Sheet 1: Confidential Zone

	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
Website:
		
www.esic.in
		
click here to visit the page directly
		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
User ID:
		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
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Sheet 2: NAVIGATOR

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


Sheet 3: Basic Info

	
	
	
	

		
<< Establishment Code >>
		


		
Please insert the input data in the green field whereever appearing in the worksheet
		
	

		
<< Establishment Address >>
		


		
	

		
<< Communication Details >>
		


		

 
		
		
	

		
EPF Code:
		
WB/XXXX
		
   Group:
		
XX
		


		


		


		


		
	

		
ESI Code: 
		
410000028988761
		


		


		


		


		
	

		
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
		


		
	

		
Particulars
		
Input Field
		


		
	

		


		


		


		
	

		
Name of the Establishment
		
<< Establishment Code >>
		


		
	

		


		


		


		
	

		
Address
		
<< Establishment Address >>
		


		
	

		


		


		


		
	

		
Phone/Mobile
		
<< Communication Details >>
		


		


		


		


		


	
	

		


		


		


		


		


		


		


	
	

		
EPF Establishment Code 
		
WB/XXXX
		


		


		


		


		


	
	

		


		


		


		


		


		


		


	
	

		
EPF Establishment Group
		
XX
		


		


		


		


		


	
	

		


		


		


		


		


		


		


	
	

		
ESI Establishment Code:
		
410000028988761
		


		


		


		


		


	
	

		


		


		


		


		


		


		


	
	

		
Rate of Provident Fund Contribution (%)
		
10
		


		


		


		


		


	
	

		


		


		


		


		


		


		


	
	

		
Currency Year (From April)
		
2011
		


		


		


		


		


	
	

		


		


		


		


		


		


		


	
	

		
Currency Year (To March)
		
2012
		


		


		


		


		


	
	

		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~