ESIC TIC FORM PDF

Updated on Mar 30, - AM. ESI is a self-finance scheme which protects employees from facing such financial difficulty. The ESIC portal provides a wide range of services such as registration, online payments, information, grievance, and support to ensure that employees and employers have a hassle-free experience of using ESI facilities. Employers eligible under the Act must register online at www. The employer will be given a digit unique employer code on successfully registering.

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Insured Person :. Bhavani Nagalla. Insurance No :. Date of Registration :. Employee Name :. Type of Disability :. Date of Birth :. Marital Status :. Gender :. Present Address :. Bhavani Nagalla,D. Permanent Address. None Pradesh, Current Employer Details.

Previous Employer Details. Employer's Code No. Sub Unit's Code No. Date of Appointment :. Previous Insurance No. Name of Employer :. Ananth Technologies Ltd. Address of Employer :. Plot No. Family Details:. Relationship with the Employe. Date of Birth. Whether Residing with I. Nominee Details:.

Name of Nominee. Relationship with IP. Address of Nominee. Dependant father. Documents Uploaded:. Please Verify the Above Particulars. Mobile Number :. Affix Your Family Photograph Here. Employer to please affix employee and his family photo here and attest with official stamp across. Learn more about Scribd Membership Home. Much more than documents. Discover everything Scribd has to offer, including books and audiobooks from major publishers. Start Free Trial Cancel anytime. Uploaded by Suman.

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