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    Employees' State Insurance Corporation E-Pehchan Card

    Uploaded by

    bhandari0148
    This document provides registration details for an insured person named Prabhakar Manda under the Employees' State Insurance Corporation. It lists his insurance number, date of registration, personal details, family details, nominee details, employer details, and the benefits provided by ESIC including medical benefits, sickness benefits, enhanced sickness benefits, extended sickness benefits, and temporary disablement benefits. Photographs of the insured person and his family are to be affixed and attested by the employer or ESIC official.

    Copyright:

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

    Employees' State Insurance Corporation E-Pehchan Card

    Uploaded by

    bhandari0148
    165 views3 pages
    This document provides registration details for an insured person named Prabhakar Manda under the Employees' State Insurance Corporation. It lists his insurance number, date of registration, personal details, family details, nominee details, employer details, and the benefits provided by ESIC including medical benefits, sickness benefits, enhanced sickness benefits, extended sickness benefits, and temporary disablement benefits. Photographs of the insured person and his family are to be affixed and attested by the employer or ESIC official.

    Original Title

    D132464 (2).pdf

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    This document provides registration details for an insured person named Prabhakar Manda under the Employees' State Insurance Corporation. It lists his insurance number, date of registration, personal details, family details, nominee details, employer details, and the benefits provided by ESIC including medical benefits, sickness benefits, enhanced sickness benefits, extended sickness benefits, and temporary disablement benefits. Photographs of the insured person and his family are to be affixed and attested by the employer or ESIC official.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    165 views3 pages

    Employees' State Insurance Corporation E-Pehchan Card

    Uploaded by

    bhandari0148
    This document provides registration details for an insured person named Prabhakar Manda under the Employees' State Insurance Corporation. It lists his insurance number, date of registration, personal details, family details, nominee details, employer details, and the benefits provided by ESIC including medical benefits, sickness benefits, enhanced sickness benefits, extended sickness benefits, and temporary disablement benefits. Photographs of the insured person and his family are to be affixed and attested by the employer or ESIC official.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    EMPLOYEES' STATE INSURANCE CORPORATION

    e-Pehchan Card

    Insured Person : Prabhakar Manda


    In case Aadhaar Number is not entered,this is valid upto
    Insurance No. : 5211260290
    date: 15/05/2015 only
    Date of Registration : 16/04/2015

    YOUR REGISTRATION DETAILS


    Employee Name: Prabhakar Manda Type of Disability : None

    Name of Father / Husband: NAGESWARARAO Date of Birth : 05/04/1984

    Marital Status : Married Gender : Male

    D NO -14/A,Near- Santoshi mata D NO- 1-17,Near church, Palapdu


    Present Address : Permanent Address :
    taemapel,Picket, post,Narasaro pet mandal, Guntur
    Secundrabad,Dist:Hyderabad,Telangana,500 dt,Dist:Guntur,Andhra Pradesh,522603
    024

    Aadhaar Number : 213228118024 Aadhaar Status : Verified

    Dispensary / IMP for IP : Kavadiguda (New), AP (ESIS Disp.) Dispensary / IMP for Family: Kavadiguda (New), AP (ESIS Disp.)

    Current Employer Details First Employer Details

    Employer's Code No. : 57000207680000911 Employer's Code No. : None

    Sub Unit's Code No. : 52570207680011099 Sub Unit's Code No. : None
    Date of Appointment : 16/03/2015 First Insurance No. : None

    Name of Employer : APARAJITHA DYNAMIC SYNERGIES (P) Name of Employer : None


    LTD.,M/s.Sundaram Finance
    C/o.
    Address of Employer : Address of Employer : None
    Ltd,Venkateswara Residency,Shop No.5,H
    No.3-11-7/,Suryodaya Nagar colony,
    Mansurabad
    Village,Sa,Dist:AnanthpuramAndhra
    Pradesh500036

    Family Details:
    Relationship Whether
    Name Date of Birth State District Aadhaar Aadhaar Status
    with the Residing with
    Employee Insured Person
    BABY RANI Spouse
    19/08/1989
    Andhra Guntur
    468913571497 Unverified
    No
    Pradesh

    Manda Dependant father


    15/12/1957
    Andhra Guntur
    535418621221 Unverified
    No
    Nageswarao Pradesh

    Manda. Sarojini Dependant mother


    19/05/1959
    Andhra Guntur
    248198724586 Unverified
    No
    Pradesh

    Manda. Harshith Dependant son


    05/04/2010
    Andhra Guntur
    888748239458 Unverified
    No
    joy receiving education Pradesh

    Manda. Varshith Dependant son


    02/09/2012
    Andhra Guntur
    934382464753 Unverified
    No
    joy receiving education Pradesh
    Nominee Details:
    Name of Nominee Relationship with IP Percentage Address of Nominee Aadhaar Aadhaar Status
    BABY RANI Spouse D NO- 1-17,Near
    100 468913571497 Unverified
    church,Palapdu post,Narasaro
    pet mandal,Guntur dt,Andhra
    PradeshDist:Guntur522603
    Documents Uploaded:
    none

    Signature / LTI of Registered Employee / IP :


    Affix Your Family Photograph Here.(Attested and Stamped by Employer / ESIC Official)

    Mobile Number : 7396173703

    NOTE:
    1. Please keep this printout for future reference and bring this along with your Photo ID for all your Claim Benefits and Medical Benefits.
    2. Employer to please affix employee and his family photo here and attest with official stamp across .

    Signature / Stamp of ESIC Officer / Employer


    Employees State Insurance Corporation is a premier organization providing Social Security to workforce in the form of Medical and
    Cash Benefits in the contingencies of Sickness, Maternity, Disablement or death due to employment injury.

    SI.No Benefits Entitlement Duration Rate of Benefit


    From day one of entering into Reasonable medical care, Super
    1 Medical Benefit One should be an insured person
    insurable employment to till date in Speciality treatment, comprehensive
    insurable employment and during medical care & clinical investigation
    the corresponding benefit period. as per eligibility
    2(a) Sickness Benefit 78 days in relevant Contribution Up to 91 days in two 70% of average Daily wages
    Period consecutive Benefit Period
    2(b) Enhanced 78 days in one Contribution Period 7 days/ 14 days for male/female
    100% of average Daily wages
    Sickness Benefit insured person respectively for
    undergoing sterilization operation
    3 Extended 156 days in 4 consecutive 124 to 309 days may be 80% of average Daily wages
    Sickness Benefit Contribution Period extended to 730 days in case of
    specified long term diseases
    Temporary From day one of entering As long as temporary 90% of average Daily wages
    4(a)
    Disablement Insurable employment disablement lasts
    Benefit
    Permanent From day one of entering For whole life Depending upon loss of
    4(b) Disablement Insurable employment earning capacity of Insured
    Benefit
    5 Dependents From day one of entering 90% of average Daily wages.
    Paid to the dependents of the
    Benefit Insurable employment Shareable in fixed proportion.
    Insured Person. Who dies as a
    result of employment injury, in
    manner as detailed in Rule 58
    6 Maternity Benefit 70 days in immediately 26 weeks in case of normal 100% of average Daily wages
    preceding 1 or 2 consecutive delivery for 1st two surviving child
    Contribution Periods thereafter 12 weeks. 6 weeks in
    case of miscarriage. 12 weeks
    for commissioning/adopting
    mother.

    I. Unemployment allowance
    Rajiv Gandhi Insurable employment for the last 2 For a maximum period of 24
    at the rates of
    7 Shramik Kalyana years with 78 days contribution paid/ months. Vocational training of up
    Yojana payable in each Contribution Period, to 1 year for upgrading skill of i. 50% of last avg. daily
    Involuntary Unemployment due to Insured Persons receiving wages - 0 to 12 Months.
    closure of factory, retrenchment or unemployment allowance. ii. 25% of last avg. daily
    permanent disablement due to wages - 13 to 24 Months
    non-employment injury>40% 2. Medical care for self and
    family during receipt of
    unemployment allowance.
    8 Funeral Expenses From day one of entering For defraying expenses on Actual expenses subject to a
    Insurable employment funeral of an Insured Person maximum of Rs. 10000/-
    Rs. 5000/- per case of confinement
    Confinement No condition other than Up to two confinements
    9 to an Insured Women or an Insured
    expenses insurable employment.
    person in respect of his wife in case
    facilities for confinement are not
    available in ESI institutions.
    Superannuated/permanently
    Medical facility within ESIC
    Medical Care to retired/retired under VRS /Pre-mature
    10 On yearly basis. on payment of Rs. 120/- for
    retired Insured retirement/ permanently retired due to
    self
    Persons employment injury after being in
    insurable employment for 5
    years/spouses of such deceased
    Insured Persons/spouses receiving
    Dependent Benefit.

    For detailed information on benefits you are requested to visit website www.esic.nic.in or call toll free number 1800112526

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