SUHRID MLA Health Assistance Form - Summary
Download the SUHRID MLA Health Assistance Form in PDF format here. This is your essential application form for financial assistance provided by the MLA Area Development Fund (SUHRID), Govt. of Assam, aimed at helping patients with treatment costs for various critical diseases.
Application Details
In this form, you will need to fill out important details about the patient, including:
- Name of the patient
- Date of Birth (DOB)
- Guardian Name
- Address
- Active Mobile Number
- Bank Account Details
- Caste
- Qualification
- Details of the disease
- Medical documents for which benefits are sought
- Other relevant information
Documents Required for SUHRID Health Form-3
- PAN Card
- Passport
- Voter Card
- Driving License
- Aadhaar Card
- Photo ID issued by a Recognised Educational Institution
- Certificate of Identity with photo issued by a Gazetted Officer
General Rules for Applying for the SUHRID Scheme
- Financial assistance of up to Rs. 10,000/- per case may be granted to patients for treatment of critical diseases, with an exceptional limit of Rs. 20,000/-.
- Only one beneficiary from a particular family can apply within one financial year.
- Benefits under this scheme cannot be claimed again by the same beneficiary in the following year.
- The beneficiary must not be a relative of the MLA or a government employee, nor their dependents.
- Hospitals recognized under the Assam Clinical Establishment Act will be eligible, in addition to government hospitals.
Also, check out the SUHRID MLA Scholarship Guidelines – Download PDF.
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