EMPLOYEES' STATE INSURANCE CORPORATION
e-Pehchan Card
PERSONAL DETAILS
Name of IP : SANTOSHAKUMAR PAL Insurance No. : 6719554842
Date of Birth : 01/01/1990 UHID : NA
Gender : Male UAN : NA
Mobile Number : 8103905919 ABHA Number : NA
Email ID : NA ABHA Address : NA
Registration Date : 30/09/2020 Aadhaar : NA
REGISTRATION DETAILS
Marital Status : Married Name of Father / : CHHOTE LAL PAL
Husband
Type Of Disability : NA
Present Address : DHOHHITOLA Permanent Address : DHOHHITOLA
MAKROHAR,SINGRAULI,486886,Dist:Sin MAKROHAR,SINGRAULI,4868
grauli,Madhya Pradesh,486886 86,Dist:Singrauli,Madhya
Pradesh,486886
Dispensary / : Sipat, Bilaspur, CT (ESIS Disp.) Dispensary / : Sipat, Bilaspur, CT (ESIS
IMP for IP IMP for Family Disp.)
CURRENT EMPLOYER DETAILS
Employer's Code : 67000584750000699 Name of Employer : MACAWBER BEEKAY
No. PRIVATE LIMITED
Sub Unit's Code : None Date of : 04/04/2025
No. Appointment
Address of : BEEKAY HOUSE C 450 SECTOR Branch Office : BO - Noida-2,NOIDA-II, Branch
Employer 10,Dist:Gautam Buddha NagarUttar Office, ESI Corporation,G-118
Pradesh201301 Se,
FAMILY DETAILS
Name Relation Date UHID/ABHA Number ABHA UAN/ Is Residing State/District
with of Birth Address Aadhaar with IP
IP
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NOMINEE DETAILS
UHID/
Name of Nominee Relation with IP Date of Birth Address of Nominee Percentage(%)
ABHA Number
DHOHHITOLA
ANAR KALI Spouse NA NA MAKROHAR,SINGRAULI,48 100
6886,Madhya
PradeshDist:Singrauli486886
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- [Link]
Printed By (Employer/User Name) : MACAWBER BEEKAY PRIVATE LIMITED
IP Number : 6719554842
Address : DHOHHITOLA MAKROHAR,SINGRAULI,486886,Dist:Singrauli,Madhya
Pradesh,486886
Date : 04/04/2025 [Link]PM
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