Appendix ii form word format 2026

1. Click ‘Get Form’ to open the appendix ii form in our editor.
2. Begin by filling in your name and designation as a Government Servant. Indicate your marital status and, if married, provide the employment details of your spouse.
3. Next, enter the office where you are employed along with your pay details as defined in the Fundamental Rules. Ensure to list any additional emoluments separately.
4. Provide your place of duty and actual residential address for accurate processing.
5. Fill in the patient's name and relationship to you, including age if applicable. Specify where the patient fell ill.
6. Detail the amounts claimed under medical attendance, including consultation fees, tests undertaken, and costs of medicines. Attach necessary certificates as required.
7. For hospital treatment claims, specify charges for accommodation, diet, surgical operations, and any other relevant expenses. Include supporting documents where necessary.
8. Finally, complete the declaration section by signing and dating it to confirm that all information is accurate.

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