EMPLOYEES' STATE INSURANCE CORPORATION

e-Pehchan Card

PERSONAL DETAILS

Name of IP : PARMAR HIMANSHU Insurance No. : 3715038646

Date of Birth : 16/05/1994 UHID : NA
Gender : Male UAN : NA
Mobile Number : 9925195646 ABHA Number : NA
Email ID : NA ABHA Address : NA
Registration Date : 30/08/2023 Aadhaar : NA

REGISTRATION DETAILS

Marital Status : Married Name of Father / : PARMAR MANUBHAI

Husband
Type Of Disability : NA
Present Address : 172, AmbedkarNagar PIyaj, Kalol, Permanent Address : 172, AmbedkarNagar PIyaj,
Gandhinagar,Dist:Gandhinagar,Gujarat,382 Kalol,
721 Gandhinagar,Dist:Gandhinagar,
Gujarat,382721
Dispensary / : D 1/3 Kalol, Ahm., GJ (ESIS Disp.) Dispensary / : D 1/3 Kalol, Ahm., GJ (ESIS
IMP for IP IMP for Family Disp.)

CURRENT EMPLOYER DETAILS

Employer's Code : 37000053190000101 Name of Employer : ARVIND LTD

No.

Sub Unit's Code : 37370053190020101 Date of : 30/08/2023

No. Appointment

Address of : ARVIND LIMITED,PO KHATRAJ TAL Branch Office : BO - KALOL(NG),Navjivan Mill

Employer KALOL,GANDHINAGAR Compound, Jivabhai Market,
Opp. CanaraNABank, Kalol -

FAMILY DETAILS

Name Relation Date UHID/ABHA Number ABHA UAN/ Is Residing State/District

with of Birth Address Aadhaar with IP
IP

Gujarat /
SHILPABEN Spouse 07/03/1998 NA Yes
HIMANSHU
Gandhinagar
PARMAR

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 Gujarat /
SAMARKUMAR Minor 12/02/2021 NA Yes
HIMANSHU dependant son
Gandhinagar
PARMAR

NOMINEE DETAILS

UHID/
Name of Nominee Relation with IP Date of Birth Address of Nominee Percentage(%)
ABHA Number

As
SHILPABEN Spouse NA NA above,GujaratDist:Gandhinag 100
HIMANSHU ar
PARMAR

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- www.esic.in

Printed By (Employer/User Name) : ARVIND LTD

IP Number : 3715038646
Address : 172, AmbedkarNagar PIyaj, Kalol, Gandhinagar,Dist:Gandhinagar,Gujarat,382721

Date : 30/08/2023 10:30:19AM

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