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. Central government health scheme application form for renewal of cghs card serving. 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. You can use this form to apply for a new foreign nationals document or foreign nationals identity document type. Surrender certificate of cghs card while in service. Ja2 s 100867 2754705 120620 smt surekha verma online 2. Membership cards, loyalty cards, gift cards printed with bar. A print out of same shall be filled up and photos are affixed. Procedure to get a cghs plastic card cg staff news, 7th. How to print cghs card online central government employees news. Further, if the application is addressed to administrative office, whether form is to be filled as if applying. Also, if you have another form of federal identification you can use for these. Application for cghs card applying for new cghs card in case of new pensioners card cghs card no.
Disp type card no benid dwnld date beneficiary name remarks signature 1. A provision is there to fill up data on application form available online. Application for renewal of plastic card serving employees. Plastic cards for cghs beneficiaries nagpur news times. Plastic card id has experienced professionals that have worked with plastic cards for more than 25 years. Enter the one time password otp sent on registered mobile.
Plastic cards for cghs beneficiaries already enrolled and have not applied for plastic cards. I am a cghs beneficiary and the cghs card was valid at the time of treatment. Ja5 s 10 2756410 30072014 sh pramod kumar kashyap online 2. The data is forwarded online to the agency for preparing plastic cards. Government employees or pensioners can apply for cghs plastic card by filling an online form. Issue of individual plastic cards to cghs beneficiaries. Application for renewal of plastic card pensioners. Complete a driver license or identification card application before you go into.
The undersigned is directed to refer to this ministrys 0. Age proof of self and all dependent family members. Contact plastic card id if you have any questions, please call or email. Keep one in your wallet, tool box or kitchen drawer, drop it into a cup of hot water and its ready to use. The granules are difficult to work with as they must be heated and squashed together to be useable, which can be. I agree for the reimbursement as is admissible under the rules. Cghs plastic cards issued to pensioners gets life time validity. Disp type card no benid print date beneficiary name mobile no addres signature 1. California commercial driver license selfcertification form dl 694 pdf and. Form b application for cghs card for pensioners of central government. A message will appear on the screen requesting to take a coloured printout and get the card laminated. The form shall be authenticated by ministry department organization concerned and forwarded to cghs. 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.
Application form for renewal of cghs card serving employees. Ja5 s 100218 2756502 28072014 smt renu bhardwaj online. Adhaar card copy of self and all dependent family members. Central government new employees or pensioners can apply online for central government health scheme cghs plastic card. 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.
Peter wanted to create a useable form of the thermoplastic, which is typically supplied in granulated form. 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. Ja2 s 101876 3307226 05022014 ridhya sain online 5. In a major relief to lakhs of central government health scheme cghs beneficiaries, the govt. Ja5 s 100218 2756502 28072014 smt renu bhardwaj online 5. Eligible serving employeespensioners have to apply in the prescribed form available on cghs website. Formcard is a handy, pocket sized card of meltable bioplastic that can be used to fix the world.
Form of letter to the chief administrative medical authority for medical examination in connection with the commutation of pension form 3. Driver license or id card application for adult over 17 yrs texas dps. Official pdf, 82 pages world bank documents world bank group. Central government health scheme application form for renewal of cghs card serving employees 1. Click the below link to download the application form.
Application for cghs card serving employees bilingual. Download form for applying for plastic card employees of. Isg plastic card solutions identification systems group. Medical formscertificate, cghs card form pensioners portal. Ja1 s 40 27524 290520 sh satyanarain dendwal online 2. Selfprinting of cghs card this is with reference to the above. Self printing of cghs card ministry of health and family. Membership cards, loyalty cards, gift cards printed with. 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. Pending application for adjustment of status to legal. Serving employee pensioner interested to fill up data themselves may log on to the. Formcard is a handy, pocket sized card of meltable bio plastic that can be used to fix the world.
Suitable action including cancellation of cgh card shall. Procedure to get a cghs plastic card govtstaffnews. Click print card for the beneficiary whose card needs to be printed. Cghs plastic cards issued to pensioners gets life time. Cghs renewal form central government health scheme. 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. General of cghs ofice of the director, cghs nirman bhawan, new delhi dated the 8th june. Online application for cghs card serving pensioner. 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. Category departmental service pensioner other pl specify. It is responsibility of cghs card holder to keep the card safely in his custody.
Issue of individual plastic cards to cghs beneficiaries regarding the undersigned is directed to invite reference to this ministrys o. A printout shall be issued after allotment of cghs wellness centre, which shall he valid till the plastic card is received. 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. Application replacement or renewal of a foreign nationals. 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. Form to be used by the medical board when reporting on injuries diseasedeath. Application forms available for download for plastic card. Get the info on medical reimbursement form, cghs plastic card, ministry of health and family welfare, cghs login. Cghs procedure to get a membership plastic card forms uploaded eligible serving employeespensioners have to apply in the prescribed form available on cghs website. Apply for new cghs plastic cards through online sa post. 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. 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.
I undertake to intimate to cghs immediately if there is any change in dependency criteria of my family members included in this application form. Cghs beneficiaries without plastic card can also apply for the plastic card. New cghs cards a provision is there to fill up data on application form available online. Jun 28, 2018 central government health scheme gghs. Jan 06, 2012 procedure for online filling of data for new cghs cards and pastic cards for existing card holders. A printout shall be issued after allotment of cghs wellness centre, which shall be valid till the plastic card is received.
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. Ja5 s 100218 2756501 22072014 bhanu kumar bhardwaj online 4. The real id act only affects use of a stateissued drivers license or id card to. Form a application for cghs card for serving employees of central government. 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. Apply for new cghs plastic cards through online central. Renewal of cghs plastic cards in delhi ncr regarding. Formcard is a handy, pocket sized card of strong, meltable bioplastic that you can use to make, fix and modify the world around you. Driver license dl and identification id card information. View essay cghs renewal form from mechanical 1111 at lakhimpur kendriya mahavidyalaya. Central government health scheme gghs plastic card. Apr 04, 2016 steps for self printing of cghs card on their own.