HIGH COURT OF JUDICATURE AT ALLAHABAD, LUCKNOW BENCH, LUCKNOW
Notice
All the employees of this Bench are hereby informed that a Memorandum of Understanding (MoU) has been signed between the Allahabad High Court and Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow (S.G.P.G.I., Lucknow) for free treatment, through a revolving fund, of the employees/ex-employees of this Court and their wholly dependent family members at S.G.P.G.I., Lucknow.
A proforma of the Authority-Letter, which shall be issued by the D.D.O. after filling up by the concerned employee, to verify the identity of the employees/ex-employees and their wholly dependent family members has been uploaded on the official website of the Allahabad High Court, i.e. http://www.allahabadhighcourt.in. The said proforma may be downloaded, completely filled up and submitted in the office, by the concerned employees who need free treatment at S.G.P.G.I., Lucknow, for further necessary action as per rules.
JOINT REGISTRAR (MRC)
The statement regarding a wholly dependent family members of an employee or ex-employee of the High Court of Judicature at Allahabad for treatment at Sanjay Gandhi Post Graduate Institute of Medical Sciences Lucknow.
Name of patient...................................................................
The relation of the patient with the concerned employee
or the ex employee of the High Court of Judicature at
Allahabad.
Date of Birth (in case of dependent)
Address...........................................................................................................
Mark of identity..............................................................................................
Central Registration Number..........................................................................
Signature/thumb impression of the patient.....................................................
Signature of the concerned employee or the ex-employee of the High Court of Judicature at Allahabad..............................................................................
Signature of the
Competent Authority