EMPLOYEES' STATE INSURANCE CORPORATION
e-Pehchan Card
PERSONAL DETAILS
Name of IP : NAVEEN R Insurance No. : 7342787986
Date of Birth : 31/12/1995 UHID : KA01.0010652412
Gender : Male UAN : 101428986773
Mobile Number : 9483446295 ABHA Number : NA
Email ID : NA ABHA Address : NA
Registration Date : 16/02/2019 Aadhaar : NA
REGISTRATION DETAILS
Marital Status : Married Name of Father / : RAMACHANDRAIAH
Husband
Type Of Disability : NA
Present Address : NO 42, LIG COMP 2 K H B Permanent Address : NO 42, LIG COMP 2 K H B
COLONY,HOOTAGALLI, COLONY,HOOTAGALLI,
BELAVADI,Dist:Mysore,Karnataka BELAVADI,Dist:Mysore,Karnat
aka
Dispensary / : Belawadi, KA (ESIS Disp.) Dispensary / : Belawadi, KA (ESIS Disp.)
IMP for IP IMP for Family
CURRENT EMPLOYER DETAILS
Employer's Code : 50000010460000706 Name of Employer : B E M L LIMITED
No.
Sub Unit's Code : None Date of : 23/03/2026
No. Appointment
Address of : BANGALORE COMPLEX,NEW
Branch Office : BO - HAL,ESIC, Branch
Employer tHIPPASANDRA
office,No. 8, Apprentice School,
POST,BANGALORE-75,Dist:BangaloreK
HAL Colony,Township,
arnataka560075
FAMILY DETAILS
Name Relation Date UHID/ABHA Number ABHA UAN/ Is Residing State/District
with of Birth Address Aadhaar with IP
IP
Karnataka /
RAMACHANDRAI Dependant 01/06/1962 KA01.0010652413/N / NA NA NA Yes
AH father A
Mysore
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Name Relation Date UHID/ABHA Number ABHA UAN/ Is Residing State/District
with of Birth Address Aadhaar with IP
IP
Karnataka /
RATHNA Dependant 01/06/1972 KA01.0010652414/N / NA NA NA Yes
mother A
Mysore
Karnataka /
PUSHPA A N Spouse 13/05/2003 KA01.0010652415/N / NA NA NA Yes
A
Mysore
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NOMINEE DETAILS
UHID/
Name of Nominee Relation with IP Date of Birth Address of Nominee Percentage(%)
ABHA Number
SAME AS
PUSHPA A N Spouse NA NA ABOVE,KarnatakaDist:Myso 100
re
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) : B E M L LIMITED
IP Number : 7342787986
Address : NO 42, LIG COMP 2 K H B COLONY,HOOTAGALLI,
BELAVADI,Dist:Mysore,Karnataka
Date : 27/03/2026 10:14:31AM
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