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  #1  
Old January 27th, 2012, 06:57 PM
poonam.cg19
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Default ESIC declaration form

I want to download the application form of ESIC declaration form plz provide me details from wher I can get and what is the fee for the form and wher should it sent after filling the form.
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  #2  
Old February 12th, 2012, 12:46 PM
Rahul Parik
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Join Date: Dec 2011
Posts: 14,220
Default Re: ESIC declaration form

am attaching the ESIC declaration form in PDF format. All the details and instructions are written on the form itself. Please log in to studychacha.com to download this file.
Attached Files Available for Download
File Type: pdf ESIC Declaration Form Form-1.pdf (47.8 KB, 56 views)
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  #3  
Old March 15th, 2012, 05:56 PM
fauzi
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Default ESIC Declaration Form No 1

What is use of ESIC declaration form no.1? from where can I download ESIC declaration form no.1?
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  #4  
Old March 15th, 2012, 06:41 PM
neeraj prakash
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Default ESIC Declaration Form 1 Download

From where can I download ESIC declaration form 1? Is this available at any website? If yes then please give me website name?
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  #5  
Old October 21st, 2019, 10:19 AM
Aakashd
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Join Date: Jun 2013
Posts: 45,502
Default Re: ESIC declaration form

Employees' State Insurance is a self-financing social security and health insurance scheme for Indian workers.

The fund is managed by the Employees' State Insurance Corporation according to rules and regulations stipulated in the ESI Act 1948

Please find the below attached file for the ESI Declaration Form:

ESI Declaration Form




List of Documents Required

The following documents are required for registering under the ESI scheme:

1. A registration certificate or a license obtained under Shops and Establishment Act or Factories Act;
2. Certificate of registration (Memorandum and Articles of Association in case of a private limited company, partnership deed for LLPs, etc);
3. Certificate of registration for all entities and commencement of production for factories;
4. A list of employees with their monthly compensation, in detail;
5. A list of directors, partners and shareholders of the company;
6. The PAN card of the business and address proof of the establishment/firm;
7. Bank statements of the organization, with evidence of commencement of operation.

Contact:

Employees' State Insurance Corporation
Panchdeep Bhawan
Comrade Indrajeet Gupta (CIG) Marg,
New Delhi - 110 002.
Phone: 011-23234092, 23234093, 23234098
23235496, 23236051, 23235187, 23236998 (EPABX)
Fax: 011-23235481, 23234537
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  #6  
Old November 4th, 2019, 11:37 AM
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Default Re: ESIC declaration form

Can you provide me the Declaration Application Form of ESIC (Employees' State Insurance Corporation)?
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  #7  
Old November 4th, 2019, 11:39 AM
Aakashd
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Join Date: Jun 2013
Posts: 45,502
Default Re: ESIC declaration form

The Declaration Application Form of ESIC (Employees' State Insurance Corporation) is as follows:

ESIC declaration form




Few Things that are to be mentioned in the Form


(A) Insured Person's Particulars

1 Insurance No.

2 Name (in block capital)

3 Father's/ Husband's Name

4 Date of Birth

5. Martial Status

6. Sex

7. Present Address

8. Permanent Address

9. Name & Address of the employer

Branch office

Dispensary


(B) Employer's Particulars

10. Date of Appointment

11. Name & Address of the employer

12. In case of any previous employment please fillup the details as under:-
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