Hello Friends,

I need a Declaration form, i.e., Form 1 for ESIC in the 17-digit format. Also, I would like to know if ESIC accepts the printout/xerox of the same at the time of submitting the declaration of a new employee.

Regards, Madhura

From India
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Dear Member, they accpet xerox copy of declaration form. u can get declaration form by ESIs websit.
From India, Vadodara
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Hi nirav, No. They are not accepting the xerox copy , cause they had return my froms which I had sumitted it on xerox. Secondly I didin’t found 17 digit format on ESIC web sight. Regards
From India
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There are two ways for submitting ESIC form of a new employee:

1) Along with the declaration form, fill out the other form which is required for taking a photograph and submit it to the local ESIC office.

2) Fill the declaration form in duplicate or take a copy of the filled declaration form and submit the same to the local ESIC office.

Both ways are acceptable.

From India, Mumbai
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Dear Sir,

Please find attached the ESIC new form. They will only accept the declaration form as a xerox copy if it is presented on legal paper; it will not be accepted on A4 paper. Kindly ensure it is on legal paper size before submission.

Thank you.

From India, Kochi
Attached Files (Download Requires Membership)
File Type: pdf Declaration_Form_Thane[1].pdf (575.2 KB, 260 views)

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Hi i attached h/w new df form hiren chheda
From India, Mumbai
Attached Files (Download Requires Membership)
File Type: xls DF New Box.xls (102.5 KB, 223 views)

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