Transfer Claim Form: 9th Floor Nirmal Building Nariman Point Mumbai 400 021
Transfer Claim Form: 9th Floor Nirmal Building Nariman Point Mumbai 400 021
Transfer Claim Form: 9th Floor Nirmal Building Nariman Point Mumbai 400 021
To, To,
The Regional P F Commissioner, Trust Name: TATA Consultancy Services Employees
Provident Fund Trust
Office Name: _____________________ Trust Address: 9th Floor Nirmal Building
Office Address: ___________________ Nariman Point
________________________________ Mumbai 400 021
_______________________________
(Please see instruction 3) (In case the PF A/C is with Exempted Establishment)
Sir,
I request that my provident fund balance along with my pension service details may please be
transferred to my present account under intimation to me. My details are as und
PART A: PERSONAL INFORMATION
1. *Name: ___________________________________________________
5. #Name of Trust (to whom funds are to be paid in case of present establishment being exempted under EPF
Scheme, 1952): _________________________________________________
I, Certify that all the information given above is true to the best of my knowledge and I have ensured the
correctness of my present and previous account numbers.
IMPORTANT: Member has the option to get the claim form attested by present or previous employer. In
case of attestation by the previous employer, time taken in settlement will be relatively less.
Certified that I have verified the data in Part B in respect of the member mentioned in Part A of this form and
the signature of the member.