Applicable to – Dependent son upto 30 years of age, Physically Handicapped son / daughter ( no age limit) Dependent parents ( Father /Mother, parents including Step parent) Er. Samiran Das , Chief Husband & Wife Inspector of Factories, Documents to submit- Assam, Forwarding of Medical Certificate for treatment from Govt. Hospital/ Referral O/o Chief Inspector of Medical Board, Factories, Assam, N. P. S. 7 days Nil - 16 reimbursement Prescribed Essential Certificate duly signed by concerned Medical School Lane, Betkuchi, Bill. Officer, Lokhra, Guwahati - 781040 Medical Bill signed by authorized person /doctor of concerned Mobile No. 9435048674 hospital, In case of referred treatment, letter from Referral Board, Email Id: Admissibility report on submitted bill from Director, Health Service, Assam Prescribed list signed by Head of the deptt. Discharge Certificate from the Hospital concerned. Application requesting information under RTI Act,2005 giving Er. G.C.Borah, Addl CIF & SPIO, detail of name, address and contact No. of applicant. A first appeal Rs 10/- per application may be Application fee by way of cash/DD/Banker’s Cheque/IPO(for GoI) O/o Chief Inspector of Rs 2/- per page of preferred Factories, Assam, N. P. S. Photocopy of BPL Card Furnishing photocopy against the School Lane, Betkuchi, information on 30 days 17 decision, Lokhra, Guwahati - 781040 Application fee is RTI Act. with the exempted for BPL Mobile No. 9435341724 Appellate applicant. Authority. Email:
16 Forwarding of Medical reimbursement Bill. Applicable to – Dependent son upto 30 years of age, Physically Handicapped son / daughter ( no age limit) Dependent parents ( Father /Mother, parents including Step parent) Husband & Wife Documents to submit- Medical Certificate for treatment from Govt. Hospital/ Referral Board, Prescribed Essential Certificate duly signed by concerned Medical Officer, Medical Bill signed by authorized person /doctor of concerned hospital, In case of referred treatment, letter from Referral Board, Admissibility report on submitted bill from Director, Health Service, Assam Prescribed list signed by Head of the deptt. Discharge Certificate from the Hospital concerned. 7 days Nil - Er. Samiran Das , Chief Inspector of Factories, Assam, O/o Chief Inspector of Factories, Assam, N. P. S. School Lane, Betkuchi, Lokhra, Guwahati - 781040 Mobile No. 9435048674 Email Id: 17 Furnishing information on RTI Act. Application requesting information under RTI Act,2005 giving detail of name, address and contact No. of applicant. Application fee by way of cash/DD/Banker’s Cheque/IPO(for GoI) Photocopy of BPL Card 30 days Rs 10/- per application Rs 2/- per page of photocopy Application fee is exempted for BPL applicant. A first appeal may be preferred against the decision, with the Appellate Authority. Er. G.C.Borah, Addl CIF & SPIO, O/o Chief Inspector of Factories, Assam, N. P. S. School Lane, Betkuchi, Lokhra, Guwahati - 781040 Mobile No. 9435341724 Email:
Compiled%20Citizen%20Charter.docx