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The document is a UAN Based Combined Claim Form for PF Advance submitted by Chilekampally Pavan Sai on March 14, 2022. The applicant is requesting a PF advance of Rs 10,000 due to the outbreak of the COVID-19 pandemic. All necessary details, including UAN, Aadhaar number, and bank account information, have been verified and are correct.

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Pavan Chinnu
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3 views2 pages

PDF View

The document is a UAN Based Combined Claim Form for PF Advance submitted by Chilekampally Pavan Sai on March 14, 2022. The applicant is requesting a PF advance of Rs 10,000 due to the outbreak of the COVID-19 pandemic. All necessary details, including UAN, Aadhaar number, and bank account information, have been verified and are correct.

Uploaded by

Pavan Chinnu
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Submitted online at UAN e-seva portal on 2022-03-14 12:25:11 [Link].

in

EMPLOYEES' PROVIDENT FUND SCHEME,1952


EMPLOYEES' Pension Scheme,1995
UAN Based Combined Claim Form 19/10C WB/31 for Advances/PF Final Settlement/Pension Fund Withdrawal

Applicable in cases where employee's complete details in Form 11(New),Aadhaar Number and Bank Accounts details are available
on UAN Portal and UAN has been activated.
Mobile Number - 9704205838

1. I want to apply for PF Advance


2. Universal Account Number(UAN) / 101504663726

3. Name of the member CHILEKAMPALLY PAVAN SAI


4. Date of Joining 15-Dec-2021
OGEPS9832Q
5. Permanent Account number

6.a Purpose of Advance OUTBREAK OF PANDEMIC (COVID-


19)
6.b Amount of Advance (In Rs) 10000
7. In case of Advance for purpose of Not Applicable
Site/House/Flat
8. Bankers details for Electronic Payment (Only for Not Applicable
the Advance if payable to third party)
9. Payee Address Boduppal,Rajashekhar colony
,Hyderabad ,617,36-500039

* I certify that I have gone through the data seeded in UAN Portal and found all data including Form No.11 (New) , bank account
details and Aadhar Number to be correct.

Father/Husband/Spouse Name: CH RAJA SHEKHAR BABU Date of Birth 07-Aug-1998


Bank Account Number 44411745274 Bank IFSC Code SCBL0036090
Bank Details STANDARD CHARTERED
BANK,JUBILEE HILLS
Aadhaar 97XXXXXXXX45
Member ID PUPUN00342240000885200

* Please make payment in the bank account mentioned in the UAN portal.

EPFO UMANG
EPFO UMANG

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