GUIDELINES & INSTRUCTIONS FOR FILLING UP OF ECHS SMART CARD

ONLINE APPLICATION FORM – 1 JAN 1996 – 31 MAR 2003 PENSIONERS

1. 1 JAN 1996 – 31 MAR 2003 PENSIONERS. Ex-servicemen who retired / discharged from
service between 1 Jan 1996 to 31 Mar 2003 will be covered under this category. Those pensioners
who wish to become a member of ECHS will apply under this category. They are required to fill the
online Smart Card Application under Pre 1st Apr 2003 category thereafter select category 1 Jan 1996
to 31 Mar 2003 available on the online portal.

(a) Registration Process.

(i) Visit ECHS website http://www.echs.gov.in then click on the tab Online Smart
Card Application – Online Application.

(ii) Enter your name, service number along with valid mobile number and e-mail ID
(for receiving One Time Password) and new password then click on tab Register.

(iii) Verify your e-mail ID with the OTP received on your mail.

(iv) Verify your mobile number with the OTP received on your mobile.

(v) Registration process is complete after successful mobile OTP verification.

(vi) After successful registration a message will be displayed that Registration

Process successful proceed for Eligibility Check Process. One can login any time
using registered e-mail ID and password to fill the online ECHS smart card application
by clicking Already Registered Click to Login.

(vii) The Registration details will be valid only for a period of 15 days, if the
application is not filled completely and payment is not done for Smart Card. After 15
days period previous registration will expire and a new registration process has to be
followed.

(b) Eligibility Check Process.

(i) Click on the tab ‘Pre 1st Apr 2003 Retiree’

(ii) Click on the tab ‘1st Jan 1996 – 31st Mar 2003 Pensioners’

(iii) Select your Disability details (if any).

(iv) Select your citizenship, state then enter your Aadhaar number and Date of Birth.

(v) To add dependents, click on the ‘Add Dependent’ button.

(vi) Enter the Dependent Name, Dependent Relation, Dependent Date of Birth,
Dependent Marital Status, Dependent Monthly Income, Dependent Mobile Number,
Dependent Email ID, Dependent Disability Details (if any), Dependent Postal Address,
if same as primary beneficiary then select Address same as Primary Beneficiaries
Current Address else enter address of dependent, enter Dependent Aadhaar Number.

(vii) For white card eligibility, select physical disability as per The Person With
Disabilities, PWD Act 1995 from the drop down menu. Attaching of scanned copy of
medical certificate by service specialist as per format provided is a mandatory
requirement. Please note if the certificate has been issued based on ailment same is
NOT valid irrespective who has signed.
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(viii) In case no other dependents need to be added, click on ‘If No Dependents

then Proceed to Verification’ button, else click on the ‘Add Dependent’ button to add
more dependents and follow steps (v) and (vi).

(ix) In case of any discrepancies in the eligibility criteria of any dependent, a

message will be displayed and respective field will be highlighted. Check and correct
the same for proceeding further to verification process.

(ix) On successful verification, a message will be displayed that Eligibility Check

completed successfully, proceed for Detailed Application.

(c) Detailed Application

(i) Click on the photo tab and upload your recent passport size photograph in civil
dress.

(ii) Select Gender, Date of Commission / Enrolment, Date of

Retirement/Release, Type of Pension, Type of Service, Category, Rank, Last unit
served, Record Office, PPO Number.

(iii) Click on signature tab and upload a photo of your signature.

(iv) If disability was selected, then enter your disability percentage. It should be 40%
or more.

(v) Click on the Family Pensioner photo tab and upload your recent passport size
photograph (in case of ESM Demise).

(vi) Click on Family Pensioner signature tab and upload a scanned copy of your
signature (in case of ESM Demise).

(vii) Enter the Family Pensioner Details in the preceding columns (in case of ESM
Demise).

(viii) Enter details as required in the preceding columns.

(ix) Select Regional Centre, then select Polyclinic from the available options as
per your address of residence and Station HQ will be auto populated.

(x) Enter your permanent address, select district, tehsil and pin code.

(xi) Check in the tab to enter your Current Address if different from Permanent
Address.

(xii) Contribution towards ECHS membership fees is required to be paid through

Military Receivable Order (MRO) is mandatory. Copy of receipt of MRO is required to
be attached. Rates of Contribution wef 01 Jun 2009 (as per 6th CPC) are as under
(Subject to Revision):-
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Grade Pay drawn at the time of retirement RATES OF Contribution

Rs 1800/-, Rs 1900/-, Rs 2000/-, Rs 2400/- and Rs Rs 15,000/-

2800/- per month
Rs 4200/- per month Rs 27,000/-
Rs 4600/-, Rs 4800/-, Rs 5400/- and Rs 6600/- per Rs 39,000/-
month
Rs 7600/- and above per month Rs 60,000/-

(xiii) Rates of contribution are subject to revision as per 7th CPC.

Note: (i) War Disabled Pensioners/War Widows/NOK of Battle Casualties are exempted
from paying ECHS subscription.
(ii) All pensioners who have retired prior to 01 Jan 1996 are exempted from paying
ECHS contribution.
(iii) Fixed medical Allowance will be stopped from date of ECHS membership.

(d) For Dependents.

(i) Upload recent passport size photograph and photo of signature/thumb

impression of the dependent by clicking on the tabs.

(ii) Enter details in respect of dependent as required in the preceding columns.

(iii) Follow same procedure for addition of all the dependents.

(iv) Details in the application can be edited any time before submission.

(v) Dependent if added erroneously can be deleted before submission of form.

(e) Attachments.

(i) PPO copy.

(ii) Death certificate of ESM (only in case of ESM demise).

(iii) Disability Medical Certificate (In case of PWD) (Appendix B).

(iv) Receipt of MRO (Appendix A & D).

(v) DPDO / Bankers Certificate for non-drawing of FMA (Appendix C).

(vi) On successful filling of Detailed Application, a message will be displayed that

Detailed Application filled up successfully proceed for Payment.

(f) Payment.

(i) You will be directed to a new window for payment for ECHS Smart Cards.
Please note that the cost of one Smart Card is Rs. 177/- (inclusive of all taxes)
plus transaction charges extra (as applicable). Separate card will be needed for
all members.

(ii) Select mode of payment and proceed as directed.

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(iii) On successful payment a confirmation SMS is forwarded to the registered

mobile number of primary beneficiary along with an Application number.

(iv) A message is displayed Payment successful, Proceed for Temporary Slip

Generation.

(v) After successful filling of application and payment, the filled application will be
forwarded on primary beneficiaries email as well as the same will remain available
under individuals login for printing. There is NO need to forward filled application to
any office, it is available only for record purpose of applicant.

(g) Temporary Slip.

(i) Online generated Temporary slip is required to be taken to nearest polyclinic for
activation along with all related service documents for ECHS membership. Temporary
Slip will be signed by OIC Polyclinic only after physical verification of the documents (in
original).

(ii) Temporary slip can be used in the interim period for availing ECHS facilities till
the issue of ECHS Smart Card.

(iii) On receipt of Smart Cards at Station HQ, intimation SMS will be forwarded to
your registered mobile number. The Smart Cards are required to be collected by every
dependent in person from Station HQ with deposit of Temporary slip.

(h) Observations by Record Office.

(i) In case of any observation raised by your Record Office, the application will be
reverted back to you for correction. You will get an intimation SMS regarding
observations by Record Office.

(ii) Observations raised by the Record Office will be spelt out in your login.

(iii) Correct the observations and re-submit the application to Record Office for
further processing of Smart Card application.