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    Wipro Esic Hemraj

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    bhartigiri26
    This document is an e-Pehchan card from the Employees' State Insurance Corporation providing personal and employment details of IP HEMRAJ. It lists his name, date of birth, insurance number, address, employer information, and notes he is unmarried with his father HARICHAND listed as his nominee. The card serves as proof of registration under the ESI scheme and notes additional information on eligibility for benefits can be found online.

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

    Wipro Esic Hemraj

    Uploaded by

    bhartigiri26
    88 views2 pages
    This document is an e-Pehchan card from the Employees' State Insurance Corporation providing personal and employment details of IP HEMRAJ. It lists his name, date of birth, insurance number, address, employer information, and notes he is unmarried with his father HARICHAND listed as his nominee. The card serves as proof of registration under the ESI scheme and notes additional information on eligibility for benefits can be found online.

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    wipro esic hemraj

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    This document is an e-Pehchan card from the Employees' State Insurance Corporation providing personal and employment details of IP HEMRAJ. It lists his name, date of birth, insurance number, address, employer information, and notes he is unmarried with his father HARICHAND listed as his nominee. The card serves as proof of registration under the ESI scheme and notes additional information on eligibility for benefits can be found online.

    Copyright:

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

    Wipro Esic Hemraj

    Uploaded by

    bhartigiri26
    This document is an e-Pehchan card from the Employees' State Insurance Corporation providing personal and employment details of IP HEMRAJ. It lists his name, date of birth, insurance number, address, employer information, and notes he is unmarried with his father HARICHAND listed as his nominee. The card serves as proof of registration under the ESI scheme and notes additional information on eligibility for benefits can be found online.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    You are on page 1of 2

    EMPLOYEES' STATE INSURANCE CORPORATION

    e-Pehchan Card

    PERSONAL DETAILS

    Name of IP : HEMRAJ Insurance No. : 6113575415


    Date of Birth : 01/07/1993 UHID : NA
    Gender : Male UAN : NA
    Mobile Number : 6447782222 ABHA : NA
    Email ID : NA PHR Address : NA
    Registration Date : 14/03/2023 Aadhaar : NA

    REGISTRATION DETAILS

    Marital Status : Unmarried Name of Father / : harichand


    Husband
    Type Of Disability : NA
    Present Address : RAWALI,MEHDOOD,Dist:Haridwar,Uttarak Permanent Address : fatehpur
    hand,249402 rajaram,dudhli,Dist:Bijnor,Uttar
    Pradesh,246731

    Dispensary / : Sidcul, UC (ESIS Disp.) Dispensary / : Sidcul, UC (ESIS Disp.)


    IMP for IP IMP for Family

    CURRENT EMPLOYER DETAILS

    Employer's Code : 61000532770000999 Name of Employer : SAMRAT & SAMRAT


    No. INDUSTRY PRIVATE LIMITED

    Sub Unit's Code : None Date of : 14/03/2023


    No. Appointment

    Address of : C/O SEEMA SHARMA, RAGHUVEER Branch Office : BO - Haridwar,BO-Haridwar


    Employer ENCLAVE,INDUSTRIAL Gr-II,Quarter No. 1-2, Opp. Khel
    Bhawan, Sector-2, BHEL,

    FAMILY DETAILS

    Name Relation Date UHID/ABHA PHR 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

    fatehpur rajaram,dudhli,Uttar
    harichand Dependant father NA NA PradeshDist:Bijnor246731 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) : SAMRAT & SAMRAT INDUSTRY PRIVATE LIMITED


    IP Number : 6113575415
    Address : RAWALI,MEHDOOD,Dist:Haridwar,Uttarakhand,249402

    Date : 14/03/2023 3:26:26PM

    Page 2 of 2

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