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    Ravinder Rajput 3417313762

    Uploaded by

    atworkindiaconsultancy

    Copyright:

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

    Ravinder Rajput 3417313762

    Uploaded by

    atworkindiaconsultancy
    19 views2 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

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

    Ravinder Rajput 3417313762

    Uploaded by

    atworkindiaconsultancy

    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 : RAVINDER RAJBHAR Insurance No. : 3417313762


    Date of Birth : 01/01/1990 UHID : UP01.0008803096
    Gender : Male UAN : NA
    Mobile Number : 9594957953 ABHA Number : NA
    Email ID : NA ABHA Address : NA
    Registration Date : 06/03/2024 Aadhaar : NA

    REGISTRATION DETAILS

    Marital Status : Married Name of Father / : LAUTOO RAJBHAR


    Husband
    Type Of Disability : NA
    Present Address : GRAM POST, KUKUHAN,,GAURA, Permanent Address : GRAM POST,
    JAUNPUR,UTTAR PRADESH, KUKUHAN,,GAURA,
    222134,Dist:Jaunpur District,Uttar JAUNPUR,UTTAR PRADESH,
    Pradesh,222134 222134,Dist:Jaunpur
    Dispensary / : Kalyan, MH (ESIS Disp.) Dispensary / : Kalyan, MH (ESIS
    District,Uttar Disp.)
    Pradesh,222134
    IMP for IP IMP for Family

    CURRENT EMPLOYER DETAILS

    Employer's Code : 34000606000000999 Name of Employer : MAHARANA GLASS PRIVATE


    No. LIMITED

    Sub Unit's Code : None Date of : 27/02/2024


    No. Appointment

    Address of : A/702, VIJAY DRUSHTI REGENCY Branch Office : BO -


    Employer CIRCLE,KALYAN, THANE, DA WADI Kalyan,Kalyan,Bhagwandas
    Mansion, 1st floor, Shivaji

    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

    GRAM POST,
    RADHIKA Spouse NA NA KUKUHAN,,GAURA, 100
    RAVINDER JAUNPUR,UTTAR
    RAJBHAR PRADESH, 222134,Uttar
    PradeshDist:Jaunpur
    District222134

    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) : MAHARANA GLASS PRIVATE LIMITED


    IP Number : 3417313762
    Address : GRAM POST, KUKUHAN,,GAURA, JAUNPUR,UTTAR PRADESH,
    222134,Dist:Jaunpur District,Uttar Pradesh,222134
    Date : 06/03/2024 4:59:28PM

    Page 2 of 2

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