Now you can download Health Insurance application form and apply for Health Insurance through offline.
Download Health Insurance application form
URL - http://cms.tn.gov.in/sites/default/files/forms/health_insurance_0.pdf
This form is only valid in Tamil Nadu circle only.
To fill up the above form you need to give some proper valid information, those are mention in below-
1. Employee name.
2. Employee designation.
3. Office type (Government / Local / Public sector undertaking / Universities)
4. Date of birth
5. Retirement date.
6. Code of the employee.
7. Provident fund account number.
8. Family members details.
9. Name of the family member.
10. Age of family member. (age as on 1.1.2008)
Form Language - English Language.
Software Needed To View PDF Forms
Adobe Reader (Click Here To Download Adobe Reader).
Download Health Insurance application form
URL - http://cms.tn.gov.in/sites/default/files/forms/health_insurance_0.pdf
This form is only valid in Tamil Nadu circle only.
To fill up the above form you need to give some proper valid information, those are mention in below-
1. Employee name.
2. Employee designation.
3. Office type (Government / Local / Public sector undertaking / Universities)
4. Date of birth
5. Retirement date.
6. Code of the employee.
7. Provident fund account number.
8. Family members details.
9. Name of the family member.
10. Age of family member. (age as on 1.1.2008)
11. Relationship to employee.
12. Marital status.
13. Status of employee.
14. Photograph (Stamp size)
15. Location of treasury or sub-treasury or PAO attached.
16. Signature of the employee.
15. Location of treasury or sub-treasury or PAO attached.
16. Signature of the employee.
Form Language - English Language.
Software Needed To View PDF Forms
Adobe Reader (Click Here To Download Adobe Reader).
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