Date:
To,
The Branch Manager,
ESI Office address
Sub: Correction of Insured name ———— bearing Insurance No. ————–
Ref: Our ESI Code No. ————–
Dear Sir,
Please refer to the subject cited above, it is to inform you that the name of above employee has mentioned in R.C. against S.No..31 & S.No. 28 for the period ended Sep’ 09 & March’10 respectively as ———– instead of ————-. As per record his / her correct name is —————.
You are requested kindly correct his / her name as ———- in your records & do the needful.
Thanking you.
Yours faithfully,
FOR ———————–
AUTHORIZED SIGNATORY.
CC To: Office of the ESI Dispensary ______________