NLC Post Retirement Medical Assistance Scheme Renewal Application : Neyveli Lignite Corporation

Name of the Organization : Neyveli Lignite Corporation Ltd (nlcindia.com)
Type of Facility : Post Retirement Medical Assistance Scheme Renewal Application 2013-14
Location : Chennai

Website : http://www.nlcindia.com/

Application Format :
Post Retirement Medical Assistance Scheme Renewal Application 2013-14 :

(Last date for submission of renewal form : 31-03-2014)

From Date : ……………………

To
The Deputy General Manager (H.R) / E.S,
Welfare Section,
P.R. Building,
NLC limited, Block-2, NEYVELI 607 801.

Sir,
Sub : Post-Retirement Medical Assistance Scheme – Renewal form for the year 2013-2014

I have received the medical assistance for the year 2012-2013 through cheque (or) through Epayment as detailed below. 2012-2013

E-payment for Rs.……………………………………

Cheque for Rs. ……………………………………

No. :……………………………………

Dated :……………………………………

Please accept this renewal application for the year 2013-2014. I assure that I am not in receipt of any other medical facility from NLC General Hospital for me and for my spouse

Name of the spouse……………………….
Name of the retired employee ……………………….

I shall abide by the rules of PRMA & PRMI.

Yours faithfully,

Live Certificate :
It is certified that the retired employee and spouse (as above in the photo) are alive and signed before me on this day.

Signature Of Attesting Officer And Seal

For your kind reference :
Lr.No.CORP/HR/ES/PRMA/1300 /2013 Dated : ……………………….
Ref : Medical identity Card No……………………….
Name : Smt. / Shri……………………………………………………………………………………. CPF No: ……………………….
Encl : Cheque for Rs…………………………….No…………………………………………… dt :
E-payment for Rs……………………………………………………………………………………..

Download Form Here :
https://www.indianjobtalks.in/uploads/23522-renewal_form.pdf

Last Date For Submission of Renewal Form : 31-03-2014

Contact Postal Address :
Neyveli Lignite Corporation Limited
No.135, Periyar E.V.R. High Road, Kilpauk,
Chennai – 600 010. Tamil Nadu,India.