EMPLOYEES' STATE INSURANCE CORPORATION

e-Pehchan Card

Insured Person : Ramprasad Kewat

Insurance No. : 4405320099
Date of Registration : 16/03/2021

YOUR REGISTRATION DETAILS

Employee Name: Ramprasad Kewat Type of Disability : None

Name of Father / Husband: MOTI LAL KEWAT Date of Birth : 01/01/1989

Marital Status : Married Gender : Male

SUNARIMUNDA,Dist:Jharsuguda,Odisha MAJHAULI,Dist:Sidhi,Madhya Pradesh

Present Address : Permanent Address :

Dispensary / IMP for IP : Jharsuguda, OR (ESIS Disp.) Dispensary / IMP for Family: Jharsuguda, OR (ESIS Disp.)

UHID

Current Employer Details First Employer Details

Employer's Code No. : 51000182620000699 Employer's Code No. : None

Sub Unit's Code No. : None Sub Unit's Code No. : None
Date of Appointment : 17/11/2021 First Insurance No. : None

Name of Employer : ARUDRA ENGINEERS P LTD Name of Employer : None

79, VALMIKI
Address of Employer : Address of Employer : None
STREET,,THIRUVANMIYUR,CHENNAI,Dist:C
hennaiTamilnadu600041

Family Details:
Name Relationship Date of Birth UHID Whether Residing State District
with the with Insured Person
Employee

--- --- --- --- --- --- ---

Nominee Details:
Name of Nominee Relationship with IP Percentage Address of Nominee
MOTI LAL KEWAT Dependant father MAJHAULI,Madhya PradeshDist:Sidhi
100
Documents Uploaded:
none

Signature / LTI of Registered Employee / IP :

Affix Your Family Photograph Here.(Attested and Stamped by Employer / ESIC Official)

Mobile Number : 9981286082

NOTE:
1. Please keep this printout for future reference and bring this along with your Photo ID for all your Claim Benefits and Medical Benefits.
2. Employer to please affix employee and his family photo here and attest with official stamp across .

Signature / Stamp of ESIC Officer / Employer

1/13/22, 4:29 PM EPFO: Home

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UAN 100210907134 Or Member Id TB TAM 0007725 000 0000000

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Profile Missing Details KYC Mark Exit RAMPRASAD KEWAT

Member Details

Member ID TBTAM00077250000017790

Name Mr.RAMPRASAD KEWAT

Date of Birth 01-Jan-1989 Date of Joining 15-Nov-2021

Gender MALE Marital Status Married

Father's/Husband's Name Molt Relation FATHER

Mobile 9981286081 Email Id NOT AVAILABLE

International Worker No

Qualification Not Available Monthly EPF Wages as on Joining 7000

Differently Abled NO

Nomination Not Filed

Designed, Developed and Hosted by: Employees' Provident Fund Organisation, India
Last Updated Wed 12 Jan 2022 (PV 4.0.11)

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