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MOHIT

The document is an e-Pehchan card for Mohit Sandhu, providing personal, registration, employer, and family details. It includes information such as his insurance number, marital status, and current employer, MS Synergy Power Limited. The card serves as proof of registration under the ESI scheme and is required for availing cash and medical benefits.

Uploaded by

Debasish Chakraborty
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23 views2 pages

MOHIT

The document is an e-Pehchan card for Mohit Sandhu, providing personal, registration, employer, and family details. It includes information such as his insurance number, marital status, and current employer, MS Synergy Power Limited. The card serves as proof of registration under the ESI scheme and is required for availing cash and medical benefits.

Uploaded by

Debasish Chakraborty
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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EMPLOYEES' STATE INSURANCE CORPORATION

e-Pehchan Card

PERSONAL DETAILS

Name of IP : MOHIT SANDHU Insurance No. : 2417716325


Date of Birth : 16/08/1995 UHID : HR01.0011003462
Gender : Male UAN : NA
Mobile Number : 9996666974 ABHA Number : 91-3311-6015-6674
Email ID : NA ABHA Address : 91331160156674@abdm
Registration Date : 03/01/2024 Aadhaar : Verified

REGISTRATION DETAILS

Marital Status : Married Name of Father / : KRISHAN


Husband
Type Of Disability : NA
Present Address : 790,GAGSINA,Dist:Karnal,Haryana,13211 Permanent Address : 790,GAGSINA,Dist:Karnal,Hary
4 ana,132114

Dispensary / : Karnal, HR (ESIS Disp.) Dispensary / : Tarowari, HR (ESIS Disp.)


IMP for IP IMP for Family

CURRENT EMPLOYER DETAILS

Employer's Code : 41000327520001002 Name of Employer : MS SYNERGY POWER (P)


No. LIMITED

Sub Unit's Code : 24410327520011002 Date of : 18/11/2024


No. Appointment

Address of : H.NO 293 ALIPUR,KHALSA,KARNAL Branch Office : BO - Panipat,109-Adarsh


Employer HARYANA,Dist:KarnalHaryana132140 Nagar, Panipat,Pin Code:
132103 ,132103

FAMILY DETAILS

Name Relation Date UHID/ABHA Number ABHA UAN/ Is Residing State/District


with of Birth Address Aadhaar with IP
IP

Page 1 of 2
NOMINEE DETAILS

UHID/
Name of Nominee Relation with IP Date of Birth Address of Nominee Percentage(%)
ABHA Number

GAGSINA,HaryanaDist:Karn
SONIA Spouse NA NA al132114 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) : MS SYNERGY POWER (P) LIMITED


IP Number : 2417716325
Address : 790,GAGSINA,Dist:Karnal,Haryana,132114

Date : 20/11/2024 5:21:19PM

Page 2 of 2

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