Wa0008.
Wa0008.
Wa0008.
e-Pehchan Card
PERSONAL DETAILS
REGISTRATION DETAILS
FAMILY DETAILS
Rajasthan /
Ashok singh Rao Dependant 01/01/1961 RJ01.0004731176/N NA Yes
father A
Karauli
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Rajasthan /
Brijesh kanwar Dependant 01/01/1980 RJ01.0004731177/N NA Yes
mother A
Karauli
NOMINEE DETAILS
UHID/
Name of Nominee Relation with IP Date of Birth Address of Nominee Percentage(%)
ABHA Number
Ummedpura, gadholi,
Brijesh kanwar Dependant mother NA NA masalpur,RajasthanDist:Kar 100
auli
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
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