FORM 13 (Revised) FOR OFFICE USE ONLY

THE EMPLOYEES' PROVIDENT FUNDS SCHEME, 1952

(Para-57) Date Seal/Reg. No. …….

Application For Transfer of EPF Account

NOTE : (i) To be submitted by the member of the present employer for onward transmission to the
Commissioner ,EPF by whom the transfer is to be effected.

(ii) 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 Pension membership.

To To
The Commissioner,
Employees' Provident Fund, Aricent Technologies Provident Fund Trust
-------------------------------------------------------------- 5, Jain Mandir Marg (Annexe.)
Connaught Place, New Delhi – 110 001
----------------------------------------------------------------------------- (To be filled in, If Note (ii) above is applicable)

Sir,

I request that my Provident Fund balance alongwith the membership details in Pension Funds may 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

woman :

3. Name & Address of Previous employer : Aricent Technologies (Holdings) Limited.

(Formerly known as
Flextronics Software Systems Limited)
5, Jain Mandir Marg (Annexe.)
Connaught Place, New Delhi – 110 001

4. EPF account Number with the previous employer DL-14510-

5. By whom the PF account of the previous estt. Regional PF Commissioner or Name of the PF Trust
is kept Aricent Technologies Provident Fund Trust

6. Pension Fund Account Number with the previous DL-14510-

employer (if allotted a separate one)

7. Date of leaving service with previous employer :

8. Date of joining the present employer :

Date…………………. Signature/Left Hand Thumb Impression

of the Member
Personal email id:

TO BE FILLED IN BY THE PRESENT EMPLOYER

9. Name & Address of establishment :

10. EPF Code & Account No. allotted to the member

11. Pension Fund Account No. allotted to the member

separately, if any :
P.T.O
12. By whom the EPF account of the member in the
present establishment is kept :

a) Being an unexempted establishment (i) By Regional office at station………………………

(ii) Sub-Regional office at………………………………

b) Being an exempted establishment (i) By exempted PF Trust VIZ………………………….

(ii) By private PF-Not covered under the Act viz……….

13. By whom the Pension Fund Account (I) By Regional Office at…………………………………
of the member in the present establishment
is kept.
(ii) Sub-Regional office at……………………………

14. In whose favour cheque has to be drawn? ……………………………………………………………….

Payee’s details

Date…………………….. Signature of Employer/Authorised

Official With Office Seal

(FOR THE USE OF P.F. OFFICE ONLY)

A sum of Rs…………………….(Rupees……………………………………………………..……………………)
is authorised for transfer vide Annexure 'K' (Revised). Transfer proceeds to be sent alongwith Annexure
'K' (Revised).

 By Cheque to the Regional PF Commissioner/Officer in charge of Sub-Regional Office.

 By Cheque to the PF Trust of the establishment with reference to details in Serial No 14 above.

 Membership details under Pension Fund forwarded to PF Regional Office/ Sub-Regional Office
at______________________________________.

 By transfer through Annexure K ( Revised) sent through EDP for intra office transfer.

 Transfer intimation copy of Annexure-K ( Revised) to the member placed below.

P.I. No.

Scroll NO.

CLERK S.S. A.A.O./APFC

Paid by Cheque No.______________________dated:

Cashier/Clerk Section Supervisor A.P.F.C.