New Health Insurance Scheme

Steps to be followed for filling up the form

1) Select the district from the combo box

2) Select the Office type from the combo box

If Office-Type is Government department,

a) “DDO Code “ combo box will be enabled

b) Select the respective DDO Code. The description of the DDO will

be shown automatically

c) Select the type of Pay Disbursing Office

d) Type the Pay Disbursing office location

If Office-Type is Local Bodies,

a) A combo box with Corporation, Municipalities, Town panchayat,

Village panchayat will be enabled

b) Select the type of Local body,

c) Again a Combo Box with the names of local body will be enabled

d) Select the respective Local body

e) Type the DDO’s designation

f) Select the Pay Disbursing Office and then

g) Select the Pay Disbursing Office location

If Public Sector Undertakings and Statutory Boards,

a) Select the type of PSU / Boards

b) Type the DDO’s designation

c) Select the Pay Disbursing Office and then

d) Select the Pay Disbursing Office location

If Government Universities,

a) Select the type of University

b) Type the DDO’s designation

c) Select the Pay Disbursing Office and then

e) Select the Pay Disbursing Office location

3) Type the Initial first and then Name

4) Select the designation from the combo box if found. Otherwise select “Others” from the combo box and type the designation in the next field

5) Type date of birth as per the format ( dd/mm/yyyy )

6) Type the date of retirement as per the format ( dd/mm/yyyy )

7) Select the marital status

8) Select the employee type ( GPF / CPF / CPF newly joined / Others )

a) If General Provident Fund, type the number first and then select the suffix from the combo box.

b) If Contributory Provident Fund Number holders, type the number first and then select the suffix from the combo box.

c) If Newly joined employee and Contributory Provident Fund number is not alloted by the A.G.’s office type the reference No. and date in which the letter has been sent to A.G.’s Office

d) Others, type the Number assigned by the Department

9) Give the family members details only. Employee details need not be given.

10) Finally click the “Save” button