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PF Advance for Natural Calamities

The document is a UAN Based Combined Claim Form for PF Advance submitted by Shahrukh Khan on July 23, 2021. The purpose of the advance is for natural calamities, with an amount requested of Rs 23,000. The form includes personal details, bank information, and a certification of data accuracy from the UAN portal.

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shahrufkhan9752
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12 views2 pages

PF Advance for Natural Calamities

The document is a UAN Based Combined Claim Form for PF Advance submitted by Shahrukh Khan on July 23, 2021. The purpose of the advance is for natural calamities, with an amount requested of Rs 23,000. The form includes personal details, bank information, and a certification of data accuracy from the UAN portal.

Uploaded by

shahrufkhan9752
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Submitted online at UAN e-seva portal on 2021-7-23 14:15:21. 0 [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 - 8602553097

1. I want to apply for PF Advance


2. Universal Account Number(UAN) / 101494703110

3. Name of the member SHHARUKH KHAN


4. Date of Joining 10-Apr-2019
DESPK0804R
5. Permanent Account number

6.a Purpose of Advance Natural Calamities


6.b Amount of Advance (In Rs) 23000
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 Ward 5 jamua,Shahdol ,Shahdol
,517,19-484001

* 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: ABDUL RAIS KHAN Date of Birth 04-Aug-1993


Bank Account Number 30780110020449 Bank IFSC Code UCBA0003078
Bank Details UCO BANK,SHAHDOL
Aadhaar 38XXXXXXXX65
Member ID MPJBP19736970000010062

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

EPFO UMANG
EPFO UMANG

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