Scribd Logo
Upload

Welcome to Scribd!

  • 30 views

    Deepak Yadav

    Uploaded by

    Masum Soni

    Copyright:

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

    Deepak Yadav

    Uploaded by

    Masum Soni
    30 views2 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

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

    Deepak Yadav

    Uploaded by

    Masum Soni

    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 : DEEPAK YADAV Insurance No. : 8101364848


    Date of Birth : 15/03/2001 UHID : NA
    Gender : Male UAN : NA
    Mobile Number : 7354754974 ABHA Number : NA
    Email ID : NA ABHA Address : NA
    Registration Date : 16/11/2023 Aadhaar : NA

    REGISTRATION DETAILS

    Marital Status : Unmarried Name of Father / : RAJENDRA YADAV


    Husband
    Type Of Disability : NA
    Present Address : DARRHA MANDIR, SARLA Permanent Address : DARRHA MANDIR, SARLA
    NAGAR,MAIHAR,Dist:Satna,Madhya NAGAR,MAIHAR,Dist:Satna,M
    Pradesh,485772 adhya Pradesh,485772

    Dispensary / : Satna Cement Works, MP (ESIS Disp.) Dispensary / : Satna Cement Works, MP
    IMP for IP IMP for Family (ESIS Disp.)

    CURRENT EMPLOYER DETAILS

    Employer's Code : 81000182520001001 Name of Employer : OMKAR ASSOCIATES


    No.

    Sub Unit's Code : None Date of : 16/11/2023


    No. Appointment

    Address of : ADARSH NAGAR NAI BASTI,BEHIND Branch Office : BO - Satna,ESIC Branch


    Employer NEW GALLA MANDI,POST BIRLA Office, Birla Vikas Nagar,
    Satna,MP- 485005,0

    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

    SARLANAGAR,MAIHAR,Ma
    RAJENDRA YADAV Dependant father NA NA dhya 100
    PradeshDist:Satna485772

    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) : OMKAR ASSOCIATES


    IP Number : 8101364848
    Address : DARRHA MANDIR, SARLA NAGAR,MAIHAR,Dist:Satna,Madhya Pradesh,485772

    Date : 16/11/2023 9:48:43PM

    Page 2 of 2

    You might also like

    pFad - Phonifier reborn

    Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

    Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


    Alternative Proxies:

    Alternative Proxy

    pFad Proxy

    pFad v3 Proxy

    pFad v4 Proxy