the EPF account of the member
in the present establishment is kept :
___________________________________________________________________________________
___________________________________________________________________________________
Being an unexempted establishment
1. By Regional Ofice at (Station) _____________________________________________________
2. Sub – Regional Office at ___________________________________________________________
Being an Exempted establishment
3. By Exempted P F Trust viz. _________________________________________________________
___________________________________________________________________________________
4. By Private P F – Not covered under the Act – viz. _______________________________________
___________________________________________________________________________________
13) By whom the F P F Account of the member 1) P F Regional Office at _____________________________________________________________
in the present establishment is kept :
__________________________________________________________________________________
2) P F Sub – Regional Office at ________________________________________________________
14) In whose favour transfer is to be effected.
___________________________________________________________________________________
i.e. Payee’s details
___________________________________________________________________________________
Date : ______________________
__________________________________________________________
Signature of Employer / Authorised Official with Office Seal
(FOR USE OF P. F. OFFICE ONLY)
A sum of Rs._________________________________ ( Rupees ________________________________________________________________________
___________________________________) in authorised for transfer, vide Annexure ‘ K ‘ ( Revised ) Transfer proceeds to be sent alongwith
Annexure ‘ K ‘ ( Revised ).
By D. D. to the Regional P. F. Commissioner / Officer – in – Charge of Sub – Regional Office _____________________________________________
____________________________________________________________________________________________________________________________
By D. D. to the P. F. Trust of the establishment with reference to details in Serial No.14 above.
Membership details under Family Pension Fund forwarded to the 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 establishment.
Transfer intimation / Copy of Annexure – K ( Revised ) to the member placed below :
Scroll No.
Clerk
H.C.
A. A. O.
A. O. / A.P. F.C.
P. I. No.
Paid by Cheque No. _________________________________ dated ___________________________________________
Cashier / Clerk
Head Clerk
A P.F.C.

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