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Employees State Insaurance Act, 1932
FORM NO PURPOSE
ESI Challan Challan for deposit
ESI Photo I-Card Form ESI Photo Identity Card Form
ESI 105 / ESI MED-10 Certificate of Entitlement / Application for Medical Treatment as Temporary Resident
Form 01 1 2 3 4 ESI Registration Form (Regulation 10B)
Form 1 Front Back ESI Declaration Form (Regulations 11 & 12) (To be filled in only if the employee is not insured earlier)
Form 1-B Change in Family Declaration Form (Regulation 15-B)
Form 3 Return of Declaration Form (Regulation 14)(To be submitted in duplicate)
Form 6 Return of Contribution Form (Regulations 26) (To be submitted in Quadruplicate)
Form 12, 13 & 14 Sickness or Temporary Disablement Benefit (Form 12) / Sickness or Temporary Disablement or Maternity Benefit for Sickness (Form 13 & 14)
Form 37 Certificate of re-employment/continuing employment
Form 53 Application for Change in particulars of insured person
Form 86 Certificate of Employment
Form16 Accident Report a brief report of the accident which took place submitted to the local office
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