APPLICATION FORM FOR UPGRADATION OF ECHS SMART CARD
FOR EXISTING MEMBERS (CARD HOLDERS)
-1. The Cost of upgraded ECHS Cards will be paid @ Rs 135/- per card through DD in favour of dependent Regional Centre ECHS
2. War disabled/Battle casualty disabled veterans will be provided with white cards.
3. The application alongwith DD in favour of dependent Regional Centre may be deposited at Polyclinic/Station HQ/Regional Centre.
4. The new card(s) will be delivered at polyclinic where the forms were deposited.
5. The old cards including add on card (s) will be required for activation of new cards and transfer of data. On successful activation, the old card(s) will automatically be deactivated.
6. The OIC Policlinic on activation of new card will destroy the old card and will render a certificate to this effect to dependent Regional Centre for updating the record. A proper record will be maintained at Policlinic to this effect.
7. Incase of more than four members / dependants use additional sheet of this form.
2. War disabled/Battle casualty disabled veterans will be provided with white cards.
3. The application alongwith DD in favour of dependent Regional Centre may be deposited at Polyclinic/Station HQ/Regional Centre.
4. The new card(s) will be delivered at polyclinic where the forms were deposited.
5. The old cards including add on card (s) will be required for activation of new cards and transfer of data. On successful activation, the old card(s) will automatically be deactivated.
6. The OIC Policlinic on activation of new card will destroy the old card and will render a certificate to this effect to dependent Regional Centre for updating the record. A proper record will be maintained at Policlinic to this effect.
7. Incase of more than four members / dependants use additional sheet of this form.
Exp:56%
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