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    5218132365

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    ssnindu

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    © All Rights Reserved
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    5218132365

    Uploaded by

    ssnindu
    3 views3 pages

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    3 views3 pages

    5218132365

    Uploaded by

    ssnindu

    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 : GULLA PARVATHI Insurance No. : 5218132365


    Date of Birth : 01/01/1987 UHID : AP01.0007646028
    Gender : Female UAN : 101763775066
    Mobile Number : 9381803806 ABHA Number : NA
    Email ID : NA ABHA Address : NA
    Registration Date : 30/01/2022 Aadhaar : NA

    REGISTRATION DETAILS

    Marital Status : Married Name of Father / : SWAMY NAIDU


    Husband
    Type Of Disability : NA
    Present Address : PRAGATHI NAGAR, Permanent Address : PRAGATHI NAGAR,
    KUKATPALLY,Dist:Hyderabad,Telangana KUKATPALLY,Dist:Hyderabad,T
    elangana

    Dispensary / : Jeedimetla,TS (ESIC Disp.) Dispensary / : Jeedimetla,TS (ESIC Disp.)


    IMP for IP IMP for Family

    CURRENT EMPLOYER DETAILS

    Employer's Code : 52000249160001001 Name of Employer : M SATYANARAYANA


    No. CONTRACTORS

    Sub Unit's Code : None Date of : 30/01/2022


    No. Appointment

    Address of : 1-59/1129/2 NEW Branch Office : BO -


    Employer COLONY,MIYAPUR,SERILINGAMPALLY Balanagar,D.No.11-06-33/A/NR
    1st Floor TSRTC
    NA Bus Complex

    FAMILY DETAILS

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


    with of Birth Address Aadhaar with IP
    IP

    Telangana /
    GULLA SWAMY Spouse 01/07/1978 AP01.0007885433/N NA Yes
    NAIDU 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 /
    GULLA BHAGYA Dependant 05/06/2004 AP01.0007885434/N NA Yes
    SRI unmarried A
    Hyderabad
    daughter

    Telangana /
    GULLA AVINASH Dependant son 16/11/2005 AP01.0007885435/N NA Yes
    receiving A
    Hyderabad
    education

    Page 2 of 3
    NOMINEE DETAILS

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

    prasanthi NAGAR,
    GULLA SWAMY Spouse NA NA KUKATPALLY,TelanganaDist 100
    NAIDU :Hyderabad500072

    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) : M SATYANARAYANA CONTRACTORS


    IP Number : 5218132365
    Address : PRAGATHI NAGAR, KUKATPALLY,Dist:Hyderabad,Telangana

    Date : 17/12/2024 10:05:23AM

    Page 3 of 3

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