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ESIC Family Photo Sample Template

The document appears to be a form for collecting personal information from a candidate, including their name, family details, addresses, nominee information, and signatures. It includes sections for the candidate's ESIC number, current and permanent addresses, and a photo. The form also requires details about the nominee and their relationship to the candidate.

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shivanisahu23102000
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318 views2 pages

ESIC Family Photo Sample Template

The document appears to be a form for collecting personal information from a candidate, including their name, family details, addresses, nominee information, and signatures. It includes sections for the candidate's ESIC number, current and permanent addresses, and a photo. The form also requires details about the nominee and their relationship to the candidate.

Uploaded by

shivanisahu23102000
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

ESIC Number (If have)

Candidate Name

Father or Husband name

DD MM YY

Current Address with Permanent Address


pincode with Pincode

Nominee Name Relation with nominee Current address

Candidate sign

Family member details

Photo

candidate sign

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