Ganapathi - Sacs Mavmm Engineering College - Madurai, Tamil Nadu, India

Muthiah Ganapathi

Madurai, Tamil Nadu, India


Sacs Mavmm Engineering College



Work History

Insured Person

Insurance No

From August 2013

Employee Name: M.Muthiah Ganapathi Type of Disability: None

Name of Father / .MUTHIAH
Marital Status: Married
Present Address: NO.M1/91, TNHB, SECTOR Permanent Address NO.M1/91, TNHB, SECTOR
-VI, KOODALPUDUR, ANAIYUR(POST), Dist:Madurai: -VI, KOODALPUDUR, ANAIYUR(POST), Dist:Ma, Tamilnadu, 625017 durai, Tamilnadu, 625017
Dispensary / IMP: Tallakulam, TN (ESIS Disp.)

Current Employer Details Previous Employer Details
Employer's Code No.: 57000729200001303 Employer's Code No.: None

Sub Unit's Code No.: None Sub Unit's Code No.: None

Sacs MAVMM engg college

From June 2013

01/06/2013 Previous Insurance No.: None

Name of Employer: Sacs MAVMM engg college Name of Employer: None

Address of Employer: Kidaripatti (post), Alagarkoil Address of Employer: None
via, Madurai, Dist:MaduraiTamilnadu625301

Family Details:
Name Relationship with the Employe Date of Birth Whether Residing with I State District
N.MANJULA Spouse 07/04/1984 Yes Tamilnadu Madurai

M.KALAIKKUMAR Minor dependant son 19/03/2013 Yes Tamilnadu Madurai

Nominee Details:
Name of Nominee Relationship with IP Percentage Address of Nominee
N.MANJULA Spouse 100 AS ABOVE, TamilnaduDist:Madurai625017

Documents Uploaded:

Please Verify the Above Particulars.
Please Notify Your Employer or in the Branch Office Address Below Incase of Any Information Found Incorrect.
To get permanent ID card, employee is requested to visit the following branch office to get biometric & photo captured by this date

Attested and Stamped by Employer / ESIC Official

Below Branch Office: BO-Melur

From September 2013

(K.Kudi:Sivagangai), 51-A, Mill Road (Upstairs), Near Municipal Office, Melur-625
106., or any nearest ESIC Bio-metric Camp Locations.
Signature / LTI of Registered Employee / IP:
Affix Your Family Photograph Here.(Attested and Stamped by Employer / ESIC Official)

Mobile Number:
1. Please Keep this Printout for Future Reference and Bring this Along with Your Photo ID Card for All Your Claim Benefits and Medical Benefits
2. This Copy Should be Retained with You until the Biometric Card is Dispatched
3. Employer to please affix employee and his family photo here and attest with official stamp across

Signature / Stamp of ESIC Officer / Employer

Qualifications & Certifications



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