Get Health Card Application Form Download

Completing the Health Card Application Form Download is an essential step for users seeking health card enrollment. This guide provides clear and detailed instructions to help you navigate the form accurately and efficiently.

Follow the steps to successfully complete the application form.

1. Click the 'Get Form' button to obtain the form and open it in your preferred editor.
2. Begin by entering your employee code as provided by DTA. Next, indicate whether you possess an Aadhaar Card Number or Aadhaar Enrolment Receipt Number by selecting the appropriate option.
3. Fill in your Aadhaar card number (12 digits) or Aadhaar enrolment number (28 digits) in the respective fields.
4. Complete the personal details section by providing your name as listed in the Service Register, selecting your sex, and entering your date of birth in the format dd-mm-yyyy. If applicable, specify if you have a disability.
5. Indicate your community classification, marital status, date of joining service, and any disabilities you may have, along with the disability percentage.
6. Provide your residential address, including house number, street, and district. Select whether your area falls under a Mandal or Municipality.
7. Fill in your office address details using the same structure as your residential address.
8. In the identification details section, enter your ration card number and any identification marks.
9. Next, provide current posting details such as the head of the department, district of posting, DDO code, and your post category.
10. In the current pay details section, input your pay grade, source of pay as per PRC, pay scale, and your current pay.
11. Prepare necessary attachments by scanning required documents like your service register, photograph, Aadhaar card or enrolment receipt, and any relevant disability certificate.
12. For dependent family members, repeat the process by entering their details, including relationship, name, sex, date of birth, Aadhaar number, and disability information.
13. Finally, complete the declaration section confirming that the provided information is accurate and your agreement to share your Aadhaar details with the government. Sign and date the form.
14. Once you have filled out all sections, save your changes, and then proceed to download, print, or share the form as needed.

Ready to complete your Health Card Application Form? Start filling it out online today!