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LSGD(EW) Application for MEDISEP- Employee
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Enter the pre-shared passcode
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Details of Employee
PEN of employee
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Name of Employee
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Department
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Office
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Designation of employee
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Deputation details
Whether under deputation
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If yes, Present office
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If Yes, Home Department
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Details of employee
Date of Birth
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Date of retirement
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Mobile number
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Gender
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ID Card No.
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Blood Group
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Aaadhar Card Number
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Name as in Aadhar card
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PAN card number
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Details of Pensioner
Employee in receipt of family pension
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If yes, PPONO/Pension number
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Permanent address of employee
House No
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House Name
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Street
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Place
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District
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Details of spouse
Name of Spouse
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whether a policy holder of any other similar Govt projects
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If yes, Policy Number
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If yes, Policy Name
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Details of DDO
Name of Office
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DDO Code
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Treasury Code
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