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e-Pehchan Card Registration Details

The document is an e-Pehchan card for Iyyappan Gunasekaran, providing personal details such as his insurance number, date of birth, and marital status. It includes current employer information, family details, and nominee information, indicating that his father is the nominee. The card serves as proof of registration under the ESI scheme and is required for availing cash and medical benefits.

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akinova55
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153 views2 pages

e-Pehchan Card Registration Details

The document is an e-Pehchan card for Iyyappan Gunasekaran, providing personal details such as his insurance number, date of birth, and marital status. It includes current employer information, family details, and nominee information, indicating that his father is the nominee. The card serves as proof of registration under the ESI scheme and is required for availing cash and medical benefits.

Uploaded by

akinova55
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 : IYYAPPAN GUNASEKARAN Insurance No. : 6383516587


Date of Birth : 12/06/1991 UHID : TN01.0021122080
Gender : Male UAN : NA
Mobile Number : 9564646438 ABHA Number : NA
Email ID : NA ABHA Address : NA
Registration Date : 25/05/2025 Aadhaar : NA

REGISTRATION DETAILS

Marital Status : Married Name of Father / : GUNASEKARAN


Husband
Type Of Disability : NA
Present Address : Anthoniyar Kovil Permanent Address : 34, Murugan Kovil
Street,Keelapalur,Dist:Ariyalur,Tamilnadu,6 Street,Neyveli,Dist:Cuddalore,T
21651 amilnadu

Dispensary / : Ariyalur(ESIS Disp) Dispensary / : Neyveli, TN (ESIS Disp.)


IMP for IP IMP for Family

CURRENT EMPLOYER DETAILS

Employer's Code : 63000957670001001 Name of Employer : CORROOSON CONTROLS


No.

Sub Unit's Code : None Date of : 25/05/2025


No. Appointment

Address of : 64/1,GSAR BUILDING,FIRST Branch Office : BO - Trichy,No. B-33, 2nd


Employer FLOOR,,SHOP 9,NAVALPATTU Floor, Golden Square, 11th
ROAD,TIRUVERUMBUR,Dist:Tiruchirapp Cross East, Thillai Nagar,

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

3/142, Mariyamman Kovil


GUNASEKARAN Dependant father NA NA Street,TamilnaduDist:Cuddal 100
ore

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) : CORROOSON CONTROLS


IP Number : 6383516587
Address : Anthoniyar Kovil Street,Keelapalur,Dist:Ariyalur,Tamilnadu,621651

Date : 25/05/2025 [Link]

Page 2 of 2

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