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Photocopy /
download the Declaration Form and take
sufficient number of copies as per requirement,
in A4 size |
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Get it filled in
by the Insured Person (no blanks please) |
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Get dispensary options, family
changes etc., reviewed and supply latest position |
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Need not
attach photograph of ID / family at this stage. |
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Affix
signature / thumb impression (Insured Person / Employee). |
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Affix
countersignature (Employer). |
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Prepare a
covering list of all declaration forms obtained (Branch or
Unit-wise if applicable). |
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Submit declaration
forms with covering list to appropriate Branch Office
by 20th September 2009.
(extended
upto 25th September 2009) |
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Submit
special / fresh declaration forms for Pehchan cards for all
existing insured persons with insurance numbers already
available |
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Submit
special / fresh declaration form for Pehchan card for every
new entrant also. |
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For new entrants, continue to
submit usual Form-1 also, (with TIC portion) and photo, in
addition to special declaration form for Pehchan cards. |
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Submit data in electronic form in a CD, wherever possible.
But, do not fail to submit physical
forms (signed / countersigned) also. |
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