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

The document is an e-Pehchan card for Bilal Khan, an employee registered under the Employees' State Insurance Corporation (ESIC) with insurance number 1327726060. It includes personal details, current employer information, and family details, indicating that he is married and resides in Faridabad, Haryana. The card serves as proof of registration under the ESI scheme, which provides access to cash and medical benefits based on contribution conditions.

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22 views2 pages

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

The document is an e-Pehchan card for Bilal Khan, an employee registered under the Employees' State Insurance Corporation (ESIC) with insurance number 1327726060. It includes personal details, current employer information, and family details, indicating that he is married and resides in Faridabad, Haryana. The card serves as proof of registration under the ESI scheme, which provides access to cash and medical benefits based on contribution conditions.

Uploaded by

upvineet8802
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 : BILAL KHAN Insurance No. : 1327726060


Date of Birth : 01/01/1997 UHID : HR01.0012269666
Gender : Male UAN : NA
Mobile Number : 8565479236 ABHA Number : NA
Email ID : NA ABHA Address : NA
Registration Date : 26/01/2025 Aadhaar : NA

REGISTRATION DETAILS

Marital Status : Married Name of Father / : MUSTAK


Husband
Type Of Disability : NA
Present Address : H. NO. 1567 PAL, Permanent Address : H. NO. 1567 PAL,
DHAUJ,PALI,Dist:Faridabad,Haryana,1210 DHAUJ,PALI,Dist:Faridabad,Ha
04 ryana,121004

Dispensary / : D 3 Machli Market, HR (ESIS Disp.) Dispensary / : D 3 Machli Market, HR (ESIS


IMP for IP IMP for Family Disp.)

CURRENT EMPLOYER DETAILS

Employer's Code : 13000291570000403 Name of Employer : Kumar Stone Crushing Co.


No.

Sub Unit's Code : None Date of : 18/01/2025


No. Appointment

Address of : Plot No-5B Stone Crushing Zone Branch Office : BO - Faridabad,NIT,NH-5,NIT


Employer -1Village - Pli , Faridabad,121001
FARIDABAD,Dist:FaridabadHaryana1210

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

H. NO. 1567 PAL,


MUSTAK Dependant father NA NA DHAUJ,PALI,HaryanaDist:Fa 100
ridabad121004

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) : Kumar Stone Crushing Co.


IP Number : 1327726060
Address : H. NO. 1567 PAL, DHAUJ,PALI,Dist:Faridabad,Haryana,121004

Date : 07/04/2025 13:47:49

Page 2 of 2

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