EMPLOYEES' STATE INSURANCE CORPORATION
e-Pehchan Card
PERSONAL DETAILS
Name of IP : JOY BISWAS Insurance No. : 5349140958
Date of Birth : 05/01/2002 UHID : KA01.0011437828
Gender : Male UAN : 101864805327
Mobile Number : 7584992868 ABHA Number : NA
Email ID : joy.ind.100@gmail.com ABHA Address : NA
Registration Date : 05/11/2023 Aadhaar : Verified
REGISTRATION DETAILS
Marital Status : Married Name of Father / : Bidyut Biswas
Husband
Type Of Disability : None
Present Address : Nearby Bridge, Permanent Address : Vill- Gangni, Po-Badkulla, Ps-
Yerthiganahalli,Dist:Bangalore,Karnataka,5 Taherpur, District-
62157 Nadia,Dist:Nadia,West
Bengal,741121
Dispensary / : Devanahall, KA (ESIS Disp.) Dispensary / : Kalyani, WB (ESIS Disp.)
IMP for IP IMP for Family
CURRENT EMPLOYER DETAILS
Employer's Code : 78000316770001099 Name of Employer : AIR INDIA SATS AIRPORT
No. SERVICES PRIVATE LTD.
Sub Unit's Code : 49480316770011099 Date of : 26/06/2024
No. Appointment
Address of : AIR INDIA SATS AIRPORT SERVICES Branch Office : BO - Yelahanka,Yelahanka,
Employer PVT. LTD,pLOT NO - C-05L, No.1592/1-A/1347/1-B, Behind
Yelahanka Police
NA Station,
FAMILY DETAILS
Name Relation Date UHID/ABHA Number ABHA UAN/ Is Residing State/District
with of Birth Address Aadhaar with IP
IP
West Bengal /
Aditi Mallick Spouse 08/06/2003 WB01.0006064132/ NA NA No
NA
Nadia
Page 1 of 2
West Bengal /
AArohi Biswas Dependant 15/08/2023 WB01.0006064133/ NA NA No
unmarried NA
Nadia
daughter
NOMINEE DETAILS
UHID/
Name of Nominee Relation with IP Date of Birth Address of Nominee Percentage(%)
ABHA Number
bangalore,KarnatakaDist:Ba
Bidyut Biswas Dependant father NA NA ngalore 100
Affix Your Family Photograph Here. (Attested and Stamped by
Employer / ESIC Official)
Signature / LTI of Registered Employee / IP
Signature / Stamp of ESIC Officer / Employer
Note:
· This e-Pehchan card affixed with photograph of family & duly attested by the Employer/ESIC Staff shall be requested for
availing cash/medical benefit.
· e-Pehchan card is a proof of registration under ESI scheme. However eligibility for various benefits depends upon the
contribution conditions. For further information on eligibility to various Benefits, please visit- www.esic.in
Printed By (Employer/User Name) : JOY BISWAS
IP Number : 5349140958
Address : Nearby Bridge, Yerthiganahalli,Dist:Bangalore,Karnataka,562157
Date : 30/07/2024 12:47:18PM
Page 2 of 2
