Get Esic Declaration Form No.1.doc

Filling out the ESIC Declaration Form NO.1 online can be straightforward if you follow the appropriate steps. This guide will provide you with detailed instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the ESIC Declaration Form NO.1 online.

1. Click the ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by entering your employer's code number in the designated field. Ensure that this is accurate as it identifies your employer within the ESIC system.
3. Next, fill in your name in block capitals to ensure clarity. This is important for identification purposes.
4. Indicate your year of birth and age in the specified fields. This information is essential for verifying your eligibility.
5. Provide the name of your father or partner as required in the form. This reflects your immediate family links.
6. Enter the date of appointment and your present address. Ensure the address is accurate to avoid any miscommunication.
7. Complete the section regarding your marital status, selecting from bachelor, spinster, married, widow, or widower.
8. Under family particulars, list names, dates of birth, and relationships for each family member, as defined by the ESIC Act.
9. If applicable, fill in the particulars for nomination under sections 50(2) and 71 for females, including the nominee's name, age, and relationship.
10. Finally, affirm that you have not been insured under the Act before, sign or provide a thumb impression, and date the form to complete the submission.
11. Once you have filled out all sections, remember to save your changes. You can also download, print, or share the form as needed.

Start completing your ESIC Declaration Form NO.1 online now to ensure your details are filed correctly.