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PF Advance Claim Form Submission Guide

The document is an online submission for a PF Advance claim by member KANAPARTHI SHOBHARANI, with a request for Rs 2300 for the purchase of handicap equipment. The claim includes personal details such as UAN, mobile number, and bank account information, and certifies the accuracy of the provided data. It emphasizes that the payment should be made to the bank account listed in the Member Portal and that misuse of the funds may result in penalties.

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pranathi7072
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6 views1 page

PF Advance Claim Form Submission Guide

The document is an online submission for a PF Advance claim by member KANAPARTHI SHOBHARANI, with a request for Rs 2300 for the purchase of handicap equipment. The claim includes personal details such as UAN, mobile number, and bank account information, and certifies the accuracy of the provided data. It emphasizes that the payment should be made to the bank account listed in the Member Portal and that misuse of the funds may result in penalties.

Uploaded by

pranathi7072
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 Member e-seva portal on 2025-08-30 12:26:21 (IP [Link].

in
Address:[Link])

deZpkjh Hkfo"; fuf/k ;kstuk] 1952


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
(mu ekeyksa esa ykxw tgka QkeZ 11(u;k)esa deZpkjh dk iwjk fooj.k] vk/kkj la[;k vkSj cSad [kkrk la[;k ;w-,-,u- iksVZy vkSj ij
miyC/k gS rFkk ;w-,-,u- esa lfØ; gSA)
(Applicable in cases where employee's complete details in Form 11(New),Aadhaar Number and Bank
Accounts details are available on Member Portal and UAN has been activated.)
Mobile Number / eksckby uacj - 9000623034
Tracking ID : 10179961764006002
1. I want to apply for PF Advance
2. Universal Account Number(UAN) / ;wfuolZy [kkrk la[;k 101799617640
3. Name of the member KANAPARTHI SHOBHARANI

4. Date of Joining 01-Apr-2025


5. Permanent Account number / LFkk;h [kkrk la[;k N.A.

6.a Purpose of Advance Purchase of Handicap equipment

6.b Amount of Advance (In Rs) 2300


7 In case of Advance for purpose of Site/House/Flat Not Applicable

8 Bankers details for Electronic Payment (Only for the Advance if payable to Not Applicable
third party)

9. Payee Address 11-47/1 MAHADEVAPURAM


VILLAGE,MADHIRA
MANDAL,KHAMMAM,TELANGANA-507203

Father/Husband/Spouse Name: CHANDRASEKHAR Date Of Birth: 13-Feb-1994


Bank Account Number 62377178007 Bank IFSC Code SBIN0020164
Bank Details STATE BANK OF INDIA,MADHIRA
Aadhaar 74XXXXXXXX95
Member ID GRGNT28042450000012812
*Certified that the particulars are true to the best of my knowledge, I certify that I have gone through the data
seeded in Member portal and found all data, including Form No 11 (New), Bank Account details and Aadhaar number
to be correct. Please make the payment in the bank account mentioned in the Member Portal. In case the amount is
used for any purpose other than stated in column (6) above, I am liable to return the entire amount with penal
interest.
* —i;k ;w-,-,u-iksVZy ij n'kkZ, x, cSad [kkrs esa Hkqxrku djsaA
* Please make payment in the bank account mentioned in the Member portal .
* The bank kyc has been online verified by bank and has been digitally signed by the employer for this case among
other validations and therefore mandatory uploading of the image of cheque leaf/attested bank passbook is not
required.

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