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  #2  
13th May 2018, 09:38 AM
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Re: Maulana Azad National Urdu University Application Form

Can you tell me the process to download the Application Form for Medical Reimbursement Claim for Outpatient Treatment from the official website of Maulana Azad National Urdu University?
  #3  
13th May 2018, 09:39 AM
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Join Date: Aug 2012
Re: Maulana Azad National Urdu University Application Form

The process to download the Application Form for Medical Reimbursement Claim for Outpatient Treatment from the official website of Maulana Azad National Urdu University is as follows:

Visit the official website of Maulana Azad National Urdu University

Click to PROFORMA & FORMS on the left of the home page

Click to Application Forms

Click to Medical Reimbursement Claim for Outpatient Treatment

On the new page, you will get the Application Form

That page will look like this:




Few Things that are to be mentioned in the Form

1. Name & Designation of the employee

2. Department / Branch

3. Pay including special pay

4. Place of duty

5. Actual residential address

6. I) Name of the patient and his/her
Relationship to the employee
a) Whether married
b) Whether Wife is employed
c) If so, Where

7. Address/Place at which the patient fell ill

8. Details of charges paid for A.M.A./ Specialist services indicating :
i) Consultation on
ii) Injections on
iii) Investigations on

9. Cost of Medicines

10. Total amount claimed


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