Sample Filled ESIC Contribution Transfer Form

ESIC contribution transfer form is used to transfer ESIC contribution of an insured person from one ESIC IP number to another ESIC IP number. This form generally required when the same person has two ESI numbers. Generally, this happens when insured person changes his or her job and doesn’t tell their previous ESIC IP number to the new employer then automatically new employer will generate another IP number to the same insured person. Here you can download sample filled ESIC contribution transfer form.

↓ ESIC Contribution Transfer Form Download

But as per Employee State Insurance Corporation rules and regulations, only one IP number will be given to every employee in their life time, the remaining IP numbers which they will get after generation of their first ESI IP number will become duplicate. So it is always important to carry forward ESI IP numbers to their new jobs.

The identification of duplicate IP numbers by ESIC website may take some day to months and only your employer can able to identify duplicate IP numbers in their employer ESI portal. When present IP number of an insured person becomes duplicate then it will appear in green colour and original IP number will appear in brackets in ESIC Portal. When this appears then employer can’t able to make payment to the duplicate IP number. In this case employer has to register original IP number of that person again in their ESI portal and then they can able make payment.

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Now the entire contribution made to the duplicate IP number will become useless until they fill and submit ESIC contribution transfer form. On this from mention Insured person’ s original and duplicate IP numbers and take employer attestation and submit it to ESIC regional office. With in 30 days, your ESIC contribution will transfer from duplicate IP number to original IP number.

↓ ESIC Contribution Transfer Form Download

Sample Filled ESIC Contribution Transfer Form:

Sample Filled ESIC Contribution Transfer Form Page 1

Sample Filled ESIC Contribution Transfer Form

Filled ESIC Contribution Transfer Form Page 2

Sample Filled ESIC Contribution Transfer Form

↓ Download Filled ESIC Contribution Transfer Form

Do share your opinions and doubts on sample filled ESIC contribution transfer form.

9 thoughts on “Sample Filled ESIC Contribution Transfer Form”

  1. Hi,
    I am transfered to my companies “X” branch to “Y” branch. Both branches are different Esi account. How I transfer my IP number from “X” branch to “Y” Branch.

    Reply
    • Tell your employer to continue your first ESIC number and you have to submit ESIC contribution transfer form to your ESIC office to transfer your contributions from your second ESIC number to first ESIC number.

      Reply

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