Date:
The Regional Director,
ESI Corporation,
Sub-Regional Office,
Address
Sub: – Applicability of ESI Act, 1948 to M/S —————————————–
Dear Sir,
Enclosed please find application in FORM NO. 01 duly filled & completed in all respects for coverage under the ESI Act with effect from DD/MM/YYYY along with the following documents:
- Memorandum & Articles of association;
- List of ——-(no. of ) employees employed as on DD-MM-YYYY, list attached, (we have employed more than 20 employees coverable under ESIC scheme for the first time on DD-MM-YYYY);
- Details of salary for the period of Month 20—-.
- PAN of the company;
- PAN of the Directors;
- A cancelled cheque.
- Lease deed for address proof.
- Photocopy of PF coverage letter.
Kindly allot us ESIC Code No. at the earliest.
Please acknowledge the receipts.
Thanking you,
Yours Faithfully
For ——————————————
Director
Encl: As above