Follow the steps to complete the application form effectively.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin filling out your basic details. Provide your full name, residential address, and contact number in the designated fields.
3. Indicate whether you are a pensioner, freedom fighter, or family pensioner by selecting the appropriate option. If you are a pensioner, fill in the required details such as date of retirement, the ministry or department, and post held at the time of retirement.
4. For pensioners, complete the fields for pension payment order number, basic pension before commutation, last pay drawn, and whether retired on CPF.
5. If you are applying as a family pensioner, provide details of the deceased government servant, including their name, date of death, and the office where they served. Fill in details regarding the last pay drawn and your relationship with the deceased.
6. Specify the amount of family pension at both enhanced and ordinary rates, as applicable.
7. List all family members who are financially dependent and include necessary details such as name, date of birth, and relationship.
8. Review your application ensuring all required information is accurate. Confirm you abide by the rules and regulations and understand that you need to surrender your previous CGHS identity card.
9. Sign the application at the end, and ensure it is attested by a notary public or a gazetted officer.
10. Gather all necessary supporting documents, including your pension payment order, passport-sized photographs, and any surrender certificates. Once completed, you can save changes, download, print, or share the form as needed.

Complete your application for the Cghs Rajaji Bhavan online today to ensure you have access to the necessary health facilities.