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

The document is an e-Pehchan Card for Ritu Yadav, providing personal details such as her insurance number, date of birth, and addresses. It includes registration details, current employer information, and family details, indicating her father as the nominee. The card serves as proof of registration under the Employees' State Insurance scheme and is required for availing benefits.

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rituy8070
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48 views2 pages

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

The document is an e-Pehchan Card for Ritu Yadav, providing personal details such as her insurance number, date of birth, and addresses. It includes registration details, current employer information, and family details, indicating her father as the nominee. The card serves as proof of registration under the Employees' State Insurance scheme and is required for availing benefits.

Uploaded by

rituy8070
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

EMPLOYEES' STATE INSURANCE CORPORATION

e-Pehchan Card

PERSONAL DETAILS

Name of IP : RITU YADAV Insurance No. : 6935879757


Date of Birth : 03/10/2004 UHID : HR01.0012475441
Gender : Female UAN : NA
Mobile Number : 9140034024 ABHA Number : NA
Email ID : NA ABHA Address : NA
Registration Date : 05/03/2025 Aadhaar : NA

REGISTRATION DETAILS

Marital Status : Unmarried Name of Father / : VIJAY YADAV


Husband
Type Of Disability : NA
Present Address : gurgaon,haryana,Dist:Gurgaon,Haryana Permanent Address : BALLAI,UTTAR
PRADESH-277203,Dist:Ballia,
Uttar Pradesh

Dispensary / : Manesar, HR (ESIS Disp.) Dispensary / : Manesar, HR (ESIS Disp.)


IMP for IP IMP for Family

CURRENT EMPLOYER DETAILS

Employer's Code : 69000551200000999 Name of Employer : BIMLRAJ OUTSOURCING


No. PVT. LTD.

Sub Unit's Code : None Date of : 24/02/2025


No. Appointment

Address of : 46, Kirti Nagar, Savita Sadan, Nr. Branch Office : BO - Gurgaon,H.NO.421/7/15,
Employer Sec-15, Part-I,GURRAON Civil Lines, Near Rajiv Chowk,
-122001,Dist:GurgaonHaryana122001 Gurgaon-122001,

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

gurgaon,haryana,HaryanaDis
VIJAY YADAV Dependant father NA NA t:Gurgaon 100

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) : BIMLRAJ OUTSOURCING PVT. LTD.


IP Number : 6935879757
Address : gurgaon,haryana,Dist:Gurgaon,Haryana

Date : 06/07/2025 9:35:36AM

Page 2 of 2

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