Scribd Logo
Upload

Welcome to Scribd!

  • 3 views

    Bhanu Pratap Yadav

    Uploaded by

    pandeyanamika122

    Copyright:

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

    Bhanu Pratap Yadav

    Uploaded by

    pandeyanamika122
    3 views2 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

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

    Bhanu Pratap Yadav

    Uploaded by

    pandeyanamika122

    Copyright:

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

    EMPLOYEES' STATE INSURANCE CORPORATION

    e-Pehchan Card

    PERSONAL DETAILS

    Name of IP : BHANU PRATAP YADAV Insurance No. : 3315342769


    Date of Birth : 10/07/2001 UHID : NA
    Gender : Male UAN : NA
    Mobile Number : 8887756012 ABHA Number : NA
    Email ID : NA ABHA Address : NA
    Registration Date : 07/07/2023 Aadhaar : NA

    REGISTRATION DETAILS

    Marital Status : Unmarried Name of Father / : FOOLCHAND YADAV


    Husband
    Type Of Disability : NA
    Present Address : BARWA SAGAR Permanent Address : BARWA SAGAR
    POST-RASULPUR,MEHNAGAR,AZAMGA POST-RASULPUR,MEHNAGA
    RTH,Dist:Azamgarh,Uttar Pradesh,276204 R,AZAMGARTH,Dist:Azamgarh
    ,Uttar Pradesh,276204
    Dispensary / : Khed Shivapur, MH (ESIS Disp.) Dispensary / : Khed Shivapur, MH (ESIS
    IMP for IP IMP for Family Disp.)

    CURRENT EMPLOYER DETAILS

    Employer's Code : 33000595990000999 Name of Employer : H R INDUSTRY


    No.

    Sub Unit's Code : None Date of : 28/06/2023


    No. Appointment

    Address of : GAT NO. 8 AT POST-SASEWADI, NEAR Branch Office : BO - PUNE,PMT Commercial


    Employer Z. P. SCHOOL,TAL. - Building No.1, Shankarsheth
    Road, Swargate, Pune -

    FAMILY DETAILS

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


    with of Birth Address Aadhaar with IP
    IP

    Page 1 of 2
    NOMINEE DETAILS

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

    AS ABOVE,Uttar
    FOOLCHAND Dependant father NA NA PradeshDist:Azamgarh 100
    YADAV

    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) : H R INDUSTRY


    IP Number : 3315342769
    Address : BARWA SAGAR
    POST-RASULPUR,MEHNAGAR,AZAMGARTH,Dist:Azamgarh,Uttar
    Date 07/07/2023 7:24:25PM
    : Pradesh,276204

    Page 2 of 2

    You might also like