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Click ‘Get Form’ to open the esic card download in the editor.
Begin by filling in your personal details at the top of the form, including your name and insurance number. Ensure accuracy as this information is crucial for processing your request.
In the section regarding the loss or defacement of your identity card, clearly state whether you are requesting a duplicate identity card or a family identity card. This helps streamline your request.
Deposit the required fee of Re. 1/- by indicating it in the designated area. If applicable, mention that you are eligible for a free replacement due to the age of your original card.
Fill out the particulars of your family members in the provided table, ensuring that all names, dates of birth, and relationships are accurately recorded.
Finally, review all entries for completeness and accuracy before signing at the bottom. Your signature confirms that all information is true to the best of your knowledge.
Start using our platform today to easily fill out and manage your esic card download!
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