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Checklist of the documents required for Medical Assistance Benefit Form.
1. ABOCWWB Id Card
2. Bank passbook first page
3. Copy Of Payslip Of Account Paybook Showing Monthly Contribution Deposited
4. Accident Report From The Employer/Principal Employer/Local Police Authority
5. All Documents Of Treatment In Govt Hospital Upload 1
6. Photo Of The Part Of The Person Effected Due To Accident
7. Percentage Of Disability Certificate From The Appropriate Authority
8. Signature
All * Textbox are mandatory
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Maximum File size allowed is 1MB
Only pdf,png and jpeg images allowed
Maximum File size allowed is 1MB
Only pdf,png,jpeg images and pdf file type allowed
Maximum File size allowed is 1MB
Only pdf,png and jpeg images allowed
Maximum File size allowed is 1MB
Only pdf,png and jpeg images allowed
Maximum File size allowed is 1MB
Only pdf,png and jpeg images allowed
Maximum File size allowed is 1MB
Only pdf,png and jpeg images allowed
Maximum File size allowed is 1MB
Only pdf,png and jpeg images allowed
Maximum File size allowed is 1MB
Only pdf,png and jpeg images allowed
Maximum File size allowed is 1MB
Only pdf,png and jpeg images allowed
Maximum File size allowed is 1MB
Only pdf,png and jpeg images allowed