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Naveen R

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0% found this document useful (0 votes)
4 views3 pages

Naveen R

Uploaded by

skullthorskull
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

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

Page 1 of 3
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

Page 2 of 3
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

Page 3 of 3

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