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    Employees' State Insurance Corporation E-Pehchan Card: Personal Details

    Uploaded by

    Pravin Pargi
    This document is an e-Pehchan card that provides personal and employment details of Abhay Pratap Singh, who is registered under the Employees' State Insurance Corporation (ESIC) scheme with insurance number 3715081229. It lists his employer as SIS Limited, date of appointment as 23/09/2023, address and other family details. The card is signed by the registered employee and ESIC officer and can be used for availing cash and medical benefits under the ESIC scheme.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Employees' State Insurance Corporation E-Pehchan Card: Personal Details

    Uploaded by

    Pravin Pargi
    67 views2 pages
    This document is an e-Pehchan card that provides personal and employment details of Abhay Pratap Singh, who is registered under the Employees' State Insurance Corporation (ESIC) scheme with insurance number 3715081229. It lists his employer as SIS Limited, date of appointment as 23/09/2023, address and other family details. The card is signed by the registered employee and ESIC officer and can be used for availing cash and medical benefits under the ESIC scheme.

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    Original Title

    3715081229

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    This document is an e-Pehchan card that provides personal and employment details of Abhay Pratap Singh, who is registered under the Employees' State Insurance Corporation (ESIC) scheme with insurance number 3715081229. It lists his employer as SIS Limited, date of appointment as 23/09/2023, address and other family details. The card is signed by the registered employee and ESIC officer and can be used for availing cash and medical benefits under the ESIC scheme.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    67 views2 pages

    Employees' State Insurance Corporation E-Pehchan Card: Personal Details

    Uploaded by

    Pravin Pargi
    This document is an e-Pehchan card that provides personal and employment details of Abhay Pratap Singh, who is registered under the Employees' State Insurance Corporation (ESIC) scheme with insurance number 3715081229. It lists his employer as SIS Limited, date of appointment as 23/09/2023, address and other family details. The card is signed by the registered employee and ESIC officer and can be used for availing cash and medical benefits under the ESIC scheme.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    EMPLOYEES' STATE INSURANCE CORPORATION

    e-Pehchan Card

    PERSONAL DETAILS

    Name of IP : ABHAY PRATAP SINGH Insurance No. : 3715081229


    Date of Birth : 24/10/1998 UHID : NA
    Gender : Male UAN : NA
    Mobile Number : 9621909899 ABHA Number : NA
    Email ID : NA ABHA Address : NA
    Registration Date : 26/09/2023 Aadhaar : NA

    REGISTRATION DETAILS

    Marital Status : Unmarried Name of Father / : SHIV PRAKASH SINGH


    Husband
    Type Of Disability : NA
    Present Address : KOBARI KALAN,KORABI,KHURD Permanent Address : KOBARI
    UNNAO,,Dist:Unnao,Uttar Pradesh,241504 KALAN,KORABI,KHURD
    UNNAO,,Dist:Unnao,Uttar
    Pradesh,241504
    Dispensary / : D 1 Gandhinagar, Ahm., GJ (ESIS Disp.) Dispensary / : D 1 Gandhinagar, Ahm., GJ
    IMP for IP IMP for Family (ESIS Disp.)

    CURRENT EMPLOYER DETAILS

    Employer's Code : 42000064230001018 Name of Employer : SIS LIMITED


    No.

    Sub Unit's Code : 37420064230051018 Date of : 23/09/2023


    No. Appointment

    Address of : SHOP NO 312-315 SWAGAT RAIN Branch Office : BO -


    Employer FOREST-2,koba-gandhinagar Gandhinagar,BR.MGR.ESIC
    67/8, CH- TYPE, 2ND

    FAMILY DETAILS

    Name Relation Date UHID/ABHA Number ABHA UAN/ Is Residing State/District


    with of Birth Address Aadhaar with IP
    IP

    Page 1 of 2
    NOMINEE DETAILS

    UHID/
    Name of Nominee Relation with IP Date of Birth Address of Nominee Percentage(%)
    ABHA Number

    KOBARI
    UMA SINGH Dependant mother NA NA KALAN,KORABI,KHURD 100
    UNNAO,,Uttar
    PradeshDist:Unnao

    Affix Your Family Photograph Here. (Attested and Stamped by


    Employer / ESIC Official)

    Signature / LTI of Registered Employee / IP

    Signature / Stamp of ESIC Officer / Employer

    Note:
    · This e-Pehchan card affixed with photograph of family & duly attested by the Employer/ESIC Staff shall be requested for
    availing cash/medical benefit.
    · e-Pehchan card is a proof of registration under ESI scheme. However eligibility for various benefits depends upon the
    contribution conditions. For further information on eligibility to various Benefits, please visit- www.esic.in

    Printed By (Employer/User Name) : SIS LIMITED


    IP Number : 3715081229
    Address : KOBARI KALAN,KORABI,KHURD UNNAO,,Dist:Unnao,Uttar Pradesh,241504

    Date : 26/09/2023 3:49:44PM

    Page 2 of 2

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