Scribd
Upload
18 views2 pages

Employees' State Insurance Corporation E-Pehchan Card: Personal Details

The document is an e-Pehchan card for an employee named Manikandan B, registered under the Employees' State Insurance Corporation with insurance number 5703446064. It includes personal details, current employer information, and family details, indicating that he is unmarried and his father is the nominee. The card serves as proof of registration under the ESI scheme, which provides eligibility for various benefits based on contribution conditions.

Uploaded by

Raji
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
18 views2 pages

Employees' State Insurance Corporation E-Pehchan Card: Personal Details

The document is an e-Pehchan card for an employee named Manikandan B, registered under the Employees' State Insurance Corporation with insurance number 5703446064. It includes personal details, current employer information, and family details, indicating that he is unmarried and his father is the nominee. The card serves as proof of registration under the ESI scheme, which provides eligibility for various benefits based on contribution conditions.

Uploaded by

Raji
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
You are on page 1/ 2

EMPLOYEES' STATE INSURANCE CORPORATION

e-Pehchan Card

PERSONAL DETAILS

Name of IP : MANIKANDAN B Insurance No. : 5703446064


Date of Birth : 15/03/2000 UHID : NA
Gender : Male UAN : NA
Mobile Number : 9786084004 ABHA Number : NA
Email ID : NA ABHA Address : NA
Registration Date : 12/11/2022 Aadhaar : Verified

REGISTRATION DETAILS

Marital Status : Unmarried Name of Father / : BALAMURUGAN


Husband
Type Of Disability : NA
Present Address : T,Dist:Virudhu Nagar,Tamilnadu Permanent Address : T,Dist:Virudhu Nagar,Tamilnadu

Dispensary / : Karaipatty, TN (ESIS Disp.) Dispensary / : Karaipatty, TN (ESIS Disp.)


IMP for IP IMP for Family

CURRENT EMPLOYER DETAILS

Employer's Code : 51001178640001002 Name of Employer : POPULAR AUTO


No. DISTRIBUTORS

Sub Unit's Code : 57511178640011002 Date of : 12/05/2025


No. Appointment

Address of : SPG WAREHOUSING, Branch Office : BO - Munichalai,E.S.I


Employer NO-123/1,,AVANIYAPURAM BYEPASS Dispensary (Munichalai),
ROAD, KAMARAJAR Balarengapuram, Madurai - 625

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

T,TamilnaduDist:Virudhu
BALAMURUGAN Spouse NA NA Nagar 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) : POPULAR AUTO DISTRIBUTORS


IP Number : 5703446064
Address : T,Dist:Virudhu Nagar,Tamilnadu

Date : 20/05/2025 12:04:39

Page 2 of 2

You might also like