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

The document is an e-Pehchan card for an employee named Ram Vraksh, detailing personal, registration, employer, family, and nominee information. It includes his insurance number, date of birth, and addresses, as well as details about his parents and a nominee. The card serves as proof of registration under the Employees' State Insurance (ESI) scheme and is required for availing cash and medical benefits.

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ramvraksh61
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41 views2 pages

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

The document is an e-Pehchan card for an employee named Ram Vraksh, detailing personal, registration, employer, family, and nominee information. It includes his insurance number, date of birth, and addresses, as well as details about his parents and a nominee. The card serves as proof of registration under the Employees' State Insurance (ESI) scheme and is required for availing cash and medical benefits.

Uploaded by

ramvraksh61
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 : RAM VRAKSH Insurance No. : 6931368699


Date of Birth : 01/01/1993 UHID : HR01.0007279745
Gender : Male UAN : 101182280863
Mobile Number : 9990809874 ABHA Number : NA
Email ID : NA ABHA Address : NA
Registration Date : 09/08/2021 Aadhaar : Verified

REGISTRATION DETAILS

Marital Status : Unmarried Name of Father / : MOHAN LAL


Husband
Type Of Disability : NA
Present Address : 4099,312/02, GALI NO. 3, SURAT Permanent Address : CHAUSINGI,
NAGAR, PHASE-1,Dist:Gurgaon,Haryana PURAKNERA,Dist:Agra,Uttar
Pradesh,283113

Dispensary / : Manesar, HR (ESIS Disp.) Dispensary / : Manesar, HR (ESIS Disp.)


IMP for IP IMP for Family

CURRENT EMPLOYER DETAILS

Employer's Code : 69000686240000699 Name of Employer : SUN STELLAR VENTURE


No. PRIVATE LIMITED

Sub Unit's Code : None Date of : 11/06/2025


No. Appointment

Address of : Plot no 234,Sector-7, IMT Branch Office : BO - Maneser ,ESI Corporation,


Employer Manesar,Gurgagaon,Dist:GurgaonHaryan ESIC HOSPITAL COMPLEX,
a122051 GROUND FLOOR, PLOT NO.

FAMILY DETAILS

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


with of Birth Address Aadhaar with IP
IP

Haryana /
RAMADEVI Dependant 01/01/1962 HR01.0008644965/N / NA NA NA Yes
mother A
Gurgaon

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Haryana /
MOHAN Dependant 01/01/1960 HR01.0008644966/N / NA NA NA Yes
father A
Gurgaon

NOMINEE DETAILS

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

CHAUSINGI,
RAMADEVI Dependant father NA NA PURAKNERA,Uttar 100
PradeshDist:Agra283113

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) : SUN STELLAR VENTURE PRIVATE LIMITED


IP Number : 6931368699
Address : 4099,312/02, GALI NO. 3, SURAT NAGAR, PHASE-1,Dist:Gurgaon,Haryana

Date : 18/08/2025 11:54:14

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