Addition Of Family Members Form PDF Details

In the fabric that constitutes the legal landscape surrounding the formal recognition and documentation of familial structures by governmental bodies, the process encapsulated by the "Addition Of Family Members" form stands as a vividly intricate thread. This particular form serves as a crucial instrument for government servants, acting as a pivotal facilitator for including or excluding members within the ambit of government-provided healthcare services, specifically under the Comprehensive Government Health Scheme (CGHS). The process begins with the employee furnishing their unique identification credentials and extends through delineating the governmental ministry or office of their association. A significant feature of this form is its capacity to record both expansions and contractions of an employee's family structure – adducing names, dates of birth, and the familial connections of individuals to be added or removed. This procedural act culminates in the requisite endorsements – a signature or thumb impression by the government servant themselves followed by the authentication carried out by an authorized officer, inclusive of their signature, designation, and office seal. This entire process not only underscores the importance of maintaining up-to-date official records reflecting personal life changes but also highlights the intersection between public service employment and access to healthcare benefits, each step meticulously charted to ensure accuracy and verifiability.

QuestionAnswer
Form NameAddition Of Family Members Form
Form Length1 pages
Fillable?Yes
Fillable fields26
Avg. time to fill out5 min 27 sec
Other namescghs card add family member, cghs name addition form online, addition form, cghs addition deletion form pdf

Form Preview Example

APPLICATION FORM FOR ADDITION / DELETION

Employee Code

1.NO. OF CGHS IDENTITY CARD

2.NAME OF THE GOVT. SERVANT

3.MINISTRY/OFFICE IN WHICH WORKING –

4.NEW ADDITION/DELETION

Sl.no.

Name

Date of Birth

Relation

5.SIGNATURE OF GOVT. SERVANT / : ________________________________

THUMB IMPRESSION.

Date :

6.SIGNATURE AND DESIGNATION OF : _______________________________

ISSUING AUTHORITY / SEAL