DOCUMENTS REQUIRED FOR ESI REGISTRATION
List of Directors/ Partners and Address
MoA, AoA, CoI (If It A Company)
Shops and Establishment Act -Registration Certi cate
Pan Card Copy – Company’s / Firm’s/Entities
Pan Card Copy, Aadhaar Card Copy and Photo of – All Directors/ Partners/ Proprietor
Rental Agreement and o ce electricity Bill for the Establishment
Salary register from day when number of employees crossed 10 or more
Esi Applicable Member Details (As Per Anx 2)
Bank Statement (Recent Month) and Cancelled Cheque
Contact Details E-Mail & Phone Number
Date of Coverage in (DD/MM/YYYY) format -i.e. Date from when ESI becomes applicable to your establishment
ESI Nomination – Information of employees in case of salary below 21000
Number of existing Employees in the format below; —
a)Number of Male Employees: _______
b)Number of Female Employees: _______
Number of Employees to whom ESI is applicable in the format below; —
a) Number of Male Employees: _______
b) Number of Female Employees: _______
Digital Signature of the Authorized signatory of the entity
Attachment Pertaining of ESI
a)”ESICEmployeeIPReg
b) OR “ESICEmployessWithIP”