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  3. CGHS

CGHS forms (Fillable)

The forms compiled by Karvitt in Fillable PDF and / or Excel format, which can be filled on computer before print. These forms save time and energy required in filling the form and enable you to submit nicely filled forms free from cuttings / overwriting. The forms are available for free download for personal use only.

Form No. / LinkDescription
ApplicationApplication for New Plastic CGHS Card
Form AAApplication for Renewal of Plastic CGHS Card for Serving Employees
Form BBApplication for Renewal of Plastic CGHS Card for Pensioners
MC-Serving EmployeesMedical Rembursement Claim Form for Serving Employees
MC-PensionersMedical Rembursement Claim Form for Pensioner Beneficiaries
AffidavitNotarized Affidavit for CPAP / Bi-level CPAP / Bi-level Ventilatory system / Oxygen Concentrator Machine
Updated : Jan 24, 2019
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