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Forms for Employees State Insurance Act, 1948
Form 20 - Regulation 87 : Certificate of pregnancy - Form   View
doc  42 Kb
Form 21 - Regulation 88 : Certificate of Expected Confinement - Form   View
doc  52.2 Kb
Form 22 - Regulation 88 & 89 : Benefit Claim Form - Form   View
doc  44.5 Kb
Form 23 - Regulation 88 & 89 : Certificate of Confinement or Miscarriage - Form   View
doc  34.3 Kb
Form 24 - Regulation 91: Notice of Taking Up Work - Form   View
doc  42 Kb
Form 24-A - Regulation 89-A : Maternity Benefit Claim After The Death Of An Insured Woman Leaving Behind The Child - Form   View
doc  57.9 Kb
Form 24-B - Regulation 89-A : Maternity Benefit Death Certificate - Form   View
doc  46.6 Kb
Form 25 - Regulation 76-A : Claim for Permanent Disablement Benefit - Form   View
doc  37.4 Kb
Form 25-A - Regulation 95-E : Funeral Expenses Claim Form - Form   View
doc  72.7 Kb
Form 26 - Regulation 107 : Certificate for Permanent Disablement Benefit - Form   View
doc  39.9 Kb
Form 27 - Regulation 107-A : Declaration and Certificate for Dependants’ Benefit - Form   View
doc  37.9 Kb
Form 28 - Regulation 52-A: Confirmation of Incapacitation of Employee - Form   View
doc  41 Kb
Form 28-A - Regulation 52-A: Confirmation of Incapacitation of Employee - Form   View
doc  37.4 Kb


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