EMPLOYEES' STATE INSURANCE CORPORATION
e-Pehchan Card
PERSONAL DETAILS
Name of IP : DHEERAJ KAILASH BHAVARE Insurance No. : 8101664394
Date of Birth : 10-04-2000 [Link] UHID :
Gender : M UAN :
Mobile Number : 7350273959 ABHA Number : NA
Email ID : ABHA Address : NA
Registration Date : 03-12-2024 [Link] Aadhaar : NA
REGISTRATION DETAILS
Marital Status : Married Name of Father / : Kailash Bhavare
Husband
Type Of Disability : NA
Present Address : madhya pradesh,,, Permanent Address : madhya pradesh,,,
Dispensary / : Nehrunagar, Indore, MP (ESIS Disp.) Dispensary / : Nehrunagar, Indore, MP (ESIS
IMP for IP IMP for Family Disp.)
CURRENT EMPLOYER DETAILS
Employer's Code : 18000273790000999 Name of Employer : KIMIRICA HUNTER
No. INTERNATION LLP
Sub Unit's Code : None Date of : 28-01-2025
No. Appointment
Address of : GODOWN SHADE NO.5, [Link] Branch Office : BO - Mill Area,ESIC Branch
Employer LUNAWAT GROUP COMPLEX,,NEAR Office, Mil Area, 15 Yashwant
INTERNATIONAL AIRPORT , Niwas Road,Opp. Patel Motors-
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
madhya pradesh,Madhya
Kailash Bhavare Dependant father NA NA PradeshDist:Indore,, 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- [Link]
Printed By (Employer/User Name) : 8101664394
IP Number : 8101664394
Address : madhya pradesh,,,
Date : 17/05/2025 [Link]
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