Agrahara Application Form

Agrahara Application Form

Agrahara Application Form

AGRAHARA PENSION APPLICATION FORM

Pensioned Member’s Insurance Claim Application Form for Hospitalization, Heart surgery, Cancer, and Other diseases and surgeries.

Application (Sinhala) DOWNLOAD
Application (Tamil) DOWNLOAD
Application (English) DOWNLOAD

Pensioned Member’s Accident Death or Natural Death Claim Form

Application Form DOWNLOAD

SEMI-GOVERNMENT

semi-government Member’s Insurance Claim Application Form for Hospitalization, Childbirth, Spectacles, Heart surgery, Cancer, and Other diseases and surgeries.

Application (Sinhala) DOWNLOAD
Application (English) DOWNLOAD

Ten months Loan Guarantee Certificate Request From

Application (Sinhala) DOWNLOAD
Application (English) DOWNLOAD

Member’s Insurance Claim Application Form for Hospitalization, Childbirth, Spectacles, Heart surgery, Cancer, and Other diseases and surgeries

Instructions Manual to complete the Form
Application (Sinhala) DOWNLOAD
Application (Tamil) DOWNLOAD
Application (English) DOWNLOAD
Member’s Accident Death or Natural Death Claim Form
Application (Sinhala) DOWNLOAD
Application (Tamil) DOWNLOAD
Application (English) DOWNLOAD

IMPORTANT: Please note to obtain the payment of this death claim or any claim payment, you shall NOT require to pay any amount as tax, stamp duty, or as document charges to National Insurance Trust Fund nor to any other institute or person and will be considered as a Bribe.

Registered Hospitals NITF authorized to pay Agrahara Claims :

  • Private hospitals list View
  • Ayurvedic hospitals list View
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