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    ESIC Form Back

    Uploaded by

    Satyendra Rajput
    1. This document provides information about registration under the Employees' State Insurance (ESI) Act. 2. As an insured person, employees and their dependent family members are entitled to full medical care benefits from the date of registration. Other benefits include sickness benefit, temporary disablement benefit, permanent disablement benefit, and maternity benefit, subject to contribution conditions. 3. For more details, one can check the ESI Corporation website at www.esic.org.in or contact the regional or branch office.

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    Download as PDF, TXT or read online from Scribd

    ESIC Form Back

    Uploaded by

    Satyendra Rajput
    25 views1 page
    1. This document provides information about registration under the Employees' State Insurance (ESI) Act. 2. As an insured person, employees and their dependent family members are entitled to full medical care benefits from the date of registration. Other benefits include sickness benefit, temporary disablement benefit, permanent disablement benefit, and maternity benefit, subject to contribution conditions. 3. For more details, one can check the ESI Corporation website at www.esic.org.in or contact the regional or branch office.

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    1. This document provides information about registration under the Employees' State Insurance (ESI) Act. 2. As an insured person, employees and their dependent family members are entitled to full medical care benefits from the date of registration. Other benefits include sickness benefit, temporary disablement benefit, permanent disablement benefit, and maternity benefit, subject to contribution conditions. 3. For more details, one can check the ESI Corporation website at www.esic.org.in or contact the regional or branch office.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    25 views1 page

    ESIC Form Back

    Uploaded by

    Satyendra Rajput
    1. This document provides information about registration under the Employees' State Insurance (ESI) Act. 2. As an insured person, employees and their dependent family members are entitled to full medical care benefits from the date of registration. Other benefits include sickness benefit, temporary disablement benefit, permanent disablement benefit, and maternity benefit, subject to contribution conditions. 3. For more details, one can check the ESI Corporation website at www.esic.org.in or contact the regional or branch office.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Submission of Form-1 is governed by regulations 11 & 12 of ESI (General) Regulations, 1950.

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    'iFamily means all or any of the following relatives of an insured Person namely :dependant on the til u sfiorse (ii) a minor iegitimate or adopted child depe_ndant upon the 1.P., (iii) a child who is whollyunmarried daughter; l.p. and w6o is (a) receiving education, till he or she attains the age of 21 years (b) an i,i*oigu of tn6 who is infirm by reason of any physical or m.ental abnormality or injury and is wholly dependant on the earnings t,ul r l.p. if in* "iifOso long as the infirmity continues, iv) dependantparents (Plelse see Section 2 clause 11 of the E S I Act 1948 for details)

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    ldentity Card is Non-Transferable.

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    .Loss of lndetity eard be reported to Employer/Branch Manager lmmeddtely.


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    Submission of false information attracts penal action under section 84 of ESI Act, 1948.

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    This Form duly filled in must reach the concerned Branch Office within 10 days of appointment of an Employee. Delay attracts penal action under seclion 85 of the Act, aganist employer.

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    od?lt d frq) | ,,:__, --_^ ._^_ {^r-. . iL_^ts r. As un insu',eJ derson you and your dependant family members are entitled to full medical care from today itself. Thb other Disablement benefit (3) Permanent disablement Benefit (4)Debenefits in case includ-e {1) Sickness Ejenefit (2) Temporary pendents benefit and (5)'Maternity Benefit (in case of women employees)'subject to fulfillment of cantributory conditions.
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    For more details qT ytrctT oTqf-dq qr elhq l3qd Aqqrf,cwww.esic.org.inol cbntact website of ESIC at www.esic.org.in or contact Regional office or Branch Office.

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