1. Eligibility. Only Ex-Servicemen drawing
pension/disability pension or widows who are in receipt of family pension are
eligible to apply. He/she may approach nearest Station HQs at 104 Military
Stations or Service Hospitals, CSDs and collect the application form for
enrolment into the ECHS scheme.

2. Please check the following pages when collecting the application form :-

Receipt for handing over of document & instructions for filling up form.

Application Form - comprises 10 pages.

Affidavit format (one page).

Four copies of MRO and amount to be deposited as per pension drawn.

(The revised version of the application form as on 06 Jun 2003 is also
available for download from the website )

Completion of Documentation

3. Fill in the application form as per details required.
While filling, care must be taken that name(s) of dependant(s) tally with
service documents / records. All columns and necessary details must be filled;
otherwise the application will be rejected.

4. An affidavit as per format, duly attested by a Magistrate
/ Notary Public, will be submitted.

5. Deposit quadruplicate copy of MRO as per the required
contribution amount, based on the Basic pension (excluding DA and disability).

7. Applicant is required to report in person to the
Station Headquarters along with all original documents listed above.
Attach one photocopy each of your PPO, Discharge book, ESM Identity card and
"Service Particulars – Retired/Released Officers" with the Application Form.

8. At Station Headquarters, the Adm Comdt/SSO will compare
and verify the photocopies of all documents with originals. He will attest all
photocopies and retain these for record. He will also ask certain
questions/clarify any matter from the applicant, if necessary.

9. Once all formalities have been completed the original documents will be returned immediately to the applicant. A
Receipt with Registration Number will be provided to the applicant. This receipt
must be retained carefully, as it will be required as proof when collecting ECHS
Membership Card at a later date, or for making any query. ESM are NOT
required to leave behind any original document.

Collecting ECHS Membership Card & Availing Treatment

10. Applicants will be informed when to come to Station HQs
to collect ECHS Membership Card. He/she will have to come personally
for collection and sign at the Station HQs, in token of having received the
Card. TO AVAIL MEDICAL TREATMENT AT ANY POLYCLINIC /
EMPANELLED HOSPITAL, IT IS MANDATORY FOR PENSIONERS/WIDOWS TO FIRST REPORT TO
NEAREST POLYCLINIC ALONG WITH THEIR "ECHS MEMBERSHIP CARD".

Filling of Military Receivable Order (MRO)

11. An MRO is accepted by a branch of RBI or SBI only when it
bears the stamp of a unit of Army, Navy or Air Force and signature of a serving
officer. A case was taken up with the RBI to issue instructions to all to wave
off this requirement. This approval has been accorded on 16 Apr 2003. All
pensioners can now sign the form themselves and deposit the money in any branch
of RBI or SBI.

12. (a) Controller General Defence Accounts (CGDA) has
nominated the following Army Principal Controllers of Defence Accounts (PCsDA)/Controllers
of Defence Accounts (CsDA) for accounting the contribution made in their areas
of jurisdiction: -

Bihar, Orissa, Jharkhand, West Bengal, Sikkim and all states of North East

CDA, Patna

4015000006

Jabalpur

MP and Chattishgarh

CDA, Jabalpur

4055095002

Hyderabad

Andhra Pradesh and Karnataka

CDA, Secunderabad

4055090007

Chennai and Kochi

Tamilnadu and Kerala

CDA, Chennai

4016000007

(b) You are requested to insert the requisite data against
"EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME (ECHS)" and credit the amount as
Defence Department receipt pertaining to the ________________________________
and also insert in the line – Forwarded to ________.