Join Assam Healthcare COOP

Join our 10,000+ beneficiaries for a LIFELONG fee of Rs. 500.00 and reduce out-of-pocket medical expenses. Please fill out the form below to enrol as a beneficiary member of the Coop. Using this form, you may apply for up to four dependent family members living at the same address. Before applying, visit our Homepage and read our latest Newsletter for information on the benefit. Also, ensure you have the following to upload:

  1. A passport photo of each applicant, and
  2. The receipt and reference number of fee payment of Rs. 500 per applicant (Pay by Google Pay or Net banking to A/C No. 37171614127, IFSC SBIN0007976, SBI, Chenikuthi).
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