EMPLOYEES’ STATE INSURANCE CORPORATION
-Pehchan Card
Insured Person: Hakam Malkan Singh Yadav [THIS CARD IS VALID up to 19/01/2017 “(WAndhaar number isnot entered)
Insurance No.: 3413526184 |For extending te vakaty please get he Aacnaar numberof sel an ory
Date of Registration : 21/12/2016 _,__ |seedod though Employersa of ESICHP portal or vt a Panenen Camp
slong with tsi or giving Bio-matics/Photograph,
YOUR REGISTRATION DETAILS
[Employee Name: akam Makan Sigh Wodne ype of Disablty None
ame of Fatner/Husbana: | ealkansingh yacav ate of Bian ovowse97
marital tats Unmarniod Condor Mate
Indira nagar jo voed, mud west ‘nin nagrn rand, mand west
Present Address 00080.Dist Mumba: Feemanont Aste 400080 Dist umes
Cy Manarasira 00080 ‘City Maras, 00080
Jaacnaar A JAadhaar Status NA
oisponsary 1 mr Nona
“Current Employer Detala First Employer Detala
[Employers Code No. :34000834690000969 Employers Code No. None
[Sub Units Code Non Toe Sub Units Code No. one
[Date ot Appeintment zareAOTe First insurance No. one
ame of Employer BUILO ENTERPRISES ame of Employer: None
"ROOM NO 2, RAWNATH CRAWL,
[Adress of Employer