Get Govt. Employee Enrolment Form - Worksheet

Filling out the Govt. Employee Enrolment Form - WorkSheet is crucial for securing health coverage under the Chief Minister Arogya Arunachal Yojana. This guide provides step-by-step instructions to help users complete the form online efficiently.

Follow the steps to complete your enrolment form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the name of the employee in capital letters as specified in the first section. If applicable, provide details of the spouse in the same format.
3. Fill in the father and spouse's name as required. This information helps in verifying the employee's identity and relationship status.
4. Provide your permanent address, including address line 1, address line 2, village or town, circle, district, and pin code. Ensure accuracy to avoid any issues with correspondence.
5. Enter your designation, date of birth, date of appointment, and expected retirement age. These details are essential for tracking your service record.
6. Document your contact number and your current place of posting. This information is necessary for communication purposes.
7. List the name of the department and office to which you are currently assigned. Next, provide the name of the Drawing & Disbursing Officer (DDO).
8. Indicate your pay matrix level as per the 7th CPC and specify the pay drawing office. Ensure that your employee code, GPF, or NPS number is included.
9. In case this is a new application, mention whether you have submitted your application for enrolment in the GPF/NPS to the Government Data Centre, including the reference number and date.
10. Provide your ID card number and EPIC number (voter ID) where prompted.
11. Complete the section regarding the Arunachal Pradesh Scheduled Tribe status by selecting 'Yes' or 'No' as applicable.
12. Fill out the details of dependents under CMAAY, including their name, date of birth, relationship, marital status, employment status, and Aadhaar card number. Remember to indicate if you are self-employed.
13. Attach photocopies of the Aadhaar cards for all dependents along with your application. You may add additional pages if necessary for more dependents.
14. Finally, sign the form to certify that the provided details are verified with your service book. Check the checklist of documents attached and ensure you tick the applicable items.
15. Once all sections are completed, save the changes, download, print, or share the completed form as needed.

Complete your Govt. Employee Enrolment Form - WorkSheet online today for your health coverage needs.