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e-Pehchan Card Registration Details

The document is an e-Pehchan card for Saranaya Vedhakii, registered under the Employees' State Insurance Corporation with insurance number 5137354446. It includes personal details, current employer information, family details, and nominee information, indicating her marital status as married and listing her spouse and dependents. The card serves as proof of registration under the ESI scheme and is required for availing cash and medical benefits.

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Raji
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121 views3 pages

e-Pehchan Card Registration Details

The document is an e-Pehchan card for Saranaya Vedhakii, registered under the Employees' State Insurance Corporation with insurance number 5137354446. It includes personal details, current employer information, family details, and nominee information, indicating her marital status as married and listing her spouse and dependents. The card serves as proof of registration under the ESI scheme and is required for availing cash and medical benefits.

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

EMPLOYEES' STATE INSURANCE CORPORATION

e-Pehchan Card

PERSONAL DETAILS

Name of IP : SARANAYA VEDHAKII Insurance No. : 5137354446


Date of Birth : 28/07/1995 UHID : TN01.0021010824
Gender : Female UAN : NA
Mobile Number : 8124570268 ABHA Number : NA
Email ID : NA ABHA Address : NA
Registration Date : 09/05/2025 Aadhaar : NA

REGISTRATION DETAILS

Marital Status : Married Name of Father / : SUNDAR


Husband
Type Of Disability : NA
Present Address : No :36, Kannikapuram 1st street, Permanent Address : No :36, Kannikapuram 1st
[Link],,Sivan Park Back street, [Link],,Sivan Park
side,Dist:Chennai,Tamilnadu,600078 Back
side,Dist:Chennai,Tamilnadu,60
Dispensary / : Kodambakkam, TN (ESIS Disp.) Dispensary / : 0078
Kodambakkam, TN (ESIS
IMP for IP IMP for Family Disp.)

CURRENT EMPLOYER DETAILS

Employer's Code : 51001197000001401 Name of Employer : [Link]


No.

Sub Unit's Code : None Date of : 01/05/2025


No. Appointment

Address of : No.118 / 49 B , RAMASAMY SALAI , Branch Office : BO - Kodambakkam,ESIC


Employer [Link],,Dist:ChennaiTamilnadu6000 Hospital K.K. Nagar Complex,
78 Ashok Pillar Main Road, K.K.

FAMILY DETAILS

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


with of Birth Address Aadhaar with IP
IP

Tamilnadu /
SUNDAR Spouse 12/05/1995 TN01.0021010825/N / NA NA NA Yes
A
Chennai

Page 1 of 3
Name Relation Date UHID/ABHA Number ABHA UAN/ Is Residing State/District
with of Birth Address Aadhaar with IP
IP

Tamilnadu /
DHISANTH Minor 08/11/2019 TN01.0021010826/N / NA NA NA Yes
SUGEN dependant son A
Chennai

Tamilnadu /
RAVI Dependant 10/04/1967 TN01.0021010827/N / NA NA NA Yes
father A
Chennai

Tamilnadu /
Selvarani Dependant 03/07/1975 TN01.0021010828/N / NA NA NA Yes
mother A
Chennai

Page 2 of 3
NOMINEE DETAILS

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

No :36, Kannikapuram 1st


SUNDAR Spouse NA NA street, [Link],,Sivan 100
Park Back
side,TamilnaduDist:Chennai6
00078

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- [Link]

Printed By (Employer/User Name) : [Link]


IP Number : 5137354446
Address : No :36, Kannikapuram 1st street, [Link],,Sivan Park Back
side,Dist:Chennai,Tamilnadu,600078
Date : 09/05/2025 [Link]

Page 3 of 3

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