NOMINATION AND DECLARATION FORM - …
S.No Date of Birth Relationship 1 2 3 4 5 Date of Birth Date : x Place: Date : Signature of the employer Name & Address of the Establishment Name & Address of the ...
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FORM 13 ( Revised) - SSSomega
www.sssomega.netFor Office Use Only (Inward No. & Date : To The Commissioner, Employees’ Provident Funds Sir, 1 2 3 4 5 6 7 8 Date : S ig na tu re/L fH dT h mbp s o TO BE FILLED BY THE PRESENT EMPLOYER
EMPLOYEES' STATE INSURANCE CORPORATION
www.sssomega.net12 *Cause of accident - (a) if caused by machinery 1) Give name of machine and part causing the accident and (ii) (a) State whether it was moved by …
ESIC 53 EMPLOYEES’ STATE INSUARANCE CORPORATION - …
www.sssomega.netIns. No––––––––––... Employer’s Code No. ––––––––––––– Name of the insured Person ...
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