Get Cprmse Form

Completing the Cprmse Form online is a straightforward process designed to ensure that you can effectively join the Contributory Post Retirement Medicare Scheme for Executives of SCCL. This guide provides step-by-step instructions to navigate through each section of the form with ease.

Follow the steps to successfully complete the Cprmse Form online.

1. Press the ‘Get Form’ button to retrieve the Cprmse Form and open it in your preferred editing tool.
2. Begin with the personal information section. Fill in your full name, employee code number, blood group, date of birth, email address for communication, date of cessation of service, and the reason for cessation. Make sure to select the reason that applies to your situation by marking the relevant option.
3. Provide details related to your position at the company at the time of cessation. This includes your designation, grade, and the mine or department from where you separated.
4. Next, input your spouse's details, including their name, date of birth, and blood group.
5. Complete the financial information by including details of the amount remitted, the number of the demand draft, its date, and the issuing bank’s name.
6. Fill out your permanent and present postal addresses along with telephone or mobile numbers. This is essential for sending your medical card.
7. Provide the name of your nominee and their relationship to you. Include the nominee's postal address and telephone or mobile number.
8. Attach necessary enclosures as specified, including recent passport-size photos of yourself, your spouse, and your nominee. Ensure these are the correct number and affixed as required.
9. Read through the declaration section carefully, ensuring you understand and agree with the terms regarding the misuse of benefits. Sign as required in the designated areas for yourself, your spouse, and the nominee.
10. Review your completed form to ensure that all information is accurate and all required fields are filled. Once reviewed, save your changes, download the completed form, and print it for submission.

Start completing your Cprmse Form online today to secure your membership in the scheme.