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PF Advance Application for Himanshu Yadav

The document is a UAN Based Combined Claim Form for PF Advance submitted by Himanshu Yadav, requesting an advance of Rs 24,700 due to illness. The form includes personal details such as UAN, bank account information, and a certification of data accuracy. It is submitted online through the UAN e-seva portal and requires payment to the specified bank account.

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satyamsinghstd2303
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4 views1 page

PF Advance Application for Himanshu Yadav

The document is a UAN Based Combined Claim Form for PF Advance submitted by Himanshu Yadav, requesting an advance of Rs 24,700 due to illness. The form includes personal details such as UAN, bank account information, and a certification of data accuracy. It is submitted online through the UAN e-seva portal and requires payment to the specified bank account.

Uploaded by

satyamsinghstd2303
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 2025-12-31 12:40:49 [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 - 6307676214

1. I want to apply for PF Advance


2. Universal Account Number(UAN) / 101979857178

3. Name of the member HIMANSHU YADAV


4. Date of Joining 06-Nov-2024
BFLPY5938Q
5. Permanent Account number

6.a Purpose of Advance Illness


6.b Amount of Advance (In Rs) 24700
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 Dilip Nagar ,,Pratapgarh ,267,30-
230129

* 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: RAM CHANDRA YADAV Date of Birth 10-May-2002


Bank Account Number 9593000100021657 Bank IFSC Code PUNB0959300
Bank Details PUNJAB NATIONAL
BANK,ANAPUR
Aadhaar 68XXXXXXXX67
Member ID PYKRP00139920000611005

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

EPFO UMANG

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