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S.No Date of birth Relationship with ESIC- 72 A Employees™ State Insuarance Corporation To ESI_Form 72A-For Duplicate card.xls 
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 EMPLOYEES' STATE INSURANCE CORPORATION FORM-1 Insurance No. 2 Name (in block letters) Father's/Husband's Name
 Downloadable Forms FORM NO. SUBJECT: Employees' State Insurance Corporation. Panchdeep Bhavan, EDC Plot No.23, Patto, Panaji Goa. 403001.
 7B Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property Owner Complete this form and, 
 FORM NO. 7B Date of presentation to the prescribed authority Share Transfer Form [Pursuant to section 108(1A) of the Companies Act, 1956] FOR THE CONSIDERATION stated 
 Telephone no. of Employer :- Email Id :- Details of I.P. : Sl. No. Insurance I am aware that ESIC reserves the right to accept/refuse the above request without 
 Under Section 46 of ESIC Act, totally six social security benefits have been conferred on employees working with various organizations across India.
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 THE KERALA VALUE ADDED TAX RULES, 2005 FORM No. 7B TRANSIT PASS UNDER SECTION 48 [See Rule 68] Sl. No Issued to Sriowner / driver 
 FORM 6 REGISTER OF EMPLOYEES EMPLOYEES' STATE INSURANCE CORPORATION (Regulation 32) Contribution Period : From .. to .. Sl. No 
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