-Mi" - Indian Statistical Institute

INDIAN STATISTICAL INSTITUTE
DELHI CENTRE
No./D/MERU /S b /eor3 May 30, 2013
CIRCULAR
We are updating the family declaration in respect of Medical reimbursement.
All workers of the Institute are requested to fill-in the Declaration Form in
respect of their family members and dependents for availing the medical
reimbursement facility of the Institute with the following details:-
1. A certificate from the spouse's employer that he/ she is not availing
medical.
2. Date of birth of their children.
3. Details of income in respect of their parents supported by documentary
proof.
4. A Photostat copy of the ration card.
The duly filled form a-long with necessary documents may please be submitted
on or before 15ft June, 2013. The medical bills may not be processed in case of
the worker who fails to submit the forms along with desired information.
The Forms can be collected from the Medical Section (Sh. Amardeep/Mrs,
Darshana Bhatia).
-Mi"
Dy. Chief Executir
To:
All the workers through Notice Board
Stat-Math Unit
Planning Unit/CSSC
SQC & OR Unit
Library/Canteen/Guest House/ Sub-Station/Security/ Sweepers/Gardeners
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INDIAN STATISTICAL INSTITUTE
DELHICENTRE
Drsl/HDc/ MERU/ j'l /2013 May 30,2013
ctRcutAR
The following Laboratories/Diagnositc Centres are agreed to do the medical tests/investigations on
C.G.H.S. rates for the students/workers and their dependents.
Our medical budget is exceeding day by day. So to reduce the medical expenses whenever any medical
tests/investigations are prescribed all workers are requested to goto these labs. Onehas to carrythe
identity card issued by the Institute to availthis faciliW.
1. Goyal MRI & Diagnostic Centre
B-1l12, Safdarjung Enclave,
New Delhi - 110029.
Ph. 40777234
Dr. M.L.Aggarwal ,
A-11150 Safdarjung Enclave,
New Delhi - 110029
Mahajan lmagining Centre,
K-18 Hauz Khas, Delhi- 1100:16
Ph. z6to5z7L
Ph. 2G90100, 2690103
4.
Ganesh Diagnostic & lmaging Centre (P) Ltd.,
109-Pocket A-1 Sector-8,
Rohini, New Delhi - 110085
Ph.
5.
New Central Laboratory
A-L2416, Ground floor,
Shaheed Jeet Singh Marg,
Katwaria Sarai, New Delhi - 110016
Ph. 41689079
Thyrovision Laboratories Pvt. Ltd.,
F-U7, opp DDA flat, Phase -1,
Near Mother Dairy,
SJS Sansanwal Marg, New Delhi - 110015
All are requested to please co-operate,
Ph.41688617
4r+
(Hea/, D{lhi Centre}

II.,IDISI! STATISTIqAL INSTITUTD
DMPLOYEE'S DECLANATION NEGARDINC IAMILY MDMBERS AND DEPENDANT$
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Yes/No,
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