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Kendriya Sainik Board:
EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME (ECHS)
1. The Ex-Servicemen Contributory Health Scheme provides comprehensive medical cover to the ex-Serviceman and his family (comprising his spouse, dependent parents with income less than Rs.1500/- p.m., unemployed sons less than 25 years and unemployed, unmarried daughters) who are in receipt of pension including disability pension and family pension, with no restriction on the type of ailment or the age of the beneficiary.
2. How to join this scheme?
  Pensioner should visit locations as advertised in National/Regional dailies. For preparation of ECHS Card, he/she should be accompanied by all dependents on any working day after 01 April 2003 between 0930h and 1400h with the following documents:
  1. Pension Paying Order.
  2. Certificate of Service IAFY 1964.
  3. Ex-Servicemen Identity Card.
  4. Affidavit as per given format.
  5. Bank Draft Payable to the Director ECHS as follows:-
    Monthly Pension Contribution
    Less than 3000 Rs.1800/-
    Rs.3001 - 6000 Rs.4800/-
    Rs.6001 - 10000 Rs.8400/-
    Rs.10001 – 15000 Rs.12000/-
    More than Rs.15000 Rs.18000/-
3. The Headquarters of ECHS will be located at New Delhi. Regional Headquarters are co-located with Area/Sub Area/Station HQs at the following locations:
REGIONAL HEADQUARTER FOR STATE OF
Jammu J & K
New Delhi Haryana, Delhi and NOIDA
Chandimandir Himanchal, Punjab, Chandigarh
Jaipur Rajisthan
Lucknow Uttarancha, Uttar Pradesh less NOIDA
Kolkata West Bengal, Assam, Meghalaya, Manipur, Tripura, Mizoram, Nagaland, Arunchal Pradesh, Sikkim
Patna Bhiar, jharkhand
Jabalpur Madhya Pradesh, Orissa, Chattisgarh
Pune Maharashtra,Gujarat&Goa
Hyderabad Andhra Pradesh, Karnataka
Chennai Tamil Nadu, Andaman & Nicobar and Pondhicherry
Kochi Kerala & Lakshadweep
4. All future pensioners will automatically become members on retirement for which the process will be through their Records Offices/Release Centres.
5. What is to be done for seeking medical attention?
  If any member of this scheme falls ill, take the person to the nearest clinic with the ECHS membership card. The patient will be treated/referred to the appropriate specialist for treatment. For tests that cannot be conducted at the clinic, the member will be referred to a diagnostic centre. Medicines will also be provided. In case there is a requirement of buying some medicines which are not available at the clinic, the money spent will be reimbursed on production of bills. If hospitalization is required, the patient will be referred to a Military Hospital or a private hospital. The hospital bills will be paid directly by the organization.
6. Locations of the Hospitals/Clinics
  This scheme will be available at 104 Military Stations and at 123 Non Military Stations as per Appendix ‘G’.
Format of AFFIDAVIT on Rs.10 Non Judicial Stamp Paper and attested by a Magistrate/Notary Public.
DECLARATION
1. DEPONENTS NAME, RELATION WITH PENSIONER (delete if not applicable) ARMY NUMBER, RANK, NAME of REGIMENT solemnly affirm and declare as follows:
1. That I am drawing pension vide CDA(P) Pension Payment Order No.:_______________________ dated________________

2. That I have the following legal dependents whose photographs are affixed on this affidavit :-
(a) NAME, RELATIONSHIP, AGE, DATE OF BIRTH (quote Records Part II Order No. & date for all dependents other than father & mother)
Signed photo of Dependent giving name, relationship identification mark Signed photo of Dependent giving name, relationship identification mark
3. That the income of my father & mother from all sources is less than Rs.1500/-per month.

4. That my sons are not employed and that my daughters are not employed or married.

5. That I am aware of the fact that my sons are not eligible for the Ex-Servicemen Contributory Health Scheme after they attain 25 years of age or get employed before that age.

6. That I am aware of the fact that my daughters are not eligible for the Ex-Servicemen Contributory Health Scheme after they marry or get employed.

7. That in case of any change in the status of my dependents (due to death, marriage, employment), I will inform my regional headquarters ECHS at the earliest and will stop use of this facility. I will refund in full the cost of any treatment that a dependent may have received after he/she became ineligible for the same.

8. That I am not a member of any medical scheme funded by the Central Government, State Government, Public Sector Undertaking or any Government undertaking.
Signature of Deponent
VERIFICATION
I, the deponent above named do hereby verify that the contents of the above affidavit are true to the best of my knowledge and belief and nothing material has been concealed or suppressed therefrom.

Verified at (PLACE) on this (DATE) day of (MONTH) (YEAR)
Signature of Deponent
ATTESTATION
Certified that the above statement was declared before me at PLACE on this day of MONTH, YEAR by DEPONENT’S NAME, RELATION WITH EX-SERVICEMAN/EX-SERVICEMAN, ARMY NUMER, RANK, NAME, REGIMENT’S NAME who is identified by NAME, S.O (FATHER’S NAME OF IDENTIFIER) and witnessed by NAME, S/O (FATHER’S NAME OF WITNESS) & NAME, S/O (FATHER’S NAME OF WITNESS).
Identified by
Signature
(NAME IN BLOCK CAPITALS)
(FULL POSTAL ADDRESS)
WITNESS

Signature
1. (NAME IN BLOCK CAPITALS)
(FULL POSTAL ADDRESS)

Signature
2. (NAME IN BLOCK CAPITALS)
(FULL POSTAL ADDRESS)

ATTESTED BY
MAGISTRATE/ NOTARY PUBLIC
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