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

The document is an e-Pehchan card for Reeta Devi, an insured person under the Employees' State Insurance Corporation, containing her personal details, registration information, and family details. It includes her employer's information and nominee details, indicating her spouse as the nominee. The card serves as proof of registration under the ESI scheme and is required for availing cash or medical benefits.

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Narendra Singh
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© © All Rights Reserved
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23 views2 pages

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

The document is an e-Pehchan card for Reeta Devi, an insured person under the Employees' State Insurance Corporation, containing her personal details, registration information, and family details. It includes her employer's information and nominee details, indicating her spouse as the nominee. The card serves as proof of registration under the ESI scheme and is required for availing cash or medical benefits.

Uploaded by

Narendra Singh
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 : REETA DEVI Insurance No. : 3014168371


Date of Birth : 04/12/1985 UHID : UK01.0003883386
Gender : Female UAN : NA
Mobile Number : 9598677089 ABHA Number : 91-2057-5116-5122
Email ID : NA ABHA Address : 91205751165122@abdm
Registration Date : 22/07/2025 Aadhaar : Verified

REGISTRATION DETAILS

Marital Status : Married Name of Father / : Ajay Chaudhri


Husband
Type Of Disability : NA
Present Address : MOH- JAWAHAR NAGAR GAJRAULA Permanent Address : Barhi,Dist:Gorkakhpur,Uttar
AMROHA UTTAR PRADESH Pradesh,273405
-,Dist:Amroha,Uttar Pradesh

Dispensary / : Gajaraula, UP (ESIS Disp.) Dispensary / : Gajaraula, UP (ESIS Disp.)


IMP for IP IMP for Family

CURRENT EMPLOYER DETAILS

Employer's Code : 30001161570000199 Name of Employer : TEERTHANKER TEXTILE


No. EXPORT LLP

Sub Unit's Code : None Date of : 17/07/2025


No. Appointment

Address of : Nh 24,Dehli Branch Office : BO - Moradabad(Amroha),Opp.


Employer Road,Gajraula,Dist:AmrohaUttar Kunwar Cinema, Union Bank
Pradesh244221 Building, Station Road, Buddha

FAMILY DETAILS

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


with of Birth Address Aadhaar with IP
IP

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NOMINEE DETAILS

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

MOH- JAWAHAR NAGAR


AJAY CHAUDHARI Spouse NA NA GAJRAULA AMROHA 100
UTTAR PRADESH
-244235,Uttar
PradeshDist:Amroha

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) : TEERTHANKER TEXTILE EXPORT LLP


IP Number : 3014168371
Address : MOH- JAWAHAR NAGAR GAJRAULA AMROHA UTTAR PRADESH
-,Dist:Amroha,Uttar Pradesh
Date : 22/07/2025 17:38:30

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