kushal esic

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

EMPLOYEES' STATE INSURANCE CORPORATION

-Pehchan Card

Kushal Sidar
Insured Person
insurance No. 5917770451
Dale of Registration 12/01/2022

YOUR REGISTRATIONDiaablity
DETAILS
Employee Name: Kushal Sidar Type of : None

SANTOSH SiDAR 07/10/1991


Neme of
Fnther / Husband: Dale ot Birtn

Unmarried Gender: waie


larital Statua:
AMLIBHONA,PO-TAPARDA,PUSSORE RAIG AMLIBHONA,PO-TAPARDAPUSsORE,R
Prosent Address: Pormanent Address :
ARH,DIStRagam,hifnatisgam AIGARH, DIstRaygarh,Chhatisgarh

IMP for IP
Dispansary : argarn, (ESIS Disp.) Dispensary I IMP for Family: Raigarh, CT (ESIS Disp.)

UHID CTO1.0001288348

Current Employer DetnS Fint Employer Dotails

Employers Code NNo. 59001565860000999 Employers code No. None

Sub Units code N0. None


NOne
Dateof Appo
0401/2022 Fit nauranco No.:
Mame of Employer
SARVAMANGLA INFRABUILD PRIVATE
ame otEmpioye None
Addross of Empioyer : sd4JAFIRNDIRA COMMERCIAL
COMPLEX, TRANSPORT Address of Employer
NAGAR KOREA.DStKGTbaCHatsgsin4S Nane
5677

Family Details:
Name
Relationship Date of Birth
with the
UHID Whether Reslding State
District
with Insured Person
Employeo

**

Nominee Details:_
Name of Nominee
SANTOSH SIDAR Ruontnig wEn Porcentage
ependant tather
AOdrOSS or Nomineo
AMLIBHONA,PO-TAPARDAPUSSORE
RAIGARH.ChhattisgarhDistRaig arh

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