News : W.e.f. 01/04/2018, 12% Employer share will be borne by Govt for new and existing employees who are eligible under PMPRY guidelines    |  Agriculture Minimum Wages in Gujarat    |  Revised Minimum Wages Central Apr18 to Sep18    |  

Form Download

Employees State Insurance Corporation

Form Number Purpose View/Download

0

Transfer of IP Contribution

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0

Affidavit for correction on Name and Birth date

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1

Receipt of Deposits

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2

Application to Medical Appeal Tribunal Insurance

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11

Accident Book

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12

Accident Form

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19

Claim for maternity

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20

CLAIM FOR MATERNITY BENEFIT AFTER THE DEATH OF AN INSURED WOMAN LEAVING BEHIND THE CHILD

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22

FUNERAL EXPENSES CLAIM FORM

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32

WAGE/CONTRIBUTORY RECORD FOR DIABLEMENT BENEFIT

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37

Certificate of Re-employment, continuing Employment.

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105

Certificate of entitlement

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