VF. Office of the Commandant, W.B.N: Dept Of Disaster Managemen! )-N,S.S., PS-Kalyani, Dist. N: PO-N.S.S., PS- “GDN 10011) Certificate for Enrolment under West Bengal Health Sel Memo No: 3DM10011/19/2023 . 2nd(BK)Bn., Kalyani, Nadia ¢ And Civil Defence jadia, Pin- 741235 heme Date: 22/05/2023 a Information of Employee ans eT 1. [Rane Ue Disk tstey WUT RANT sv 3. [Enrolment 1D Ne WT EMPIO4/000160 140, 4, |GPF No. ene: 5 ate oF Eat int onpiryyy 5. [Designation artimployee _fassrreovcowmannen an | g, [Date of Eni ot Iranon Wan UI TRARING ‘ion brows 5 BASS? | 0, [ost of Superanuat 7 tress of yee ENTRE, KALYANI, P'O . evcamsesstacs lois NADIA. Fr 15h [Hospital Accommodation Entitlement : Tal 2 [Tats Medial Centre, Raha caNERAL 3._ [Other Private Empanelied HCOs peal. {information of Al Beneficiaries (Including Employee) Benetiary 10 = SWRI Ritson with Empleyee: SELF lose oraceh: 2708/1971 1 forovur PaMannc Enrolment wef 01/08/2003 bie no S085904263 emot:biraseearatcon | Bult Gast, ssonnrne aero lousuna Kelton ih Employee WIFE > NoaMantc Date ot aien:o2/84/979 lists 10 wsNWD Toe Eorotiment wet 01/08/2013 Mobic no: sos8a04263, ‘buraoeematcon | Maar B SES [Aadhoae No: 797108537953 a mai Date ot ath: 1/30/2003 octcary ws MISA Dea Pacing my SWORE Fovotment wet 03/08/2013 eaten wth Emplyee:soncurto | PEARSE hrconc ne sea oe 3 Jani reananix — [asvenes) = peaacacsoseescer | bin Payal 4 fsapava eta ih Employee: reat [nrotment wie o3/0a/20ry Mobi no s0assoa263, Qables ssrcteesion | Seda Ines Centfied that above me with abo. "ve mentioned family members to get medical tr ned employee has been enrolled under the “West Ben ‘lment under the scheme. gal Health Scheme” along Name (Block Let) KALYAN SARKAR. Designation: KALYA Bee Nie SARKA Ese: : = Digitally Signed. Does not require any Ink Signature.