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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

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