DA RATES FROM AUGUST 2012 TO JANUARY 2013

(Ref : Corporate Centre e-Circular No.CDO/P&HRD-PM/24/2012-13 Dated 08-08-2012)

Annexure - I 
RATES OF DEARNESS RELIEF PAYABLE TO PENSIONERS
WHO HAVE RETIRED (A)PRIOR TO 1-11-1987 and (B) BETWEEN 1-11-1987 & 31-10-1993

 

Sr.No.

Basic Pension + FDR (As Applicable)

Dearness Relief for the months 
August 2012 to January 2013
 
(Average Index - 4709) (Slabs - 1027)

1.

Upto Rs. 1250.00

688.09 % of aggregate of Basic Pension & F.D.R.

2.

From Rs. 1251.00 to Rs. 2000.00

Rs.8,601=12 + 564.85% of aggregate of Basic
Pension & F.D.R. in excess of Rs.1,250=00

3.

From Rs. 2001.00 to Rs. 2130.00

Rs.12,837=49 + 338.91 % of aggregate of Basic
Pension & F.D.R. in excess of Rs.2,000=00

4.

Above Rs. 2130.00

Rs.13,278=07 + 174.59 % of aggregate of Basic
Pension & F.D.R. in excess of Rs.2,130=00

 

 

DEARNESS RELIEF PAYABLE TO PENSIONERS 
Who Have Retired on OR after 1-11-1993 & upto 31-10-2002

Sr. No.

Basic Pension + FDR (As applicable)

Dearness Relief for the months 
August 2012 to January 2013  
(Average Index - 4709) (Slabs - 890)

1.

Upto Rs. 2400.00

311.50 % of Basic Pension

2.

From Rs. 2401.00 to Rs. 3850.00

Rs.7,476=00 + 258.10 % of Basic Pension
in excess of Rs.2,400=00

3.

From Rs. 3851.00 to Rs. 4100.00

Rs.11,218=45 + 151.30 % of Basic Pension
in excess of Rs.3,850=00

4.

Above Rs. 4100.00

Rs.11,596=70 + 80.10 % of Basic Pension
in excess of Rs.4,100=00

 

 

Dearness Relief payable to Pensioners who have

retired on or after 1-11-2002 to 31-10-2007 from August 2012 to January 2013
( Average Index -CPI - for quarter ended June 2012 :- 4709 ; and No. of Slabs - 605 )
for the months

Rate of dearness Relief on Pension : 108.90 % of basic pension
( ignore decimals from 3rd place onwards)

*******************************************************

Dearness Relief payable to Pensioners who have

retired on or after 1-11-2007 from August 2012 to January 2013
( Average Index -CPI - for quarter ended June 2012 :- 4709 ; and No. of Slabs - 468 )
for the months

Rate of dearness Relief on Pension : 70.20 % of basic pension
( ignore decimals from 3rd place onwards)

*******************************************************


ANNEXURE - II
Dearness Relief payable to - FAMILY PENSIONERS

(i) Dearness Relief for Family Pensioners in respect of Pensioners who died or retired (a) before 1-11-1993 (b) on or after 1-11-1993 but before 1-4-1998 and (c) on or after 1-11-2002 will be paid as per the tables given for the Pensioners as per Annexure-I (given above)

(ii) The Dearness Relief of Family Pensioners in respect of Pensioners who died/retired on or after 1-4-1998 but before 01-11-2002 will be as per the following table :-

 

 

(Ref : Corporate Centre e-Circular No.CDO/P&HRD-PM/24/2012-13 Dated 08-08-2012)

Annexure - I 
RATES OF DEARNESS RELIEF PAYABLE TO PENSIONERS
WHO HAVE RETIRED (A)PRIOR TO 1-11-1987 and (B) BETWEEN 1-11-1987 & 31-10-1993

 

Sr.No.

Basic Pension + FDR (As Applicable)

Dearness Relief for the months 
August 2012 to January 2013
 
(Average Index - 4709) (Slabs - 1027)

1.

Upto Rs. 1250.00

688.09 % of aggregate of Basic Pension & F.D.R.

2.

From Rs. 1251.00 to Rs. 2000.00

Rs.8,601=12 + 564.85% of aggregate of Basic
Pension & F.D.R. in excess of Rs.1,250=00

3.

From Rs. 2001.00 to Rs. 2130.00

Rs.12,837=49 + 338.91 % of aggregate of Basic
Pension & F.D.R. in excess of Rs.2,000=00

4.

Above Rs. 2130.00

Rs.13,278=07 + 174.59 % of aggregate of Basic
Pension & F.D.R. in excess of Rs.2,130=00

 

 

DEARNESS RELIEF PAYABLE TO PENSIONERS 
Who Have Retired on OR after 1-11-1993 & upto 31-10-2002

Sr. No.

Basic Pension + FDR (As applicable)

Dearness Relief for the months 
August 2012 to January 2013  
(Average Index - 4709) (Slabs - 890)

1.

Upto Rs. 2400.00

311.50 % of Basic Pension

2.

From Rs. 2401.00 to Rs. 3850.00

Rs.7,476=00 + 258.10 % of Basic Pension
in excess of Rs.2,400=00

3.

From Rs. 3851.00 to Rs. 4100.00

Rs.11,218=45 + 151.30 % of Basic Pension
in excess of Rs.3,850=00

4.

Above Rs. 4100.00

Rs.11,596=70 + 80.10 % of Basic Pension
in excess of Rs.4,100=00

 

 

Dearness Relief payable to Pensioners who have

retired on or after 1-11-2002 to 31-10-2007 from August 2012 to January 2013
( Average Index -CPI - for quarter ended June 2012 :- 4709 ; and No. of Slabs - 605 )
for the months

Rate of dearness Relief on Pension : 108.90 % of basic pension
( ignore decimals from 3rd place onwards)

*******************************************************

Dearness Relief payable to Pensioners who have

retired on or after 1-11-2007 from August 2012 to January 2013
( Average Index -CPI - for quarter ended June 2012 :- 4709 ; and No. of Slabs - 468 )
for the months

Rate of dearness Relief on Pension : 70.20 % of basic pension
( ignore decimals from 3rd place onwards)

*******************************************************


ANNEXURE - II
Dearness Relief payable to - FAMILY PENSIONERS

(i) Dearness Relief for Family Pensioners in respect of Pensioners who died or retired (a) before 1-11-1993 (b) on or after 1-11-1993 but before 1-4-1998 and (c) on or after 1-11-2002 will be paid as per the tables given for the Pensioners as per Annexure-I (given above)

(ii) The Dearness Relief of Family Pensioners in respect of Pensioners who died/retired on or after 1-4-1998 but before 01-11-2002 will be as per the following table :-

 

 

(Ref : Corporate Centre e-Circular No.CDO/P&HRD-PM/24/2012-13 Dated 08-08-2012)

Annexure - I 
RATES OF DEARNESS RELIEF PAYABLE TO PENSIONERS
WHO HAVE RETIRED (A)PRIOR TO 1-11-1987 and (B) BETWEEN 1-11-1987 & 31-10-1993

 

Sr.No.

Basic Pension + FDR (As Applicable)

Dearness Relief for the months 
August 2012 to January 2013
 
(Average Index - 4709) (Slabs - 1027)

1.

Upto Rs. 1250.00

688.09 % of aggregate of Basic Pension & F.D.R.

2.

From Rs. 1251.00 to Rs. 2000.00

Rs.8,601=12 + 564.85% of aggregate of Basic
Pension & F.D.R. in excess of Rs.1,250=00

3.

From Rs. 2001.00 to Rs. 2130.00

Rs.12,837=49 + 338.91 % of aggregate of Basic
Pension & F.D.R. in excess of Rs.2,000=00

4.

Above Rs. 2130.00

Rs.13,278=07 + 174.59 % of aggregate of Basic
Pension & F.D.R. in excess of Rs.2,130=00

 

 

DEARNESS RELIEF PAYABLE TO PENSIONERS 
Who Have Retired on OR after 1-11-1993 & upto 31-10-2002

Sr. No.

Basic Pension + FDR (As applicable)

Dearness Relief for the months 
August 2012 to January 2013  
(Average Index - 4709) (Slabs - 890)

1.

Upto Rs. 2400.00

311.50 % of Basic Pension

2.

From Rs. 2401.00 to Rs. 3850.00

Rs.7,476=00 + 258.10 % of Basic Pension
in excess of Rs.2,400=00

3.

From Rs. 3851.00 to Rs. 4100.00

Rs.11,218=45 + 151.30 % of Basic Pension
in excess of Rs.3,850=00

4.

Above Rs. 4100.00

Rs.11,596=70 + 80.10 % of Basic Pension
in excess of Rs.4,100=00

 

 

Dearness Relief payable to Pensioners who have

retired on or after 1-11-2002 to 31-10-2007 from August 2012 to January 2013
( Average Index -CPI - for quarter ended June 2012 :- 4709 ; and No. of Slabs - 605 )
for the months

Rate of dearness Relief on Pension : 108.90 % of basic pension
( ignore decimals from 3rd place onwards)

*******************************************************

Dearness Relief payable to Pensioners who have

retired on or after 1-11-2007 from August 2012 to January 2013
( Average Index -CPI - for quarter ended June 2012 :- 4709 ; and No. of Slabs - 468 )
for the months

Rate of dearness Relief on Pension : 70.20 % of basic pension
( ignore decimals from 3rd place onwards)

*******************************************************


ANNEXURE - II
Dearness Relief payable to - FAMILY PENSIONERS

(i) Dearness Relief for Family Pensioners in respect of Pensioners who died or retired (a) before 1-11-1993 (b) on or after 1-11-1993 but before 1-4-1998 and (c) on or after 1-11-2002 will be paid as per the tables given for the Pensioners as per Annexure-I (given above)

(ii) The Dearness Relief of Family Pensioners in respect of Pensioners who died/retired on or after 1-4-1998 but before 01-11-2002 will be as per the following table :-

 

 

 

LATEST INSTRUCTION OF CORPORATE CENTRE ON PAYMENT OF INTEREST FOR 

DELAY IN REFUND OF P.F. BALANCE (EVEN WHEN DELAY IS NOT ATTRIBUTABLE TO BANK)

 

e Circular 

State Bank of India P & HRD

Corporate Centre Mumbai Sl. No. 423/2011

Circular No. :CDO/P&HRD-PPFG/51/2011 - 12                           Friday, August 12, 2011.

                                                                                                               21, Shravan 1933 (S).

All LHOs / Branches / Offices of

State Bank of India

 

Madam/ Dear Sir,

REFUND OF PROVIDENT FUND

INTEREST ON DELAYED PAYMENT

As per the existing procedure, the refund of Provident Fund is to be made on the day of

retirement of the employee. As per the present instructions, in the case of superannuation,

interest on delayed refund of Provident Fund balance is payable from the date of retirement

to the actual date of payment of the PF balance if the delay is due to administrative

reasons and not attributable to the member. Such overdue interest is paid at the same

rate of interest as applicable to the Provident Fund account at the material time by debit to

branch charges account.

2. In terms of the present instructions, interest on delayed payment of PF balance

is not paid in case the delay is caused due to late submission of duly completed

application by the employee.

3. At times, the employee is unable to lodge his claim for refund of Provident Fund

due to various reasons such as ignorance of instructions, non-receipt of intimation from

the Bank or preoccupation in job etc. In such cases, the Provident Fund balance may be

refunded subsequent to the date of retirement of the employee. At present, no interest is

paid on the delayed settlement although the fund remained with the Bank.

4. It has been decided that even in cases of delay attributable to the employee, on

receipt of claim, interest may be paid at Savings Bank Rate (Staff) or at the rate of interest

payable on the Provident Fund at the material time, whichever is lower, from the date of

normal retirement to the actual date of refund of Provident Fund balance to the employee.

Please note to bring the contents of this circular to the notice of all concerned.

 

Yours faithfully,

Sd/-

For Deputy Managing Director &

Corporate Development Officer

 

 

XXXXXXXXXXX-----------------XXXXXXXXXXXXX

CIRCULAR INSTRUCTION AND FORMAT FOR

 LIFE CERTIFICATES FOR SBI  PENSIONERS

e-Circular

State Bank of India P&HRD

Corporate Centre - Mumbai Sl.No.: 179/2011 - 12

Circular No. : CDO/P&HRD-PPFG/29/2011-12

Friday, June 03, 2011

13 Jyestha 1933 (S)

All LHOs/Branches/Offices of

State Bank of India

 

 

Madam / Dear Sir,

IBI/SBI/SBS/SBIN EMPLOYEES' PENSION SCHEMES

IBI/SBI/SBS/SBIN FAMILY PENSION SCHEMES

SUBMISSION OF LIFE CERTIFICATE BY

PENSIONERS/FAMILY PENSIONERS

At present there are no  laid  down instructions  regarding  the  periodicity  of  submission  of the Life

Certificate by  IBI/SBI/SBS/SBIN Pensioners and Family Pensioners.   As  a  result  of  which  a  large

number of IBI/SBI.SBS/SBIN Pensioners and family pensioners are not regularly submitting their life

certificates which may lead to wrong pension payments and also result in recovery related issues at

a later date.

 

2.   The   matter   has   been   examined   at  Corporate  Centre  and  it  has been  decided  as  under :

 

i.  To make it mandatory for all IBI/SBI/SBS/SBIN Pensioners  and  Family Pensioners to  furnish  life

certificate in the month of November each year on the prescribed format,  failing which  pension will

be stopped two months thereafter i.e. from the month of January.

 

ii. Life certificate in the physical form may be submitted in the prescribed format by the pensioner /

family pensioner not necessarily to the home branch where his /her pension account is maintained

but to any branch. The acknowledgement of having received the Life Certificate will be issued to the

pensioner / family pensioner by the Branch where the Life Certificate is submitted. After receiving the

Life Certificate the branch (Home / Non Home) will verify the signature / thumb impression from CBS

and update the same in the related HRMS site. Life Certificate can be updated in the HRMS site by

any officer of the branch.

 

iii. When Life Certificate is submitted at a Non Home Branch, after updating the record in HRMS, the

branch shall forward the original Life Certificate to the Home Branch and retain a copy of the same

for their record.

 

Please note to bring the contents of this circular to the notice of all concerned.

 

Yours faithfully,

 

for Dy. Managing Director &

Corporate Development Officer

Enclosure : Specimen of Life Certificate for pensioner

 

ANNEXURE

IBI/SBI/SBS/SBIN PENSION LIFE CERTIFICATE

 

Certified  that   Shri / Smt .........................................................a  pensioner  of  the  Bank

appeared before me today and signed / affixed his / her L.T.I. below in my presence.

_______________ _______________

Signature / L.T.I.                                                                                         Branch Manager /

                                                                                                                      Gazetted Officer

Date ............................                                                                                       (Office seal)

 

Name of the Pensioner        : ______________________

P.F.Index Number                  : ______________________

Pension A/c No.                     : ______________________

Name and Code of the

Pension paying Branch        : ______________________

 

 

------------------------------------------------------------------------------------------------------------------

 

                                               ACKNOWLEDGEMENT

(to be given to the applicant by the Branch receiving the Life Certificate)

Received from Shri/Smt.______________________________________________

his / her Life Certificate on _____________

Date _______________

Branch _____________                                                                  Signature of the officer

                                                                                                               receiving Life Certificate

                                                                                                               Seal of the Branch

 

 

                                                                   XXXXXXXXXXXXXXX-------------------XXXXXXXXXXXXXXXXXX

 

 

 

 

 

 

LOAN SCHEME FOR SBI PENSIONERS AND FAMILY PENSIONERS

 

The Pensioners and Family Pensioners of SBI are eligible for Demand Loans on the following terms and conditions-

1. Eligibility:

All Pensioners, not more than 72 years of age and all Family Pensioners, not more than 65 years of age and maintaining their

pension account with the Bank, are eligible for the loan.

2. Purpose.

To meet personal expenses.

3. Loan Amount.

i) Pensioner - Maximum of 12 months net pension with a ceiling of  Rs. 100,000.

ii) Family Pensioner - maximum of 9 months net family pension with a ceiling of Rs 50,000. It has to be ensured that EMI

does not exceed 25% of the net family pension drawn.

4. Margin and Primary Security.

Nil

5. Collateral Security.

i) Pensioner- Third Party Guarantee of the spouse, eligible for Family Pension. In the absence of the spouse, guarantee of

any other family member or a third party.

ii) Family Pensioners - Third party guarantee of a person, who has been maintaining a satisfactorily conducted account

with the Bank, preferably son/daughter of the Family

Pensioner. However for loans upto Rs.25,000/- TPG is not necessary.

6. Repayment.

i) Those who have availed loan prior to completing 70 years of age- 60 monthly instalments.

ii) Those who have availed loan between 70-72 years - 48 monthly instalments.16

The deduction will start from pension payable one month after disbursement of loan.

7. Type of Loan.

Demand loan.

8. Rate of Interest

SBAR for the time being

9. Processing Fee.

Nil

10. Disbursement.

To credit to S.B account or Current account maintained at the pension paying branch.

11. Where to obtain the loan.

Branches maintaining pension accounts are authorised to sanction the loans.

12. Documentations.

i) Application cum Authority letter.

ii) D.P. Note made by the Pensioner in favour of guarantor and

endorsed by the latter in favour of the Bank.

iii) D.P.Note, Take Delivery letter

                                                                                  XXXXXXXXXXXXXXXX------------------XXXXXXXXXXXXXXXXX

 

                                                                       

 

                                                                                     Modified REMBS Circular Instructions                                                                                                                           

 

                                                                                                                                e-Circular

P&HRD. Sl. No. : 496/2009 - 10

Circular No. : CDO/P&HRD-PM/45/2009 - 10

Wednesday, October 14,2009.

22nd Ashwin, 1931 (S).

The   Chief   General   Manager , 

State   Bank   of   India , 

Local   Head   Office , 

All   LHOs/CC  Establishments. 

 

Madam/Dear  Sir , 

SBI RETIRED EMPLOYEES'  MEDICAL BENEFIT SCHEME (REMBS)

MODIFICATION IN THE SCHEME

We   refer   to   our   Circular   letters   No.   CDO/PM/16/CIR/46   dated   16.11.2006   and CDO/P&HRD-PM/60/ 2007-08   dated   17.01.2008.  In   terms  of  the  laid  down guidelines, reimbursement  of  medical  facility  is   available  to  all   categories  of  employees  and  officers   in   the  Bank   on   retirement  subject   to  terms  and

conditions   and  the  eligibility  criteria  mentioned  in  the   Circulars  under  reference. 

2.   In  this  connection,  the  Bank  has  reviewed  and  modified  the   Scheme   to include  increase  in ceilings,   increase  in   number   of   diseases,   inclusion  of  domiciliary  treatment  to  an   extent detailed below   for  the

retirees  who  retired on superannuation  at the  age of 60 for post retirement relief under REMBS.

3.   The   Executive   Committee  of  Central  Board  in  its  meeting  dated 24.09.2009    has  approved following  modifications   in  the  Scheme : - 

(A) TEGS and above retirees:

i. Eligibility:- All the TEGS and above retirees  who retired on superannuation at the age of 60, even before 01.01.2007 (whether member of Scheme-I/II or not a member of any of the Scheme), may now become members of the above Scheme by contributing the member’s contribution or the differential amount (as the case  may be) within twelve months from the date of publication of current circular. 

ii.  Coverage:- Two more diseases are proposed to be added to the list of 18 diseases to make it 20. These diseases are:

 

•  Liver Cirrhosis (non-alcoholic)

•  Arthritis 

iii. All modifications should have effect from 24.09.2009.

iv. Other terms and conditions as mentioned in above circular shall remain unchanged. 

 

(B) Scheme- II (Plan A, B, C, and D)- Employees (Award & Sub-ordinate) and officers retirees:-

i. Instructions regarding Plan A, B, C and D (which does not consist of domiciliary treatment) will remain unchanged. 

ii. Domiciliary Treatment:- New plans A1, B1, C1 and D1 have been introduced for domiciliary treatment, as below: 

    

Plans with domiciliary treatment                                                   Medical benefit for whole life

time (Self / spouse/dependent

invalid children)

 

Plans                            Contribution                                                                Rs. 2 lac

 

Plan A1                        Two months gross

       pension plus 15%

Plan B1                                        Rs. 42,600/-                                                 Rs. 3 lac

 

Plan C1                                        Rs.50,000/-                                                  Rs. 4 lac

 

Plan D1                                        Rs.57,000/-                                                  Rs. 5 lac 

 

Under domiciliary treatment, out of the aggregate limit mentioned in above Plans, an amount not exceeding 10% of the eligible amount would be earmarked for the domiciliary treatment, subject to yearly ceiling of 1/10

th  of the amount i.e. maximum up to 1% of the limit per annum can be availed for domiciliary

treatment.  

ii. Membership:- All employees who retired on superannuation at the age of 60 years and are members of Scheme- I or are not members of the Scheme can now become members of Scheme- II (Plan A/A1, B/B1, C/C1 and D/D1) by submitting the required application form along with membership subscription fee (difference amount or the full amount as the case may be) within twelve months from the date of publication of this circular.

iii. Up-gradation:- The existing members can now upgrade themselves by submitting the differential amount along with the required application form within twelve months from the date of publication of this circular.

iii. Addition of 4 diseases: - Four more diseases are added to the list of 16 diseases to make it 20 under Scheme II (Plan A/A1, B/B1, C/C1 and D/D1). These diseases are:

•  Alzheimer’s disease

•  Parkinson’s disease

•  Liver Cirrhosis (non-alcoholic)

•  Arthritis

Accordingly, the coverage of diseases is uniform for all the Schemes and for all categories.

iv. All modifications should have effect from 24.09.2009.

v. Other terms and conditions as mentioned in above Circulars shall remain unchanged 

 

(C) Scheme- II (Plan E)-  

A new  Plan ‘E’  has been introduced  for Employees (Award & Sub-ordinate) and officers retirees the salient features of which are given below:-

i. Limit: - Medical benefit for whole life time (Self / spouse/dependent invalid children) is proposed to be Rs. 7 lac.

ii. Membership:- All employees (Officers/Award/Sub-ordinate) who retired on superannuation at the age of 60 years and are members of Scheme- I / Scheme- II or are not members of any of the Scheme can now become members of Scheme-

II (Plan E) by submitting the required application form along with membership subscription fee (difference amount or full amount as the case may be) within twelve months from the date of publication of this circular.

iii. Contribution:-  The member’s contribution is Rs.62,000/-.

iv. Domiciliary treatment: -  Plan E consists of  domiciliary treatment. Out of the aggregate limit (Rs.7 lac) mentioned in Plan E, an amount not exceeding 10% (i.e. Rs.70,000/-) of the eligible amount would be earmarked for the domiciliary treatment, subject to yearly ceiling of 1/10 th  of the amount i.e. maximum up to

1% of the limit per annum (Rs.7,000/- p.a.) can be availed for domiciliary treatment. 

v. Addition of 4 diseases: - Four more diseases are added to the list of 16 diseases to

make it to 20. These diseases are:

a. Alzheimer’s disease;   

b. Parkinson’s disease;    

c. Liver cirrhosis (non-alcholic); and

d. Arthritis  

vi. Other terms and conditions as mentioned in above Circulars shall remain unchanged.

vii. The instructions shall be effective from 24.09.2009.

  

4.   Those  old  members, who wish to become members of the modified scheme, have to submit the required application form along with the differential amount of membership subscription fee within twelve months from the date of publication of this Circular. They may become member at any time within twelve months from the date of publication of this Circular but the revised benefits shall be effective from 24.09.2009 i.e.  date of approval of the modified scheme by Executive Committee of Central Board (ECCB). Further, if a treatment is continuing from a period prior to the date 24.09.2009 but ends on or after 24.09.2009 and the old member submits the required application form with the differential amount for availing the revised benefits, the old member shall be eligible for the revised benefits and may claim reimbursement of those medical   bills, if found in order.

5. Please arrange to advise all the branches/offices under your  control to make operating   staff thoroughly acquainted  with the provisions of the scheme and accept applications for its membership on the prescribed form along with the draft for requisite amount, from such retirees who are eligible, to avoid unnecessary correspondence/complaints at a later stage.

6. Please advise the time limit for joining the Scheme to all branches and offices under your administrative control with instructions to prominently display notice in this regard on the branch / office notice board along with the salient features of the Scheme for information of the pensioners. Further, please also arrange to disseminate the contents of the Circular through Centralised Pension Processing Centres so that all the retiree beneficiaries are made aware of the Scheme.

7. Please  make  available  membership-cum-declaration  forms  for membership  of   the  REMBS  in   adequate numbers  to all  branches/offices so  that  the  retirees may  not experience  any difficulty in getting the form.

8. Please arrange accordingly.

  

Yours faithfully, 

 

FOR DEPUTY MANAGING DIRECTOR

& CORPORATE DEVELOPMENT OFFICER

                                                                                                         XXXXXXXXXXXXX-----------------XXXXXXXXXXXXXXX

 

SBI RETIRED EMPLOYEES’ MEDICAL BENEFIT SCHEME CLAIM FORM FOR REIMBURSEMENT OF HOSPITALISATION EXPENSES

1. Name and address of the Retired Employee

 

2. Erstwhile designation

 

3. Telephone Number

 

4. Pension Paying Branch

 

    Savings Bank Account No.

 

5. Nature of illness

6. Date of advice for admission into Hospital (Please enclose the advice)

7. Name of the Hospital

 

8. Whether an approved Hospital

    If no, reasons therefor

 

9. Period of Hospitalisation

 

10. Details of Bills / Cash Memos:

       No.               Date          Amount

   (Please enclose the relative prescriptions.)

11. Amount Claimed

 

12. Amount Claimed Earlier, If Any

I hereby certify that the expenses as detailed above were actually incurred by me for myself/my spouse fully dependent on me. Further certified that I have neither received nor I am entitled to any reimbursement of contribution towards such expenses under a Personal Accident Policy or under any claim in respect of an accident or from any other source.

Place:

Date:

Forwarded to Zonal Office, P& HRD Section for

Payment Rs.

 

Branch / Chief / Asst. General Manager

 

 

Signature of the Retired Employee

 

Scrutinised and found in order for Rs.

 

 

Bank’s Medical Officer

                                                                                           

                                                                                     XXXXXXXXXXXXXXX--------------XXXXXXXXXXXXXXX

 

STATE BANK OF INDIA HOLIDAY HOMES WHICH MAY BE AVAILED OF NOT ONLY BY SERVING EMPLOYEES OF THE BANK BUT ALSO BY PENSIONERS AND THEIR FAMILIES

                                (IN ALPHABETICAL ORDER OF THE NAMES OF THE CENTRES)

                 Sl No ;  Name of Centre ;  Local Head Office controlling the Centre ; Address ; Phone No.

 

1. AGRA New Delhi Zilla Parishad Guest House,

Baluganj, Agra.

 

2. AJMER New Delhi Hotel Ambassador,

Near Jawaharlal Hospital,

Nagina Bagh, Ramble Road, Ajmer

 

3. ALLAHABAD Lucknow 27- A, C.Y. Chintamani Road,

Allahabad.

 

4. AURANGABAD Mumbai SBI Staff Qrs, Jadhavwadi,

Bldgs No B-6,CIDCO, N-7,

Jalgaon Road,

Aurangabad - 486230

Ph : (0240) - 2482864

 

5. BANGALORE Bangalore Binnyston Gardens

(Near Binny Mills,

Behind City Rly Station)

Magadi Road,

Bangalore - 560 023

Ph :             (080) 23303882      

 

6. BHOPAL Bhopal Raj Palace & Restaurant,

55, Zone-I, M.P. Nagar,

Bhopal - 462 011.

Ph : (0755) 552929,765418

Fax : (0755) 271504

 

7. BHUBANESHWAR Bhubaneshwar D-36, BJB Nagar,

Bhubaneshwar.

 

8. CHENNAI Chennai 20, Venkatachala

Naicken Street,

Triplicane,

Chennai - 600 005.

 

9. CHITRAKOOT Lucknow Tourist Bangalow

UP. Tourism,Chitrakoot Dham

(Dist. Chatrapati,

Shahuji Maharaj Nagar)33

 

10. CHIKHALDARA Mumbai Green Valley Resort

Near Bus Stand

Chikhaldara, Amravati Dist

(Maharashtra)

 

11. DALHOUSIE Chandigarh Near Subhash Chowk,

Dalhousie - 176 304.

Dist. Chamba (H.P.).

 

12. DARJEELING Bengal Rudra Bhavan

29, A.J.C. Bose Road

INA Bye Pass

Darjeeling - 734 101.

West Bengal

Ph : (0354) 2375312/ 2368342.

 

 

13. DELHI Delhi Rishi Guest House,

Paharganj, 76-77,

Ram Nagar

Near New Delhi Rly Stn.

New Delhi.

 

14. DEOGHAR Patna Baijyanti Bhawan

Circular Road, Deoghar.

 

15. DIGHA Bengal Plot No.17,

Holiday Home Sector,

New Digha, P.S. Digha (W.B)

Dist. Midnapore (East)

West Bengal

Pin- 721 428

Ph : 03220 - 66293

 

16. DWARKA Ahmedabad Hotel Dwarkesh,

Opp. Swaminarayan Mandir,

Dwarka - 361335

Ph : (02892)-234800/614, 235375

 

17. ERNAKULAM Trivandrum Door No. 39/4082-B

Sarada Math Lane,

Opp. Premier Cable Co.,

Ravipuram, Ernakulam,

Cochin - 682 015.

Ph: 235587634

 

18. GANGTOK Bengal Hotel Sujata,

Near  Sangrama

Cinema Hall,

Development Area,

Gangtok -(Sikkim).

Ph: 03592 - 27549

 

19. GOPALPUR-ON-SEA  Bhubaneshwar “SBI Holiday Home”

Dolphin House

Gopalpur on Sea

Dist. Ganjam.

 

20. GURUVAYUR Kerala ‘Aishwarya Krishna’,

IX/427, Opp. Lakshmi Clinic,

West Nada,

Guruvayur - 680 101

Ph: 0487-556508

 

21. GUWAHATI Guwahati Opp. Rajiv Bhavan,

Sarboday Path,

Bhangagarh,G.S. Road

Guwahati - 781 005.

Ph:             0361-2543442      

 

22. HUBLI Bangalore First Floor,

SBI Madhura Colony Branch,

Shantinagar,

Keshwapur, Hubli.

 

23. HYDERABAD Hyderabad D.No.3-6-69,

Avanti Nagar,

Opp. Sklyline Theatre Lane,

Basheer Bagh,

Hyderabad - 500029

Ph : 23224652

 

 

 

24. JORHAT Guwahati Tarajan, Bye-Lane-I

A.T. Road, Jorhat - 785 001

Ph:             0376-2322782      

 

25. KANYAKUMARI Chennai Hotel Pushpam

Hospital Road,

Near Police Station,

Kanyakumari - 629 702

Ph: 04652-24682235

 

26. KODAIKANAL Chennai Hotel Jai, Lloyds Road,

Kodaikanal - 624 101

Ph: 04542-240344/241425

 

27. KOLKATA Bengal Hotel Penguin Pvt Ltd.,

18, Jadunath Dey Road,

Kolkata - 700 012

Ph: 033-2375312, 2368342

 

28. LONAVALA Mumbai ‘Raydale’, Opp. Woodland

Hotel, Raiwood,

Lonavala-410101

Dist. Pune, (Maharashtra).

Ph: 02114-77393

 

29. LUCKNOW Lucknow A-1, 9A,Sector ‘B’,

Aliganj, Lucknow.

Ph:             0522-2324128      

 

30. MADURAI Chennai III Floor, Hotel Gangai,

4, West Perumal Maistry

Street, Near C.H. Hotel,,

Madurai - 625 001.

Ph: 0452-2342181/2342183

 

31. MANALI Chandigarh C/o Manali Co-op. Housing

Society Ltd.,Manali.

Ph: 01902- 53270

 

 

 

 

32. MATHERAN Mumbai Navnit Villa, Matheran,

(Maharashtra) -410102

Ph: 02148-30071

 

33. MOUNT ABU Ahmedabad No.6,  KNOLL Bungalow,

Palanpur House Colony

Opp. Gopal Hospital

Mount Abu - 307501

Ph: 0274-238937

 

34. MUSSOURIE New Delhi Hotel Savoy,

Motilal Nehru Block,

Mussourie 36

 

35. MYSORE Bangalore 16/1, 16/2, Shivanna

Complex,Kalidasa Road,

V.V. Mohalla,

Mysore - 570 002.

Ph:             (0821) 2512703      

 

36. NAINITAL Lucknow Hotel Woodland, Mallital,

Nainital (U.P)

 

37. OOTACAMAND Madras SBI Holiday Home,

Coonoor Road,

Opp.Dairy Complex,

(Udhagamandalam),

Ootacamand, (TamiINadu).

Ph: 0423-244263520

 

38. PACHMARHI Bhopal Hotel Pachmarhi,

Patel Marg

Pachmarhi - 461 881

(Hoshangabad Dist) M.P.

Ph:52170/52180.

 

39. PANAJI(GOA) Mumbai Hotel Samrat,

Doda Vaidya Road,

Panaji (Goa) - 403 001.

Ph: 0832-223318

 

40. PANCHGANI Mumbai Hotel Aishwarya,

T.P. Sch,: No.2,

Plot No.4,

Panchgani - 412 805

Dist. Satara.

Ph: 02168-40438

 

41. PATNA Patna H/o Waheja Murtaza,

Behind Chetna Samiti,

Vidyapati Marg,

Opp. Planetarium,Patna.

Ph:             0612-2239634      

 

 

 

42. PORT BLAIR Bengal H/o Smt. K. Prabhawati

Rajiv Gandhi Nagar,

Near Raj Nivas,

Port Blair, (A & N Islands).

Ph: 03192-23370537

 

43. PURl Bhubaneswar Aruni 1 , Aruni Bldg,

Chakratirtha Road,

Puri. (Orissa)

 

44. RAJGIR Patna C/o Hotel Laxmi Palace,

Rajgir - 803 116.

(Nalanda Dist.) Bihar.

Ph:             06112-255576      

 

45. RANCHI Patna Plot No. 2124,

Near Road No.1.

Ashok Nagar, Ranchi.

Ph:             0651-2241801      

 

46. SHILLONG Guwahati Hotel Alpine Continental,

Thana Road,

Police Bazar,

Shillong - 793 001.

Ph: 0364-2223617/2220911

 

47. SHIMLA Chandigarh Hotel Green Woods,

Dhingra Estate,

Kalka-Shimla Highway,

Simla - 171 003.

Ph: 0177-2831129/2830584

 

48. TIRUPATHI Hyderabad H.No.19-3-20,

Opp. Hotel Oorvasi Lane,

Old Renigunta Road, Kakatiya Nagar,

Tirupathi - 517501,

Ph:(08574) - 222317.

 

49. TRIVANDRUM Kerala “SOLEIL”, TC 25/847/1,

Thycaad,

Trivandrum - 695 024.

 

50. UDAIPUR Ahmedabad Hotel Kajari,

Shastri Circle,

Udaipur (Rajasthan).

Ph: 0274-2410501/50238

 

51. UJJAIN Bhopal Hotel Ashrya,

77, Dewas Road,

Ujjain - 456 010 (M.P.)

Ph: (0734)519301/03

 

52. VARANASI Lucknow D-63/8A,

Anand Nagar Colony,

Mehmoor Ganj

Varanasi - 221 010

Ph:             0542-2221064      

 

53. VELLORE Chennai Plot No. 143,

South Avenue Road,

Bharathi Nagar,

TNHB, Phase I,

Sathuvacahri,

Vellore - 632 009.

 

54. VIJAYAWADA Hyderabad H.No.40-9-18,

14, SBI Officers’ Colony,

Acharya Ranga Nagar

Lane Beside Life Hospital,

Near Benz Circle

Vijayawada - 500 010

Ph:              0866-2473018      

 

55. VISAKHAPATNAM Hyderabad 50-58-12/1&2, Plot No.33,

Rajendra Nagar

Vishakhapatnam - 530 016.

Ph:             0891-2545334