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e-Pehchan Card Details for ESIC Members

The document is an e-Pehchan card for an employee named Sunil, registered with the Employees' State Insurance Corporation (ESIC) under insurance number 7118586812. It includes personal details, current employer information, and family details, indicating that Sunil is unmarried and resides in NALWAR, Karnataka. The card serves as proof of registration under the ESI scheme and is required for availing cash and medical benefits.

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marco776090
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25 views2 pages

e-Pehchan Card Details for ESIC Members

The document is an e-Pehchan card for an employee named Sunil, registered with the Employees' State Insurance Corporation (ESIC) under insurance number 7118586812. It includes personal details, current employer information, and family details, indicating that Sunil is unmarried and resides in NALWAR, Karnataka. The card serves as proof of registration under the ESI scheme and is required for availing cash and medical benefits.

Uploaded by

marco776090
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 : SUNIL Insurance No. : 7118586812


Date of Birth : 01/06/2003 UHID : NA
Gender : Male UAN : NA
Mobile Number : 7353084668 ABHA Number : NA
Email ID : NA ABHA Address : NA
Registration Date : 31/07/2023 Aadhaar : NA

REGISTRATION DETAILS

Marital Status : Unmarried Name of Father / : SABANNA MALBA


Husband
Type Of Disability : NA
Present Address : NALWAR, Permanent Address : NALWAR,
CHITTAPUR,Dist:Yadagiri,Karnataka CHITTAPUR,Dist:Yadagiri,Karn
ataka

Dispensary / : DCBO - Yadgiri, KA (ESIC DCBO) Dispensary / : DCBO - Yadgiri, KA (ESIC


IMP for IP IMP for Family DCBO)

CURRENT EMPLOYER DETAILS

Employer's Code : 49000322300001009 Name of Employer : KUNDUR CONSTRUCTIONS


No. PVT. LTD.

Sub Unit's Code : None Date of : 09/11/2025


No. Appointment

Address of : NO 94/3, KUNDUR PARK,AMRUTHALLI Branch Office : BO - Yelahanka,Yelahanka,


Employer ROAD, No.1592/1-A/1347/1-B, Behind
JAKKUR,Dist:BangaloreKarnataka56006 Yelahanka Police Station,

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

NALWAR,
SABANNA MALBA Dependant father NA NA CHITTAPUR,KarnatakaDist:Y 100
adagiri

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) : KUNDUR CONSTRUCTIONS PVT. LTD.


IP Number : 7118586812
Address : NALWAR, CHITTAPUR,Dist:Yadagiri,Karnataka

Date : 18/11/2025 [Link]

Page 2 of 2

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