WebDated: Signature/T.I. of I.P Signature of B.M. with Seal. 1. Submission of Form-1 is governed by regulations 11 & 12 of ESI (General) Regulations, 1950. f 2. “Family” means all or any of the following relatives of an Insured Person namely:-. (i) A spouse (ii) a minor legitimate or adopted child dependant upon the I.P; (iii) a child who is ... WebFor more details please contact website of ESIC at www. esic.org. in. or contact Regional Office or Branch Office. dsoy ’kk[kk dk;kZy; esa iz;ksx gsrq For Branch Office Use only 1- chek la[;k vkoaVu dh rkjh[k % Date of allotment of Ins. No. :_____ 2- vLFkk;h igpku i=k tkjh djus dh rkjh[k %
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ESIC form for certificate of entitlement - Government of India
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