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Employee Registration Details for Kewat

The document provides registration details for an insured person named Sanjay Kewat under the Employees' State Insurance Corporation. It includes personal details like name, father's name, address, employer details, family details, and nominee details. It also has a unique health identification number and signature of the insured person.

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kannan
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0% found this document useful (0 votes)
81 views3 pages

Employee Registration Details for Kewat

The document provides registration details for an insured person named Sanjay Kewat under the Employees' State Insurance Corporation. It includes personal details like name, father's name, address, employer details, family details, and nominee details. It also has a unique health identification number and signature of the insured person.

Uploaded by

kannan
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

EMPLOYEES' STATE INSURANCE CORPORATION

e-Pehchan Card

Insured Person : Sanjay Kewat


Insurance No. : 5133574729
Date of Registration : 10/08/2022

YOUR REGISTRATION DETAILS


Employee Name: Sanjay Kewat Type of Disability : None

Name of Father / Husband: TEERATH PEASAD KEWAT Date of Birth : 01/01/1979

Marital Status : Unmarried Gender : Male

DIYADOL, TEHSIL-MAJHOLI, WARD NO DIYADOL, TEHSIL-MAJHOLI, WARD NO


Present Address : Permanent Address :
09,Dist:Sidhi,Madhya Pradesh,486666 09,Dist:Sidhi,Madhya Pradesh,486666

Dispensary / IMP for IP : Adayar, TN (ESIS Disp.) Dispensary / IMP for Family: Adayar, TN (ESIS Disp.)

UHID MP01.0002920863

Current Employer Details First Employer Details

Employer's Code No. : 51000182620000699 Employer's Code No. : None

Sub Unit's Code No. : None Sub Unit's Code No. : None
Date of Appointment : 08/08/2022 First Insurance No. : None

Name of Employer : ARUDRA ENGINEERS P LTD Name of Employer : None


79, VALMIKI
Address of Employer : Address of Employer : None
STREET,,THIRUVANMIYUR,CHENNAI,Dist:C
hennaiTamilnadu600041

Family Details:
Name Relationship Date of Birth UHID Whether Residing State District
with the with Insured Person
Employee

--- --- --- --- --- --- ---

Nominee Details:
Name of Nominee Relationship with IP Percentage Address of Nominee
TEERATH PEASAD KEWAT Dependant father DIYADOL, TEHSIL-MAJHOLI, WARD NO
100
09,Madhya PradeshDist:Sidhi486666
Documents Uploaded:
none

Signature / LTI of Registered Employee / IP :


Affix Your Family Photograph Here.(Attested and Stamped by Employer / ESIC Official)

Mobile Number : 7610168066

NOTE:
1. Please keep this printout for future reference and bring this along with your Photo ID for all your Claim Benefits and Medical Benefits.
2. Employer to please affix employee and his family photo here and attest with official stamp across .

Signature / Stamp of ESIC Officer / Employer


Search

UAN

101166713219
Or

Member Id

TB TAM 0007725 000 0000000

Search Cancel (/epfo/memberProfile/viewMemberProfile?_HDIV_STATE_=64-62-CC5655D7C792B259FAE1F45CDE7BD0E6)

1011 6671 3219


Profile Missing Details KYC Mark Exit ANJANI KEWAT

Member Details

Member ID TBTAM00077250000018315

Name [Link] KEWAT

Date of Birth 01-Jan-1979 Date of Joining 08-Aug-2022

Gender MALE Marital Status Married

Father's/Husband's Name TEERATH PRASAD KEWAT Relation FATHER

Mobile 9685881800 Email Id

International Worker No

Qualification NON-MATRIC Monthly EPF Wages as 15000


on Joining

Differently Abled NO

Nomination Not Filed

Designed, Developed and Hosted by: Employees' Provident Fund Organisation, India
Last Updated Wed 03 Aug 2022 (PV 4.0.52)

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