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Authorisation Letter

To
The Regional Head,
Employees State Insurance Corporation
Mumbai , Panchdeep Bhavan, , 108, N.m.joshi Marg, Lower Parel

Contact : 022-61209700 , 022-61209702 ,

Subject : Authorisation for LIN Registration and using Sharam Suvidha Portal Form Number : 23277

Sir/Madam ,

We hereby authorise Ravi Kumar having Shram Suvidha Portal User Id ravi813224 email id
singh.roushan92@gmail.com and mobile number 7261061809 to represent our establishment New
India Assurance Company Ltd., New India Assurance Bldg.87 M G Road,Fort, Mumbai-
400001, 87 M.G. Marg, Mumbai - 400001 . Who has already applied for representing our
establishment on Sharam Suvidha Portal ( https://shramsuvidha.gov.in ) on dated 16-01-2020 with request
No. 23277. We hereby authorise Ravi Kumar to do all operations related to LIN alloted and other
activities on the behalf of our establishment.

Regards,

Sincerely

( ............................................. )
( Authorised Signatury / Owner ) Name

LIN : 1907226518
Email Id :singh.roushan92@gmail.com
Mobile No. :7261061809
[ Note: The Scanned Copy of the authorisation letter should be submitted to office within 30 days.]