CGHS BENEFICIARIES WELFARE ASSOCIATION OF INDIA - (CBWAI)

Regd No. S/RS/KH(SW)/99/2021 * NITI AAYOG No. DL/2025/0819793

CBWAI

Name *

Date of Birth *

Gender *

Male

Female

Other

Mobile Number *

Email Address

CGHS ID *

CGHS Wellness City * -- Select City -- AGARTALA AGRA AHMEDABAD AIZWAL AJMER ALIGARH ALLAHABAD AMBALA AMRISTAR AURANGABAD BAGHPAT BAREILLY BEHRAMPUR BENGALURU BHOPAL BHUBANESWAR CALICUT CHANDIGARH CHANDRAPUR CHENNAI CHHAPRA CHHATRAPATI SAMBHAJI NAGAR COCHIN COIMBATORE CUTTACK DARBHANGA DEHRADUN DELHI & DELHI NCR DHANBAD DIBRUGARH GANDHINAGAR GANGTOK GAYA GORAKHPUR GUNTUR GUWAHATI GWALIOR HYDERABAD IMPHAL INDORE JABALPUR JAIPUR JALANDHAR JALPAIGURI JAMMU JODHPUR KANNUR KANPUR KOHIMA KOLKATA KOTA LUCKNOW MEERUT MORADABAD MUMBAI MUZAFFARPUR MYSURU NAGPUR NASHIK NELLORE PANAJI PANCHKULA PATNA PRAYAGRAJ PUDUCHERRY PUNE RAIPUR RAJAHMUNDRY RANCHI SAHARANPUR SECUNDERABAD SHILLONG SHIMLA SILCHAR SILIGURI SONIPAT SRINAGAR THIRUVANANTHAPURAM TIRUCHIRAPPALLI TIRUNELVELI TIRUPATHI VADODRA VARANASI VIJAYAWADA VISHAKHAPATNAM

Wellness Center * -- Select Wellness Center --

Ministry *

Category *

Serving

Retired

Others

Spouse Name

Spouse CGHS ID

Spouse Date of Birth

Total Family Beneficiaries *

Photo * [.jpg, .jpeg, .png; size : upto 2MB ]

Subscription Fee

Donation Amount

Please enroll me as member in CBWAI. I do hereby authorize CBWAI to use my above information for official purpose. I understand that amount paid by me is non-refundable. I assure that I shall abide by the rules and regulations of CBWAI, issued from time to time.

Register