Scribd Logo
Upload

Welcome to Scribd!

  • 10 views

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

    Uploaded by

    RAGHU RAM SAKAMURI

    Copyright:

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

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

    Uploaded by

    RAGHU RAM SAKAMURI
    10 views3 pages

    Original Title

    5217456908

    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
    10 views3 pages

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

    Uploaded by

    RAGHU RAM SAKAMURI

    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

    PERSONAL DETAILS

    Name of IP : POTHARAJULA SRINU Insurance No. : 5217456908


    Date of Birth : 08/11/1988 UHID : AP01.0006648829
    Gender : Male UAN : NA
    Mobile Number : 8977047408 ABHA Number : NA
    Email ID : NA ABHA Address : NA
    Registration Date : 17/06/2021 Aadhaar : NA

    REGISTRATION DETAILS

    Marital Status : Married Name of Father / : POTHARAJU SAGAR


    Husband
    Type Of Disability : NA
    Present Address : PLOT NO 81,SPR HILLS ,RAHMATH Permanent Address : PLOT NO 81,SPR HILLS
    NAGAR,RAJEEV GANDI ,RAHMATH NAGAR,RAJEEV
    NAGAR,KHAIRATABAD,Dist:Hyderabad,T GANDI
    elangana,500045 NAGAR,KHAIRATABAD,Dist:H
    Dispensary / : Sanathnagar-II, AP (ESIS Disp.) Dispensary / Dabeerpura, AP (ESIS Disp.)
    : yderabad,Telangana,500045
    IMP for IP IMP for Family

    CURRENT EMPLOYER DETAILS

    Employer's Code : 52000359340001006 Name of Employer : SRINIVASA TOURSAND


    No. TRAVESL

    Sub Unit's Code : None Date of : 11/06/2021


    No. Appointment

    Address of : PLOT NO.275, CBI COLONY, NEAR Branch Office : DCBO - L.B. Nagar
    Employer RED WATER TANK,,NGO"S COLONY, ,H.NO.3-6-317, SBH Colony,
    L.B. NAGAR,NAPin

    FAMILY DETAILS

    Name Relation Date UHID/ABHA Number ABHA UAN/ Is Residing State/District


    with of Birth Address Aadhaar with IP
    IP

    Telangana /
    POTHARAJULA Minor 14/02/2012 AP01.0007662307/N NA Yes
    TEJA dependant son A
    Hyderabad

    Page 1 of 3
    Name Relation Date UHID/ABHA Number ABHA UAN/ Is Residing State/District
    with of Birth Address Aadhaar with IP
    IP

    Telangana /
    POTHARAJULA Minor 16/09/2016 AP01.0007662308/N NA Yes
    SRAVAN KUMAR dependant son A
    Hyderabad

    Telangana /
    POTHARAJULA Spouse 01/01/1989 AP01.0007662309/N NA Yes
    SUMALATHA A
    Hyderabad

    Page 2 of 3
    NOMINEE DETAILS

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

    PLOT NO 81,SPR HILLS


    POTHARAJULA Spouse NA NA ,RAHMATH 100
    SUMALATHA NAGAR,RAJEEV GANDI
    NAGAR,KHAIRATABAD,Tela
    nganaDist:Hyderabad500045

    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) : SRINIVASA TOURSAND TRAVESL


    IP Number : 5217456908
    Address : PLOT NO 81,SPR HILLS ,RAHMATH NAGAR,RAJEEV GANDI
    NAGAR,KHAIRATABAD,Dist:Hyderabad,Telangana,500045
    Date : 18/01/2024 11:58:27AM

    Page 3 of 3

    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