Get the free echs application form for membership rev 2015

EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME (ECHO) APPLICATION FORM FOR MEMBERSHIP (REV 2015) (PLEASE FILL IN CAPITALS & IN BLUE INK) Place of Submission Category () (a) Officer (b) JO & Equivalent (c)

How to fill out echs application form for

How to fill out ECHS application form:

1. Obtain the application form: The first step is to obtain the ECHS application form. You can usually download it from the official ECHS website or get a hard copy from the nearest ECHS Polyclinic or Regional Centre.
2. Read the instructions carefully: Before you start filling out the form, make sure to read the instructions provided with the application form. This will help you understand the requirements, guidelines, and any specific documents that need to be attached.
3. Personal details: Begin by filling in your personal details such as your full name, date of birth, gender, marital status, and contact information. Ensure that you provide accurate and up-to-date information.
4. Address details: Next, provide your current address along with your permanent address if it differs from your current one. Include details like your city, state, pin code, and contact number.
5. Dependent details: If you are applying for ECHS benefits for your dependents, provide their details including their full names, dates of birth, relationship with you, and any other required information. If you have multiple dependents, there may be separate sections to complete for each individual.
6. Armed Forces Details: Fill in the required information about your service in the armed forces, such as your rank, service number, dates of service, and the specific branch you served in.
7. Medical history: Provide your medical history by disclosing any pre-existing conditions, diseases, or disabilities that you or your dependents may have. This information is crucial as it helps determine the level of healthcare benefits you may be eligible for.
8. Bank account details: Fill in your bank account details, including the name of the bank, branch, account number, and IFSC code. This is necessary for the payment of any benefits or reimbursements.
9. Supporting documents: Ensure that you have attached all the necessary supporting documents as mentioned in the instructions. These may include proof of identity, address proof, dependent certificates, discharge certificate, and any other relevant documents.
10. Review and submit: Review the filled-out application form thoroughly for any errors or missing information. Once you are satisfied, submit the form either online or by hand at the designated ECHS office or Polyclinic.

Who needs ECHS application form?

The ECHS application form is primarily needed by retired armed forces personnel and their eligible dependents. This includes retired army, navy, and air force personnel along with their spouses, children (including adopted children), and parents.

The ECHS application form is also required by currently serving armed forces personnel who are eligible for the ECHS benefits and wish to enroll themselves and their dependents.

In summary, anyone who wants to avail the healthcare benefits and services provided by the Ex-Servicemen Contributory Health Scheme (ECHS) needs to fill out the ECHS application form.

For pdfFiller’s FAQs

What is echs application form for?

ECHS application form is for applying for the Ex-Servicemen Contributory Health Scheme (ECHS) benefits.

Who is required to file echs application form for?

Ex-servicemen and their dependents are required to file ECHS application form.

How to fill out echs application form for?

To fill out ECHS application form, one needs to provide personal details, service details, and medical history.

What is the purpose of echs application form for?

The purpose of ECHS application form is to avail healthcare benefits for ex-servicemen and their dependents.

What information must be reported on echs application form for?

The ECHS application form requires information on personal details, service details, and medical history.

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