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    Diamond Electric Arup Dutta 4119759797.PDF Tic

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    Diamond Electric Arup Dutta 4119759797.PDF Tic

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    elec.pradip
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    © All Rights Reserved
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    4 views2 pages

    Diamond Electric Arup Dutta 4119759797.PDF Tic

    Uploaded by

    elec.pradip

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    EMPLOYEES' STATE INSURANCE CORPORATION

    e-Pehchan Card

    PERSONAL DETAILS

    Name of IP : ARUP DUTTA Insurance No. : 4119759797


    Date of Birth : 04/05/1993 UHID : NA
    Gender : Male UAN : NA
    Mobile Number : 8017738761 ABHA Number : NA
    Email ID : NA ABHA Address : NA
    Registration Date : 05/09/2024 Aadhaar : NA

    REGISTRATION DETAILS

    Marital Status : Married Name of Father / : LT PRATAP DUTTA


    Husband
    Type Of Disability : NA
    Present Address : VILL-BHABANIPUR,P.O.RAMCHANDRA Permanent Address : VILL-BHABANIPUR,P.O.RAMC
    NAGAR,P.S.BISHNUPUR,Dist:South 24 HANDRA
    Parganas,West Bengal,743503 NAGAR,P.S.BISHNUPUR,Dist:
    South 24 Parganas,West
    Dispensary / : Amtala, WB (ESIS Disp.) Dispensary / Amtala, WB (ESIS Disp.)
    : Bengal,743503
    IMP for IP IMP for Family

    CURRENT EMPLOYER DETAILS

    Employer's Code : 41000358350000910 Name of Employer : DIAMOND ELECTRIC


    No.

    Sub Unit's Code : None Date of : 27/08/2024


    No. Appointment

    Address of : RAMKRISHNAPUR(AMTALA P.O.SUKD Branch Office : BO - BEHALA,ESI HOSPITAL


    Employer EVPUR & ODC, THAKURPUKUR,
    D.H. ROAD NA
    P.O. Â? JOKA,

    FAMILY DETAILS

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


    with of Birth Address Aadhaar with IP
    IP

    West Bengal /
    YOSHOMATI Dependant 01/01/1961 NA Yes
    DUTTA mother
    South 24 Parganas

    Page 1 of 2
    West Bengal /
    RIKTA GHOSH Spouse 25/05/1999 NA Yes

    South 24 Parganas

    NOMINEE DETAILS

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

    DO,West BengalDist:South
    RIKTA GHOSH Spouse NA NA 24 Parganas743503 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) : DIAMOND ELECTRIC


    IP Number : 4119759797
    Address : VILL-BHABANIPUR,P.O.RAMCHANDRA NAGAR,P.S.BISHNUPUR,Dist:South 24
    Parganas,West Bengal,743503
    Date : 05/09/2024 5:18:51PM

    Page 2 of 2

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