18/02/2022

Help Desk Message

Sub: Retired Staff Welfare Schemes

Reference is invited to our Circular No: HRMD: 166/2021-22 dated 03/02/2022 on the
Retired Staff Welfare Schemes for the Calendar Year 2022.

The applications received from the retired staff members have to be entered and
authorized in Retired Staff Welfare portal, the navigation for which is given below:

CBS HELP DESK >> HRM >> HRM PORTAL >> RETIRED STAFF WELFARE LOGIN
(SALARY USERNAME & PASSWORD)

The applications can be entered by any staff member of the branch. The authorization
can be done by ABM/ BM/ CM and above. Please note to enter and authorize the claims
on the same day of receipt of the applications.

The application forms are available in FORMATs section under Welfare in HRM
Portal. However, the applications are also attached herewith for ready reference.
The retired staff members can apply for the above two schemes through their nearest
branch.

This information is to be brought to the notice of all staff and retired staff members.

Deputy General Manager (HRM)

 Application for Grant of Medical Aid for Retired Staff Members under
Staff Welfare Scheme

The Asst. General Manager (HRM)

Indian Bank, Corporate Office,
Chennai.

Through: - The Branch Manager, ______________ Branch.

Madam / Dear Sir,

I request you to reimburse the medical expenses incurred by me during the Calendar Year
_______ under the ‘Grant of Medical Aid to Retired Staff’. The required details are given below.

1. Name

2. SR No

3. Branch/Office (last worked)

4. Designation at the time of Retirement / VRS

5 Date of Retirement / VRS

6 Age (as on date of application)

7. SB Account Number & Branch Name

Address:

8.

Mobile / Email ID:

9. Year of Claim

10 Amount of Medical Expense incurred by me

Rs.
during the current Calendar Year

Declaration by the applicant

I hereby declare that all the above particulars are true.

Date: Signature of the applicant.

Branch Manager’s Recommendation

Recommended to Corporate Office for reimbursement as per the scheme.

Date: Signature of BM / ABM & Seal

Note: Retirees are not eligible for the grant of medical aid in the year of superannuation.
Application for Reimbursement of Annual Health Check-Up Charges for Retired Staff Members
under Staff Welfare Scheme

The Asst. General Manager (HRM)

Indian Bank, Corporate Office,
Chennai.

Through: - The Branch Manager, ______________ Branch.

Madam / Dear Sir,

I request you to reimburse the expenses incurred towards the health check-up undergone by
me and my spouse during the Calendar Year _______ under the ‘Reimbursement of Annual
Health Check-up Charges for Retired Staff’. The details are furnished below.

Name

SR No Age (as on date of

application)

Designation (At the time of Date of

Retirement / VRS) Retirement /VRS
SB A/c No &
Branch Branch Name
(last worked)

Present Address:

Mobile No. / Email ID:

Calendar Year of Claim Total amount claimed Rs.

Details of Health Check-up / Tests undergone

Date Bill number Name of the Lab Name of Diagnostic Test Amount in Rs.

Declaration by the applicant

I hereby declare that all the above particulars are true.

Date: Signature of the applicant

Branch Manager’s Recommendation

Recommended to Corporate Office for reimbursement as per the scheme.

Date: Signature of BM / ABM & Seal

Note: Retirees are not eligible for reimbursement of health check-up charges in the year of
superannuation.