Downloadable Forms

 

  1. Hospital Cleanliness Feedback Form
  2. Hospital cleanliness Feedback Form (online)
  3. GI Liver App for iOS smartphone.
  4. GI Liver App for Android smartphone.
  5. Wheat Loan Form (for PGI Staff only)
  6. Complicated Chronic Certificate
  7. Form for Statement of Immovable Property

  8. Form for Financial Assistance under Rashtriya Arogya Nidhi (RAN) and Health Minister's Discretionary Grants (HMDG) to patients living Below Poverty Line.

  9. Application for Obtaining Disability Certificate by Persons with Disabilities

  10. Proforma for Allotment of Private Room
  11. Insurance Claim Form(For Self)

  12. Insurance Claim Form(In case of death)

  13. RTI Form Bilingual

  14. Requisition for withdrawal of amont from PGI Pvt. Grant A/C
  15. Animal Experiment Form

  16. Conference Application Form

  17. Conveyance Allowance Form

  18. Equipment Performa

  19. International Conference Form

  20. Local Purchase Form

  21. Essentiality Certificates (Appendix -XIV) Certificate 'A'

  22. Essential Certificate for issue of Not admissible drugs to PGI Staff

  23. Reimbursement of Medical Claim Form

  24. Medical Certificate(for  PGI employees Only)
  25. Proforma of "Will Form" and "Whole-Body Donation Card"
  26. Application Form for registration of vendors for procurement of various consumables

    for hospital use.

  27. Earned Leave Form(for PGI employees only)
  28. Pro forma for Registration in Staff Clinic((For Students/Junior Residents/Research Fellows under Institute Research Schemes)
  29. Registraion Proforma for New Registraion or addition/deletion of family dependent(s) with Staff Clinic
  30. Joint Declartion for Medical Facilities
  31. Therapeutic Drug Monitoring Form
  32. Travelling Allowance Form

  33. Transport Booking Form

  34. Railway Booking Form

  35. Application Form for creation of OFFICIAL E-Mail Account on pgimer.edu.in
  36. Life Certificate Form for Pensioners
  37. Condemnation Certificate
  38. Refund of Revenue
  39. Receipt Challan
  40. Hindi Font
  41. External Quality Assurance Program in Medical Mycology-Instructions and Form
  42. Application Form For Issue of Identity Card of PGIMER, Chandigarh
  43. Performa/form for newspaper allowance
  44. Organ Donation Pledge Form
  45. Various forms of Nursing Department
  46. Affidavit format for declaration of dependency of father/mother/father-in-law/mother-in-law, as applicable, for availing medical facilities in accordance with CCS (MA) Rules, 1944 as per recent amendment (For PGI Employees)
  47. Children Education Allowance Claim Form
  48. Nomination Form
  49. Accommodation Form for Quarantine
  50. Accommodation Form for Duty Period
  51. HRA Performa
  52. राजभाषा हिंदी के प्रगामों प्रयोग से संबंधित तिमाही प्रगति रिपोर्ट प्रोफोर्मा
  53. हिन्दी शिक्षण योजना के अधीन प्रबोध/प्रवीण/प्राज्ञ/हिन्दी टंकण/हिन्दी आशुलिपि परीक्षा पास करने पर वैयक्तिक वेतन पाने के लिए विचारार्थ प्रपत्र।
  54. हिन्दी शिक्षण योजना के अधीन प्रबोध/प्रवीण/प्राज्ञ परीक्षाएं उत्तीर्ण करने पर नकद पुरस्कार पाने के लिए विचारार्थ प्रपत्र।
  55. हिन्दी शिक्षण योजना के अधीन हिन्दी टंकण/ हिन्दी आशुलिपि परीक्षाओं में उत्तीर्ण होने पर नकद पुरस्कार के विचाराधीन अनुदान के लिए प्रपत्र।
  56. Form for obtaining Birth Certificate
  57. Form for obtaining Death Certificate

Accommodation Form for Duty Period