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Aaditya Gupta Tic
Aaditya Gupta Tic
e-Pehchan Card
PERSONAL DETAILS
REGISTRATION DETAILS
Dispensary / : Bagru, Jaipur, RJ (ESIS Disp.) Dispensary / : Bagru, Jaipur, RJ (ESIS Disp.)
IMP for IP IMP for Family
FAMILY DETAILS
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NOMINEE DETAILS
UHID/
Name of Nominee Relation with IP Date of Birth Address of Nominee Percentage(%)
ABHA
SAME AS
Aman Gupta Dependant father NA NA ABOVE,RajasthanDist:Jaipur 100
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- www.esic.in
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