Our ECHS authorities have released one Advisory for all the Primary members of ECHS.
They have instructed us to submit oneDECLRATION regarding MISUSE of the ECHS Cards.
We have to submit the DECLARATION BY 30-06-2025 TO our Officer In Charge, ECHS Poly clinics
AUTHORITY: MD ECHS ADVISORY No: B/49492/ AG/ECHS/Vig/69 dated 21-03-2025
FORM OF DECLARATION BY ECHS MEMBER.
I hereby solemnly reaffirm and declare that, if any ECHS membership Card issued to me and my dependents on any accts is misused or used by any unauthorized person , my membership will be cancelled without any notice or further hearing . In addition , I will forfeit my contribution and I will pay the entire cost of expenditure incurred on such unauthorized claims. I will also be liable for legal action by ECHS organization.
ECHS Beneficiary Name:
Membership Card No:
Signature of Member:
Date:
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