User Login: 24000882220000199 Sunday, May 19, 2024 1:26:56 PM

EMPLOYEES' STATE INSURANCE CORPORATION

e-Pehchan Card

Insured Person : RAVI KUMAR

Insurance No. : 2417477117
Date of Registration : 02/07/2022
Medical Acceptance Card [Click Here to View Medical Acceptance Card]
YOUR REGISTRATION DETAILS
Please seed Universal Account Number (UAN)
Employee Name: RAVI KUMAR Type of Disability: NA
Name of Father / Husband: INDER SAIN Date of Birth: 01/11/1992
Marital Status: Unmarried Gender: Male
Vill jansui (308),jansui,ambala Vill jansui (308),jansui,ambala
Present Address: city,Dist:Ambala,Haryana,134003 Permanent Address: city,Dist:Ambala,Haryana,134003
Dhulkot, Palika Vihar, HR (ESIS
Dispensary / IMP for IP: Dhulkot, Palika Vihar, HR (ESIS Disp.) Dispensary / IMP for Family: Disp.)
UHID: HR01.0009133776 ABHA Number: NA
UAN: NA EmailID: NA
ABHA Address: NA Aadhaar: NA
Employer's Code No.: 24000882220000199 Employer's Code No.: None
Sub Unit's Code No.: None Sub Unit's Code No.: None
Date of Appointment: 19/01/2023 First Insurance No.: None
RAJAN WHOLESALE BAZAAR
Name of Employer: PRIVATE LIMITED Name of Employer: None
NH-01,Kalka Chowk, Vita
Address of Employer: Enclave,Ambala Address of Employer: None
City,Ambala,Dist:AmbalaHaryana134003

Family Details

Relationship with UHID/ABHA ABHA Whether Place of

Name Date of Birth UAN/Aadhaar
the Employee Number Address Residing with IP Residence
State District
SUDESH
Dependant mother 01/01/1972 HR01.0009982429/NA
NA NA Yes Haryana Ambala
RANI
INDAR
Dependant father 01/01/1966 HR01.0009982430/NA
NA NA Yes Haryana Ambala
SAIN
Nominee Details
Percentage
Name of Nominee Relationship with IP Date of Birth UHID/ABHA Number Address of Nominee
Allotted
VILL JANSUI
SUDESH RANI Dependant mother NA NA (308),JANSUI,AMBALA 100
CITY,HaryanaDist:Ambala134003
Documents none
Uploaded:

BO - Ambala,7-8-9, Palika Bazar,Mahesh Nagar,Ambala Cantt. Pin Code:133001,134003

Affix Your Family Photograph Here.(Attested and Stamped by Employer /
ESIC Official)
Signature / LTI of
Registered Employee
/ IP :

Mobile No. :
8168200981

NOTE: