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

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    indwell.atanu
    The document provides personal and employment details of an individual named Vijay Niyal who is registered with the Employees' State Insurance Corporation. It includes information such as name, date of birth, insurance number, current employer details, family details, and nominee details.

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

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

    Uploaded by

    indwell.atanu
    51 views2 pages
    The document provides personal and employment details of an individual named Vijay Niyal who is registered with the Employees' State Insurance Corporation. It includes information such as name, date of birth, insurance number, current employer details, family details, and nominee details.

    Original Title

    4119364948

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    The document provides personal and employment details of an individual named Vijay Niyal who is registered with the Employees' State Insurance Corporation. It includes information such as name, date of birth, insurance number, current employer details, family details, and nominee details.

    Copyright:

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

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

    Uploaded by

    indwell.atanu
    The document provides personal and employment details of an individual named Vijay Niyal who is registered with the Employees' State Insurance Corporation. It includes information such as name, date of birth, insurance number, current employer details, family details, and nominee details.

    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 : VIJAY NIYAL Insurance No. : 4119364948


    Date of Birth : 10/02/1997 UHID : NA
    Gender : Male UAN : NA
    Mobile Number : 8637329468 ABHA Number : NA
    Email ID : NA ABHA Address : NA
    Registration Date : 14/01/2024 Aadhaar : NA

    REGISTRATION DETAILS

    Marital Status : Unmarried Name of Father / : KISHAN NIYAL


    Husband
    Type Of Disability : NA
    Present Address : KARIMNAGAR,Dist:Chitoor,Andhra Permanent Address : KARIMNAGAR,Dist:Chitoor,An
    Pradesh dhra Pradesh

    Dispensary / : Budge Budge, WB (ESIS Disp.) Dispensary / : Budge Budge, WB (ESIS Disp.)
    IMP for IP IMP for Family

    CURRENT EMPLOYER DETAILS

    Employer's Code : 62000158280001001 Name of Employer : INDWELL CONSTRUCTIONS


    No. PVT.LTD

    Sub Unit's Code : 41620158280021001 Date of : 13/01/2024


    No. Appointment

    Address of : CESC , Budge Budge Generating Branch Office : BO - B/BUDGE,534, M.G.


    Employer Station, Pujali,Dist:AlipurduarWest ROAD, BUDGE BUDGE,
    24-PARGANAS (SOUTH),0

    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

    KARIM NAGAR,Andhra
    KISHAN NIYAL Dependant father NA NA PradeshDist:Ananthpuram 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) : INDWELL CONSTRUCTIONS PVT.LTD


    IP Number : 4119364948
    Address : KARIMNAGAR,Dist:Chitoor,Andhra Pradesh

    Date : 14/01/2024 9:43:26AM

    Page 2 of 2

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