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MODEL AND SUPER Specialty HOSPITAL, EMPLOYEES STATE INSURANCE CORPORATION ASRAAM, DOLLAR, KERALA 691002 Website: www.esichsuperspecialitykollam.com, Email: mhashramam Eric.NIC.in pH: 04742742833,2766618’M.

How to fill out esic nicin form

How to fill out ESIC NICIN form:

1. Start by obtaining the ESIC NICIN form from the Employee State Insurance Corporation (ESIC) office or website.
2. Fill in your personal details such as your full name, address, contact number, and email address in the designated spaces.
3. Provide your employee code or ESIC insurance number, if applicable.
4. Enter your employment details including the name of your employer, establishment code, and address of your workplace.
5. Fill in your bank account details, including the bank name, branch, account number, and IFSC code.
6. If you have any family members who are dependent on you, fill in their names, relationship, age, and coverage details in the appropriate section.
7. Complete the medical details section by providing information about any pre-existing medical conditions, if applicable.
8. Sign and date the form.
9. Attach any required supporting documents, such as a copy of your Aadhaar card, bank passbook, or supporting documents for dependent family members.
10. Submit the filled form along with the supporting documents to the ESIC office or as instructed.

Who needs ESIC NICIN form:

1. Employees who are eligible for ESIC benefits need to fill out the NICIN form. ESIC is a social security scheme providing medical, monetary, and other benefits to employees in case of sickness, injury, or maternity.
2. Employers may also require their employees to fill out the ESIC NICIN form to ensure proper documentation and eligibility for ESIC benefits.
3. It is essential for employees who want to avail themselves of ESIC benefits and medical coverage for themselves and their dependent family members to fill out the ESIC NICIN form accurately.

For pdfFiller’s FAQs

What is esic nicin form?

The ESIC NICIN form is a form used to report information on the National Industrial Classification (NIC) of the establishments under the Employees' State Insurance Corporation (ESIC).

Who is required to file esic nicin form?

Employers who have establishments covered under the ESIC are required to file the NICIN form.

How to fill out esic nicin form?

The ESIC NICIN form can be filled out online on the ESIC portal by providing the required information about the NIC of the establishment.

What is the purpose of esic nicin form?

The purpose of the ESIC NICIN form is to ensure that the correct NIC is reported for the establishments covered under the ESIC.

What information must be reported on esic nicin form?

The ESIC NICIN form requires information about the NIC of the establishment, including the primary business activity.

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