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SUBMIT YOUR COMPLAINTS / GRIEVANCES TO : |
EMPLOYEES' STATE INSURANCE CORPORATION
(Ministry Of Labour & Employment, Govt. Of India) |
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Fields Mark With (*) are compulsory to fill |
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ESI Code No :
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(if Applicable) |
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ESI Insurance No :
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(if Applicable) |
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*Name :
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Sex :
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*Address :
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PinCode :
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Phone No :
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E-Mail :
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Branch Office : |
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Dispensary :
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Hospitals :
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Complaints/ Grievances :
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Complaint Date :
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