EMPLOYEES' STATE INSURANCE CORPORATION
e-Pehchan Card
PERSONAL DETAILS
Name of IP : NAVAL SINGH PARIHAR Insurance No. : 8101828105
Date of Birth : 04/05/1996 UHID : MP01.0004664489
Gender : Male UAN : NA
Mobile Number : 7999297653 ABHA Number : NA
Email ID : NA ABHA Address : NA
Registration Date : 20/07/2025 Aadhaar : NA
REGISTRATION DETAILS
Marital Status : Unmarried Name of Father / : Chironjilal parihar
Husband
Type Of Disability : NA
Present Address : Bhadora guna,Dist:Guna,Madhya Permanent Address : Bhadora
Pradesh,473001 guna,Dist:Guna,Madhya
Pradesh,473001
Dispensary / : Birlanagar No 1, Gwalior, MP (ESIS Disp.) Dispensary / : New Subhashnagar, Bhopal,
IMP for IP IMP for Family MP (ESIS Disp.)
CURRENT EMPLOYER DETAILS
Employer's Code : 81000520180000912 Name of Employer : DIGPAL SINGH KHICHI
No.
Sub Unit's Code : None Date of : 15/07/2025
No. Appointment
Address of : Gram- Branch Office : BO - Subhash
Employer Sarana,Sarana,Narsinghgarh,Dist:Rajgar Nagar(Rajgarh),ESIC Branch
hMadhya Pradesh465669 Office, First floor, Surgical
FAMILY DETAILS
Name Relation Date UHID/ABHA Number ABHA UAN/ Is Residing State/District
with of Birth Address Aadhaar with IP
IP
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NOMINEE DETAILS
UHID/
Name of Nominee Relation with IP Date of Birth Address of Nominee Percentage(%)
ABHA Number
Bhadora,Madhya
Chironjilal parihar Dependant father NA NA PradeshDist:Guna473001 100
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) : DIGPAL SINGH KHICHI
IP Number : 8101828105
Address : Bhadora guna,Dist:Guna,Madhya Pradesh,473001
Date : 20/07/2025 16:23:46
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