Suitable action including cancellation of cgh card shall. It is responsibility of cghs card holder to keep the card safely in his custody. Application for cghs card applying for new cghs card in case of new pensioners card cghs card no. Selfprinting of cghs card this is with reference to the above. Form b application for cghs card for pensioners of central government. Isg plastic card solutions identification systems group. Feb 28, 2014 a application for renewal of cghs plastic cards in the prescribed proforma form aa alongwith requisite documents current photographs, copy of pay slip and address proof of residence, if changed, should be submitted through their administrative office to the office of additional director, cghs of the respective cghs city following the same procedure as prescribed for issue of fresh cghs card. Enter the one time password otp sent on registered mobile. How to print cghs card online central government employees news. Cghs renewal form central government health scheme. Formcard is a handy, pocket sized card of meltable bio plastic that can be used to fix the world. Click the below link to download the application form. Ja5 s 100218 2756502 28072014 smt renu bhardwaj online 5. Complete a driver license or identification card application before you go into.
A printout shall be issued after allotment of cghs wellness centre, which shall he valid till the plastic card is received. Contact plastic card id if you have any questions, please call or email. Pending application for adjustment of status to legal. This central government health scheme covers all types of treatments like allopathy, homeopathy and also other traditional treatment methods like yoga, siddha, ayurvedic, and unani. Eligible serving employeespensioners have to apply in the prescribed form available on cghs website.
Central government health scheme application form for renewal of cghs card serving. The cghs empanelled private hospitals diagnostic centres are requested to provide the medical facilities on the basis of old card upto a maximum period of six months from the date of validity as indicated on the cghs plastic card, subject to the condition that the cghs beneficiary has submitted the application for renewal of cghs plastic card, complete in all respect, to the cghs card. Formcard is a handy, pocket sized card of meltable bioplastic that can be used to fix the world. Application replacement or renewal of a foreign nationals.
A provision is there to fill up data on application form available online. Adhaar card copy of self and all dependent family members. Self printing of cghs card ministry of health and family. Get the info on medical reimbursement form, cghs plastic card, ministry of health and family welfare, cghs login. A message will appear on the screen requesting to take a coloured printout and get the card laminated. Click print card for the beneficiary whose card needs to be printed. Ja5 s 10 2756410 30072014 sh pramod kumar kashyap online 2. Renewal of cghs plastic cards in delhi ncr regarding.
Central government health scheme application form for renewal of cghs card serving employees 1. Issue of individual plastic cards to cghs beneficiaries. General of cghs ofice of the director, cghs nirman bhawan, new delhi dated the 8th june. Ja5 s 100218 2756501 22072014 bhanu kumar bhardwaj online 4. Ja1 s 40 27524 290520 sh satyanarain dendwal online 2. Driver license or id card application for adult over 17 yrs texas dps. The form shall be authenticated by ministry department organization concerned and forwarded to cghs. Official pdf, 82 pages world bank documents world bank group. Plastic cards for cghs beneficiaries nagpur news times. Issue of individual plastic cards to cghs beneficiaries regarding the undersigned is directed to invite reference to this ministrys o. While in service applying for new card to replace existing cghs card no. Application for renewal of plastic card pensioners. Age proof of self and all dependent family members.
Jan 06, 2012 procedure for online filling of data for new cghs cards and pastic cards for existing card holders. Ja2 s 101876 3307226 05022014 ridhya sain online 5. Category departmental service pensioner other pl specify. View essay cghs renewal form from mechanical 1111 at lakhimpur kendriya mahavidyalaya.
Medical formscertificate, cghs card form pensioners portal. Ja5 s 100218 2756502 28072014 smt renu bhardwaj online. Application forms available for download for plastic card. Jun 28, 2018 central government health scheme gghs.
Apply for new cghs plastic cards through online posted by admin jan 7, 2012 4comments procedure for online filling of data for new cghs cards and plastic cards for existing card holders. By redesigning the material into a flat, credit card sized form in many beautiful colours to inspire use in many different situations, formcard was created. Cghs plastic cards issued to pensioners gets life time validity. Membership cards, loyalty cards, gift cards printed with bar. California commercial driver license selfcertification form dl 694 pdf and. Download form for applying for plastic card employees of. Application for renewal of plastic card serving employees. If in case cghs plastic card is lost or damaged the card holder has to immediately report to ad office, new delhi and department in which the member is working.
Now, it is not clear as to whom the application regarding loss of cghs card is to be addressed whether it is addl director, cghs, our ministry or cmo incharge of dispensary. Ja2 s 100867 2754705 120620 smt surekha verma online 2. The undersigned is directed to refer to this ministrys 0. Central government health scheme gghs plastic card. A print out of same shall be filled up and photos are affixed. Formcard is a handy, pocket sized card of strong, meltable bio plastic that you can use to make, fix and modify the world around you.
Online application for cghs card serving pensioner. Paste one id card size of photograph of each member of family including self whose names are proposed to be included as part of your family in the space given below. Application for cghs card serving employees bilingual. Driver license dl and identification id card information. Form to be used by the medical board when reporting on injuries diseasedeath. Also, if you have another form of federal identification you can use for these. Formcard was created by founder peter marigold who discovered the amazing power of thermoplastics following a french workshop that he held with students in boisbuchet.
Cghs plastic cards issued to pensioners gets life time. Procedure to get a cghs plastic card cg staff news, 7th. You can use this form to apply for a new foreign nationals document or foreign nationals identity document type. Form a application for cghs card for serving employees of central government. Further, if the application is addressed to administrative office, whether form is to be filled as if applying. Keep one in your wallet, tool box or kitchen drawer, drop it into a cup of hot water and its ready to use. Apr 04, 2016 steps for self printing of cghs card on their own. Serving employee pensioner interested to fill up data themselves may log on to the.
Cghs beneficiaries without plastic card can also apply for the plastic card. I agree for the reimbursement as is admissible under the rules. The data is forwarded online to the agency for preparing plastic cards. Formcard is a handy, pocket sized card of strong, meltable bioplastic that you can use to make, fix and modify the world around you. Peter marigold launched formcard on kickstarter in november 2015, the campaign reached its funding target within the first 24 hours and is now sold globally to customers, retailers and. A printout shall be issued after allotment of cghs wellness centre, which shall be valid till the plastic card is received. Procedure to get a cghs plastic card the form should be completely filled up with individual photographs pasted as specified in the form following documents need to be attached in case of serving employee. Disp type card no benid print date beneficiary name mobile no addres signature 1. Peter wanted to create a useable form of the thermoplastic, which is typically supplied in granulated form. I undertake to intimate to cghs immediately if there is any change in dependency criteria of my family members included in this application form. Apply online for central government health scheme plastic card.
Plastic cards for cghs beneficiaries already enrolled and have not applied for plastic cards. Procedure to get a cghs plastic card govtstaffnews. Application form for renewal of cghs card serving employees. Disp typecard no benid print date beneficiary name mobile no addres signature 1. A printout of the same has to be filled up, a photo of each beneficiary has to be affixed, and one photo each of beneficiaries in spare, and a photo copy of existing cghs card should be enclosed. In a major relief to lakhs of central government health scheme cghs beneficiaries, the govt. Surrender certificate of cghs card while in service. Central government new employees or pensioners can apply online for central government health scheme cghs plastic card. Form of letter to the chief administrative medical authority for medical examination in connection with the commutation of pension form 3.
Cghs procedure to get a membership plastic card forms uploaded eligible serving employeespensioners have to apply in the prescribed form available on cghs website. New cghs cards a provision is there to fill up data on application form available online. Apply for new cghs plastic cards through online sa post. Government employees or pensioners can apply for cghs plastic card by filling an online form. Membership cards, loyalty cards, gift cards printed with. Apply for new cghs plastic cards through online central. Guidelines regarding printing and issue of cghs plastic card f. I am a cghs beneficiary and the cghs card was valid at the time of treatment. The granules are difficult to work with as they must be heated and squashed together to be useable, which can be. Disp type card no benid dwnld date beneficiary name remarks signature 1. Plastic card id has experienced professionals that have worked with plastic cards for more than 25 years. Renewal of cghs plastic cards central government employees news. The real id act only affects use of a stateissued drivers license or id card to. Identification systems group isg is a nationwide network of local system integrators in identification, security, and card personalization, providing high quality, cost effective solutions backed by local support and the.
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