Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 16 views

    Vishwanath

    Uploaded by

    vishwasajjan0507

    Copyright:

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

    Vishwanath

    Uploaded by

    vishwasajjan0507
    16 views2 pages

    Original Title

    230003117 Vishwanath

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

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

    Vishwanath

    Uploaded by

    vishwasajjan0507

    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 : VISHWANATH Insurance No. : 5043522713


    Date of Birth : 05/07/1989 UHID : NA
    Gender : Male UAN : NA
    Mobile Number : 9483454586 ABHA Number : NA
    Email ID : NA ABHA Address : NA
    Registration Date : 13/06/2024 Aadhaar : NA

    REGISTRATION DETAILS

    Marital Status : Married Name of Father / : Mahadevappa


    Husband
    Type Of Disability : NA
    Present Address : C/o Mahadevappa, Permanent Address : C/o Mahadevappa,
    Neginal,,Gulbarga,Dist:KALBURGI,Karnata Neginal,,Gulbarga,Dist:KALBU
    ka,586127 RGI,Karnataka,586127

    Dispensary / : M.S.K.Mills, Gulbarga, KA (ESIS Disp.) Dispensary / : M.S.K.Mills, Gulbarga, KA


    IMP for IP IMP for Family (ESIS Disp.)

    CURRENT EMPLOYER DETAILS

    Employer's Code : 20001290770001399 Name of Employer : Learning Links Foundation


    No.

    Sub Unit's Code : 50201290770011399 Date of : 05/06/2024


    No. Appointment

    Address of : No. 16, 4th Floor, Haudin,Road, Near Branch Office : BO - Adugodi,ESIC, Branch
    Employer Jasmine Beauty Salon,Yellappa Chetty office,Bannerghatta Road, Next
    to Marble Centre
    NA Interantional,

    FAMILY DETAILS

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


    with of Birth Address Aadhaar with IP
    IP

    Karnataka /
    Vidyashree Spouse 22/10/1996 NA Yes

    KALBURGI

    Page 1 of 2
    NOMINEE DETAILS

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

    Neginal,,KarnatakaDist:KAL
    Vidyashree Spouse NA NA BURGI586127 100

    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) : Learning Links Foundation


    IP Number : 5043522713
    Address : C/o Mahadevappa, Neginal,,Gulbarga,Dist:KALBURGI,Karnataka,586127

    Date : 13/06/2024 11:01:16AM

    Page 2 of 2

    You might also like