Employer Details

• Name of the establishment as registered under ESIC.
  
• 17-digit ESIC employer code number.
  
• Address of the principal place of business.
  
• Contact details including phone number and email ID.
  
• Details of the sub-code if the return is for a branch unit.
  

Employee Information

• Employee name as per ESIC registration.
  
• ESIC insurance number of the employee.
  
• Date of joining and, if applicable, date of exit.
  
• Gender, father’s name, and relationship details if required.
  
• Status of coverage for the contribution period.
  

Wage and Salary Details

• Gross wages paid to each employee for the return month.
  
• Number of days worked during the month.
  
• Daily wages or monthly salary structure based on attendance.
  
• Allowances included in the wage for contribution calculation.
  
• Total earnings subject to ESIC deduction.
  

Contribution Summary

• Employer’s contribution at 3.25% of gross wages.
  
• Employee’s contribution at 0.75% of gross wages.
  
• Total amount payable and total amount already paid.
  
• Challan reference number and payment date.
  
• Any additional amount or arrears if applicable.
  

Certification and Submission

• Declaration of correctness by the employer or authorized signatory.
  
• Digital or electronic authentication through portal credentials.
  
• Confirmation that employee and wage details are accurate.
  
• Selection of the correct contribution period before submission.
  
• Generation and saving of acknowledgment after filing.