Ex-Servicemen Contributory Health Scheme (Echs) Application Form For Membership (Rev 2015) Page 10
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4.
Smart Cards
(a)
One card per beneficiary will be issued wef 01 Jun 2010.
(b)
White Card for disabled beneficiary as per eligibility.
(c)
War disabled/Battle Casualty disabled veterans will be provided with white card.
(d)
Demand draft @ Rs 135/-per card drawn in favour of :-
(i)
Submission After Retirement . Regional Centre ECHS in whose jurisdiction the
application is being submitted.
(ii)
Submission Before Retirement. For Officers Regional Centre ECHS, Delhi Cantt and for
PBOR in favour Regional Centre ECHS with which the Record Office of the pensioner is
affiliated. List of Affiliation is at page 11.
5.
Filling & Submission of Forms
(a)
Membership After Retirement
(i)
Collect form from nearest Stn HQ, Polyclinic or download from internet (Website :
)
(ii)
Prepare affidavit on Rs. 10/- Non- judicial stamp as per specimen given at Page 12.
(iii)
Attach bankers certificate/DPDO certificate showing details of pension being drawn, MRO
(2 Copies), PPO copy, dependency certificate, proof of identity and demand draft for cards.
(iv)
Carry service/discharge book in original for verification.
(b)
Membership Before Retirement (future Retiree).
(i)
Form to be collected and filled alongwith pension documents.
(ii)
Copy of PPO, Bankers Certificate & MRO are NOT required.
(iii)
Submit completed Application Form alongwith affidavit as follows:
(aa)
Army Headquarters/AG’s Branch MP 5/6 for Non-AMC-Army Officers.
(ab)
Army Headquarters/AG’s Branch MPRS(0) – for AMC, ADC & MNS Officers.
(ac)
Concerned Records Office (refer Page 11) – for all JCOs or OR of the Army
Including DSC Personnel.
(ad)
Naval Headquarters/Director of Personnel (DOP) – for Naval Officers.
(ae)
Commodore Bureau of Sailors (CABs), Mumbai - for Naval PBOR.
(af)
Air Headquarter/DPP & R, through last posted unit - for Air Force Officers.
(ag)
Air Force Reocrds Office (AFRO), Delhi Cantt - for Air Forces PBOR.
(ah)
Coast fuard Headquarters - for Officer and PBOR.
(c)
Retirement at Short Notice
ECHS Membership Application Form is generally required to be submitted to concerned Record Office 5-
6 months prior to the date of retirement. However, in case of an Officer/PBOR proceeding on retirement
at short notice, he/she is permitted to submit his/her ECHS Membership Application Form to concerned
Record Office any time prior to the date of retirement or Even after retirement if he/she is not possession
of PPO. ECHS Membership Application Form can only be submitted at nearest Stn/HQ Regional Centre
by a pensioner if it is supported by PPO and all other mandatory documents.
Deduction of contribution by the CDA is no guarantee for grant of membership. Issue of Smart Card after
verification documents at ‘ Regional Centre/ respective Records will be considered as acceptance of
membership’.
Notes:
(i)
Data field, as UID, PAN No, e-mail id, drug Allergy and Blood Group details may be filled
up if available.
(ii)
Smart Card will be dispatched to the Station HQ nearest to the residential address.
(iii)
Pre 1986 retirees need not deposit copy of PPO/copy of Discharge Book/pension Book
giving name of spouse and bankers certificate to be submitted with application
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