Here I am giving you Employees’ State Insurance Corporation ESIC-72 forms as below:-

To,
The Branch Manager
Branch Office,

Dear Sir,
My Identity Card has been lost/defaced, I have therefore to request for a Duplicate Identity Card.
I herewith deposit a sum of rupee 1/- only being the fee for the Duplicate Identity Card/I return herewith the Identity
Card Issued to me earlier.
As the Card was issued more than 3 years ago, the Duplicate Identity Card may be issued to me free of Charge.
The particulars of the present members of my family are furnished below :-

To get whole application form you can see given below attachment:-
Employees’ State Insurance Corporation ESIC-72 Form


To get PF form you can see given below attachment:-
PF Form No. 19

Attached Files

	Employees State Insurance Corporation ESIC-72 Form.pdf (32.8 KB, 24 views)
	PF Form No. 19.pdf (297.8 KB, 28 views)