To Claim Medical Bills,submit this FORM.

An urgent and Most Important News from our Circle Secretary is given below for your immediate action.
" Those who have submitted Medical Bills, are requested to submit the following details to their respective AO offices immediately."
The format for Personal details is given below for TN Circle retired officials.For STR section retired officials some other formats are  given separately .
Pensioners claiming Medical Reimbursement have to submit in the following pattern if you are retired before 30-06-2016. For retirees who had retired after 30-06-2016 need not apply.

Personal Details

Name                      :-

HR MS No              :-

ADDRESS              :-

Contact No             :-

Date of Birth           :-

Date of retirement  :-

Unit Last worked    :-

Designation             :-

Last Scale of Pay    :-

Bank Name              :-

Branch                     :-

Account No             :-

IFSC Code               :-

PAN Card No           : 

                                                                        Signature

For STR Division Pensioners MRS Proforma is given below