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To,
The Commissioner
Employee’s Provident Fund,
SAO Thane
Sir,
I request that my Provident Fund balance alongwith the membership detail in family Pension fund
may please be transfer to my present account under intimation to me. Necessary particulars are
furnish below:-
1) Name:- _______________________________________________
6) FRF/EPS Account Number with the Previous Employer (if allotted a separate one) :-
10) EPF Code & Account No. allotted to the member: ___________________________________
11) EPF/EPS Account No. allotted to the member separately, if any:- ______________________
12) By whom the EPF account of the member in the present Sub Accounts Office, Thane
establishment is kept
13) By whom the FPF/EPS Account of the member 1) PF Regional Office at (station)___________
in present establishment is kept
2) PF Sub-Regional Office at______________
____________________________
Signature of Employer / Authorised
Official with Office Seal
Date __________________________
_______________________________________________________________________________
Membership details Family Pension Fund Forwarded to P.F. Regional Office/Sub-Regional Office
at ___________________________________________________________________________
By transfer entries to the Memer’s Ledger Card bearing Number _________________ in the
present establishment from the Ledger Card bearing Number _______________ of the previous
establishment.
P.I.No.