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Abhishek Esic

This document contains personal and employment details of Abhishek Chawda who is registered under the Employees' State Insurance Corporation (ESIC) scheme. It provides his insurance number, date of birth, employer details, family and nominee information. The document serves as proof of his registration under the ESIC scheme and includes his photograph and signatures attested by his employer to avail cash and medical benefits.

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aschawda1414
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65 views2 pages

Abhishek Esic

This document contains personal and employment details of Abhishek Chawda who is registered under the Employees' State Insurance Corporation (ESIC) scheme. It provides his insurance number, date of birth, employer details, family and nominee information. The document serves as proof of his registration under the ESIC scheme and includes his photograph and signatures attested by his employer to avail cash and medical benefits.

Uploaded by

aschawda1414
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

EMPLOYEES' STATE INSURANCE CORPORATION

e-Pehchan Card

PERSONAL DETAILS

Name of IP : ABHISHEK CHAWDA Insurance No. : 1816235979


Date of Birth : 11/09/2000 UHID : NA
Gender : Male UAN : 101680180463
Mobile Number : 8305467110 ABHA : NA
Email ID : NA PHR Address : NA
Registration Date : 26/02/2020 Aadhaar : NA

REGISTRATION DETAILS

Marital Status : Unmarried Name of Father / : Rahul Chawda


Husband
Type Of Disability : NA
Present Address : Sagore Kuti,Pithampur,Dist:Dhar,Madhya Permanent Address : Sagore
Pradesh Kuti,Pithampur,Dist:Dhar,Madhy
a Pradesh

Dispensary / : Pithampur 3-4, MP (ESIS Disp.) Dispensary /


: Pithampur 3-4, MP (ESIS Disp.)
IMP for IP IMP for Family

CURRENT EMPLOYER DETAILS

Employer's Code : 36000005340001019 Name of Employer : Industrial Labour Associates


No.

Sub Unit's Code : 18360005340011019 Date of : 26/02/2020


No. Appointment

Address of : C/O MYLAN LABORATORIES Branch Office : BO - Pithampur 3-4,ESIC Branch


Employer LTD,PITHAMPUR SEZ APPAREL Office, Verma Bhawan Nehar
PARK,Dist:DharMadhya Pradesh450001 Mahajan Sweet Sagore Kuti
Square
,Pithampur,Dhar-454774,0
FAMILY DETAILS

Relation
Date UAN/
Name with UHID/ABHA PHR Address State/District
of Birth Aadhaar
IP

Page 1 of 2
NOMINEE DETAILS

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

Sagore
Rahul Chawda Dependant father NA NA Kuti,Pithampur,Madhya 100
PradeshDist:Dhar

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) : Industrial Labour Associates


IP Number : 1816235979
Address : Sagore Kuti,Pithampur,Dist:Dhar,Madhya Pradesh

Date : 08/11/2022 10:55:52AM

Page 2 of 2

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