EMPLOYEES’ STATE INSURANCE CORPORATION
insured Person: Sunilpannala Badouda [THIS CARD 1S VALIO up to 18/01/2017 “qt Andhear number inet enero)
Insurance No. 3413825414 For extenaing the vakiy, please ge the Aachaey numberof a an tay
Date of Registration ; 20/12/2016 . se0dee tough Employes of ESICAP poral or ist Pebchan Camp
ong wan tam or ing Bio-matice Photograph
‘YOUR REGISTRATION DETAILS
Employes ae! ‘Suntannala Bdoeda ype of Diaby Tre
Name of Famer uabands | Parnell ae tain 010171985
Moral Stats Unmari candor ‘aie
7" Indra nagar jn road mand a Thea nagar oad mand
hisemmnened ees C0n80 oe uma Pommanent ives ‘woe 400080 Dit ums
Cyatonarasia 400080 Cay atararaarir. 400080
lananaar: A can State NA
oispmnaary MP Noa
‘Gurert Employer Deals Fis Employer Detale
employer's Code No. s4000834680000098, emeloyar's Code No Nene
Sab uaire Coae Nor Tae [Sub Unite Code No Tee
Date ot Appoint Pana, [Fret incrance Ne Nove
ame of Employer BUILD ENTERPRISES ham of Emsloyer Nece
"ROOMINO.2, RAMNATH CHAN
aaron of Employer Coe Mealnenertna ene, Address of Employer None
"SERIRPORDIS HOTEL KAPOOR
THUAWE,Dst Thonatanarasa4000%9
Family Details:
. elaonahip WraterT Sa aiin
bre — one otrainn | a.rammin olset anenaar | nat 5
Enel Insured Porson
Nominee Detail
Name of Nominee Reinionanip wn Percentage _[ _Aaarens f Nominee ae ian Sa
pannel bonds Dopandant ine son ra agar oad mond
00
wesi97s89530s0Qonaraana
Distt Cyaan