Required Documents for Serving Employees CGHS Card
1. Filled online application form from www.cghs.nic.in endorsed by
the head of department.
2. Salary Certificate. [CGHS Contribution may be mentioned in the
Salary certificate].
3. Residential proof.
4. Age proof of self and all dependent family members.
5. Adhaar card copy of self and all dependent family members.
6. Photos one set to affixed in application form.
Additional 3 Joint photos attested by Gazetted Officer. (Size 3.5x5)
& Separate 2 photos of each family member without attested (size
2.5x3.5)
7. Covering letter from office with form C & D available in
www.cghs.nic.in.
8. Dependency certificate in the prescribed form available in CGHS
website. [if required].
In transfer case
9. Copy of transfer order and Joining report.
10. Last pay certificate.
11. CGHS card Surrender Certificate.
12. No issuance of CGHS card certificate from concerned
department in case if card is not issued in previous posting.
13. All documents should be attested by the Gazetted Officer.
For more information visit www.cghs.nic.in
By Order
CGHS Authority
Required Documents for Pensioner Card
1. Filled Online application form from cghs.nic.in
2. Last pay Certificate
3. Residential proof.
4. Age proof of self and all dependent family members.
5. Adhaar card copy of self and all dependent family members.
6. Photos one set to affixed in application form.
Additional 3 Joint photos attested by Gazetted Officer. (Size 3.5x5)
& Separate 2 photos of each family member without attested (size
2.5x3.5)
7. Pension Payment Order.
8. Dependency certificate in the prescribed form available in CGHS
website. [if required].
9. Bank certificate (not being paid fix medical allowance 500/- per
month along with pension)
10. CGHS Card Surrender Certificate.
11. All documents should be attested by Gazetted Officer.
12. Demand Draft in favor of Additional Director CGHS Nagpur for
the appropriate amount.
For more information visit www.cghs.nic.in
By Order
CGHS Authority