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    1216080225

    Uploaded by

    Preet Ramgharia
    Hoe

    Copyright:

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

    1216080225

    Uploaded by

    Preet Ramgharia
    2 views2 pages
    Hoe

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Hoe

    Copyright:

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

    1216080225

    Uploaded by

    Preet Ramgharia
    Hoe

    Copyright:

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

    EMPLOYEES' STATE INSURANCE CORPORATION

    e-Pehchan Card

    PERSONAL DETAILS

    Name of IP : HARPREET SINGH Insurance No. : 1216080225


    Date of Birth : 22/10/2001 UHID : NA
    Gender : Male UAN : NA
    Mobile Number : 6284288814 ABHA Number : NA
    Email ID : NA ABHA Address : NA
    Registration Date : 30/06/2023 Aadhaar : NA

    REGISTRATION DETAILS

    Marital Status : Unmarried Name of Father / : Hardeep Singh


    Husband
    Type Of Disability : NA
    Present Address : C/O Hardeep Singh, H. No-41, Gali No.-4, Permanent Address : C/O Hardeep Singh, H. No-41,
    Gokal Ka,Bagh, 100 Feet Road, Gali No.-4, Gokal Ka,Bagh, 100
    Amrirsar-1, Amritsar, Feet Road, Amrirsar-1,
    Punjab,Dist:Amritsar,Punjab Amritsar,
    Dispensary / : Majitha Rd, Amritsar, PB (ESIS Disp.) Dispensary / : Punjab,Dist:Amritsar,Punjab
    Majitha Rd, Amritsar, PB (ESIS
    IMP for IP IMP for Family Disp.)

    CURRENT EMPLOYER DETAILS

    Employer's Code : 12000627980001099 Name of Employer : AERIAL TELECOM


    No. SOLUTIONS PRIVATE LIMITED

    Sub Unit's Code : None Date of : 10/04/2024


    No. Appointment

    Address of : E-93,INDUSTRIAL AREA,,PHASE-8, Branch Office : BO - Mohali,Branch Manager,


    Employer MOHALI,Dist:SAS NAGAR ESI Corporation, ESI Hospital
    Complex, Industrial
    NA Area

    FAMILY DETAILS

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


    with of Birth Address Aadhaar with IP
    IP

    Punjab /
    Nandanjit Kaur Dependant 01/01/1975 NA Yes
    mother
    Amritsar

    Page 1 of 2
    NOMINEE DETAILS

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

    C/O Hardeep Singh, H.


    Hardeep Singh Dependant father NA NA No-41, Gali No.-4, Gokal Ka 100
    Bagh, 100 Feet Road,
    Amrirsar-1, Amritsar,
    Punjab-,PunjabDist:Amritsar

    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) : AERIAL TELECOM SOLUTIONS PRIVATE LIMITED


    IP Number : 1216080225
    Address : C/O Hardeep Singh, H. No-41, Gali No.-4, Gokal Ka,Bagh, 100 Feet Road,
    Amrirsar-1, Amritsar, Punjab,Dist:Amritsar,Punjab
    Date : 08/05/2024 12:21:56PM

    Page 2 of 2

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