Nilratan Sil

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EMPLOYEES' STATE INSURANCE CORPORATION

e-Pehchan Card

PERSONAL DETAILS

Name of IP : NILRATAN SIL Insurance No. : 4117999236


Date of Birth : 12/04/1970 UHID : WB01.0005215537
Gender : Male UAN : 100501088273
Mobile Number : 9874830083 ABHA Number : NA
Email ID : NA ABHA Address : NA
Registration Date : 10/08/2021 Aadhaar : NA

REGISTRATION DETAILS

Marital Status : Married Name of Father / : MANORANJAN SIL


Husband
Type Of Disability : NA
Present Address : RANIYA SUKANTA KANAN,RAJPUR Permanent Address : RANIYA SUKANTA
SONARPUR(m),BORAL,Dist:South 24 KANAN,RAJPUR
Parganas,West Bengal,700154 SONARPUR(m),BORAL,Dist:S
outh 24 Parganas,West
Dispensary / : Garia, WB (ESIS Disp.) Dispensary / Garia, WB (ESIS Disp.)
: Bengal,700154
IMP for IP IMP for Family

CURRENT EMPLOYER DETAILS

Employer's Code : 20001289780001018 Name of Employer : WARRIORS SECURITY AND


No. MANPOWER SOLUTION

Sub Unit's Code : 41201289780011018 Date of : 11/01/2023


No. Appointment

Address of : JL NO 22 MOUZA Branch Office : BO - B/BUDGE,534, M.G.


Employer PARANGERPAR,ALIPURDUAR,Dist:Alip ROAD, BUDGE BUDGE,
24-PARGANAS
NA (SOUTH),0

FAMILY DETAILS

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


with of Birth Address Aadhaar with IP
IP

West Bengal /
JHUMA SIL Spouse 01/09/1978 WB01.0005215538/ NA Yes
NA
South 24 Parganas

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Name Relation Date UHID/ABHA Number ABHA UAN/ Is Residing State/District
with of Birth Address Aadhaar with IP
IP

West Bengal /
NEHA SIL Dependant 02/08/2000 WB01.0005215539/ NA Yes
unmarried NA
South 24 Parganas
daughter

West Bengal /
NISHA SIL Dependant 09/02/2004 WB01.0005215540/ NA Yes
unmarried NA
South 24 Parganas
daughter

West Bengal /
SOVA SIL Dependant 02/08/1946 WB01.0005215541/ NA Yes
mother NA
South 24 Parganas

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NOMINEE DETAILS

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

DO,West BengalDist:South
JHUMA SIL Spouse NA NA 24 Parganas 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) : WARRIORS SECURITY AND MANPOWER SOLUTION SERVICES


IP Number : 4117999236
Address : RANIYA SUKANTA KANAN,RAJPUR SONARPUR(m),BORAL,Dist:South 24
Parganas,West Bengal,700154
Date : 24/07/2023 3:24:15PM

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