PMNRF Assistance Form - Summary
Prime Minister’s National Relief Fund (PMNRF) offers vital support through public contributions without relying on any government budget. The PMNRF welcomes donations from individuals, organizations, trusts, companies, and institutions. Notably, all contributions to the PMNRF qualify for Income Tax exemption under section 80(G), making it simpler for kind-hearted donors to help those in need.
PMNRF Assistance Form (Essential Information)
This section provides key details required to complete the PMNRF Assistance Form. It’s very important to fill out the form accurately to ensure a smooth application process. Here’s the information you need to provide:
- Name of the Patient
- Photograph of Patient
- Age/Sex of the Patient
- Father’s/Husband’s name
- Number of Family members
- Residential address for correspondence. Please attach a proof copy.
- Contact details of the patient/applicant
- Telephone/Mobile No.
- E-mail ID
- AADHAAR-Card No. (Please attach a self-attested copy of the card.)
- Nature of Disease/ailment/Treatment Required
- Amount of Financial Assistance required for future treatment as per estimate given by the hospital.
- Has the patient previously received assistance from PMNRF?
- Is the patient covered under ‘Ayushman Bharat [Pradhan Mantri Jan Arogya Yojana (PM-JAY)]? If yes, please provide Card No. and details of assistance received under ‘Ayushman Bharat [Pradhan Mantri Jan Arogya Yojana (PM-JAY)].
- Have you applied/are you eligible for any other sources of funding/assistance from any Govt. agency, NGO, Insurance company, Hospital, or Employer? If Yes, please share details.
- Is the patient or their dependent an employee of Central Govt., State Govt., Local Bodies, or PSU?
- Occupation and monthly income of the patient or the dependent. Please attach an Income Certificate issued by the District Revenue Authority.
- Bank Details (Please attach a copy of the first page of the passbook or a cancelled cheque)
- Bank A/C holder’s Name (Patient/Applicant)
- Bank Account No.
- Bank and Branch Name
- IFSC Code
- Any Other relevant information.
- Signature of the patient/applicant
Be sure to download the PMNRF Assistance Form in PDF format using the link provided below. This will help you easily apply for the support you need! 📄
