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

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    HR1
    This document contains personal and employment details of Aman Singh who is registered under the Employees' State Insurance Corporation (ESIC) scheme. It provides key information such as his insurance number, date of birth, current employer (Garg Export), family details including his spouse Reetu Aman Singh, and nominee details naming his father Bramhadev Singh. The document also includes his present and permanent addresses, dispensary details, and a note on using the e-Pehchan card for availing cash and medical benefits under ESIC.

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

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

    Uploaded by

    HR1
    42 views2 pages
    This document contains personal and employment details of Aman Singh who is registered under the Employees' State Insurance Corporation (ESIC) scheme. It provides key information such as his insurance number, date of birth, current employer (Garg Export), family details including his spouse Reetu Aman Singh, and nominee details naming his father Bramhadev Singh. The document also includes his present and permanent addresses, dispensary details, and a note on using the e-Pehchan card for availing cash and medical benefits under ESIC.

    Original Title

    2417456265-2

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    This document contains personal and employment details of Aman Singh who is registered under the Employees' State Insurance Corporation (ESIC) scheme. It provides key information such as his insurance number, date of birth, current employer (Garg Export), family details including his spouse Reetu Aman Singh, and nominee details naming his father Bramhadev Singh. The document also includes his present and permanent addresses, dispensary details, and a note on using the e-Pehchan card for availing cash and medical benefits under ESIC.

    Copyright:

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

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

    Uploaded by

    HR1
    This document contains personal and employment details of Aman Singh who is registered under the Employees' State Insurance Corporation (ESIC) scheme. It provides key information such as his insurance number, date of birth, current employer (Garg Export), family details including his spouse Reetu Aman Singh, and nominee details naming his father Bramhadev Singh. The document also includes his present and permanent addresses, dispensary details, and a note on using the e-Pehchan card for availing cash and medical benefits under ESIC.

    Copyright:

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

    EMPLOYEES' STATE INSURANCE CORPORATION

    e-Pehchan Card

    PERSONAL DETAILS

    Name of IP : AMAN SINGH Insurance No. : 2417456265


    Date of Birth : 15/10/1990 UHID : HR01.0008805393
    Gender : Male UAN : NA
    Mobile Number : 8708480401 ABHA Number : NA
    Email ID : NA ABHA Address : NA
    Registration Date : 16/05/2022 Aadhaar : NA

    REGISTRATION DETAILS

    Marital Status : Married Name of Father / : BRAMHADEV SINGH


    Husband
    Type Of Disability : NA
    Present Address : MUKHIJA COLONY GALI NO- 12,PEEPAL Permanent Address : 14, AZAD SEWA
    WALI GALI,JATAL ROAD NEAR SHYAM CHAWL,KRANTI
    CHAWK,Dist:Panipat,Haryana NAGAR,KANDIWALI
    EAST,Dist:Mumbai
    Dispensary / : D 1 Panipat, HR (ESIS Disp.) Dispensary / D 1 Panipat, HR (ESIS Disp.)
    : City,Maharashtra
    IMP for IP IMP for Family

    CURRENT EMPLOYER DETAILS

    Employer's Code : 24000727430000999 Name of Employer : GARG EXPORT


    No.

    Sub Unit's Code : None Date of : 16/05/2022


    No. Appointment

    Address of : STREET NO.05 SHIV NAGAR KRISHAN Branch Office : BO - Panipat,109-Adarsh


    Employer PURA Nagar, Panipat,Pin Code:
    132103 ,132103
    NA

    FAMILY DETAILS

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


    with of Birth Address Aadhaar with IP
    IP

    Haryana /
    REETU AMAN Spouse 05/04/1987 HR01.0009009097/N NA Yes
    SINGH A
    Panipat

    Page 1 of 2
    NOMINEE DETAILS

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

    SAME,HaryanaDist:Panipat
    BRAMHADEV Dependant father NA NA 100
    SINGH

    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) : GARG EXPORT


    IP Number : 2417456265
    Address : MUKHIJA COLONY GALI NO- 12,PEEPAL WALI GALI,JATAL ROAD NEAR
    SHYAM CHAWK,Dist:Panipat,Haryana
    Date : 08/09/2023 11:00:03AM

    Page 2 of 2

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